Erosive osteoarthritis

Erosive osteoarthritis (EOA) is believed to be a clinically uncommon subset of generalized osteoarthritis (OA) characterized by a clinical course, which is frequently aggressive. The diagnosis of EOA is accepted only for patients meeting American College of Rheumatology clinical criteria for OA of t...

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Bibliographic Details
Published in:Best practice & research. Clinical rheumatology 2004-10, Vol.18 (5), p.739-758
Main Authors: Punzi, Leonardo, Ramonda, Roberta, Sfriso, Paolo
Format: Article
Language:English
Subjects:
Arthritis, Psoriatic - diagnosis
Arthritis, Rheumatoid - diagnosis
diagnosis
Diagnosis, Differential
erosive osteoarthritis
Female
Hand - diagnostic imaging
Humans
imaging
immunogenetic
Immunogenetics
laboratory investigations
Male
Middle Aged
Osteoarthritis - diagnostic imaging
Osteoarthritis - etiology
Osteoarthritis - pathology
Radiography
therapy
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Summary:Erosive osteoarthritis (EOA) is believed to be a clinically uncommon subset of generalized osteoarthritis (OA) characterized by a clinical course, which is frequently aggressive. The diagnosis of EOA is accepted only for patients meeting American College of Rheumatology clinical criteria for OA of the hand and showing radiographic aspects of articular surface erosions. Conditions to be considered in the differential diagnosis include primarily nodal generalized OA, psoriatic arthritis and rheumatoid arthritis. It is possible to find erosive changes resembling EOA in endocrine diseases, microcrystal-induced diseases, chronic renal diseases, autoimmune diseases and others. Despite the absence of a clear etiology, immunogenetic studies are useful in identifying a possible predisposition to developing EOA in some subjects. No definitive therapeutic approach to EOA has been reported. It is reasonable to assume that in the presence of a symptomatic EOA our therapeutic approach should differ from that used for common, nodal, non-EOA.
ISSN:1521-6942
1532-1770
DOI:10.1016/j.berh.2004.05.010