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Abstract SUI’II’IARY AND CONCLUSION Our work represent a retrospective study designed to delineate the pattern of rheumatoid arthritlz among the Egyptian population. This study included 1169 patients suffering from rheumatoid arthritis according to the 1987 revised A.erican Rheumatism Association criteria (Arnett et al., 1988). The results of this study showed the followingl * The male to female ratio was 113.9. * The mean age of examined cases was 42.27 ~ 12.24. * The mean age of onset of the disease was 3a.82~12.16. * 14.65% of patients showed positive family history of the disease in their families. * There was a history of a precipitating factor prior to the disease onset in 5.83% of patients. * The small joints of the hands were the commonest joints involved at the disease onset. * Deformities were present in 33.45% of patients. * Flexion deformity of the elbows was the most common deformity (23.7%) followed by ulnar deviation (8.3X). * Extra-articular manifestations were present in 49.17% of patients. * Dryness of mouth was the most common form of extra- 142 articular manifestations (21.73~), followed by dryness of eyes (9.07~), while vasculitis was the least common form of extra-articular manifestations seen in our patients (O.6~). * Subcutaneous nodules were found in 7.6~ of our patients. * Pulmonary, cardiac and neurological not seen in our patients. complications were * Most of examined cases (61.01~) had mild disability (Grade II) according to Steinbrocker classification of functional capacity. * Rheumatoid factor was positive in 68.-/5~ of patients. * There were no significan~ differences between the seropositive and the seronegative patients frequency of joint involvement, functional presence of extra-articular manifestations. * There were no significant differences between different age groups as regards frequency of joint involvement and functional capacity. as regards capacity or * The deformities were commoner in patients of younger age group, and the difference in the presence of deformities in different age groups was highly significant. CONCLUSION_ In conclusion we can say that rheumatoid arthritis among the Egyptian population runs a relatively mild 143 course. The pattern of the disease among the Egyp’ian population does not differ greatly from the pattern of the disea.e among other population. eKcept in the ab.ence of .erious life threatening systemic manifestations. |