Diagnostic delay was 26 years In the 156% of patients arthriti

Diagnostic delay was 2.6 years. In the 15.6% of patients arthritis developed before the skin findings. The proportion of patients fulfilling the MW, MF, mMG, VE, CASPAR and ASAS criteria were at a ratio of 90.6%, 82.8%, 62.5%, 84.4%, 96.1% and 76.5%, respectively. In early PsA (< 12 months disease duration) the proportions were 93.4%, 83.3%, 76.7%, 76.7%, 96.7% and 66.6%, respectively. On the other hand, in late PsA the proportions were 89.8%, GSI-IX 82.6%, 57.1%, 86.7%, 95.9%, 79.5%, respectively. Even though the sensitivity of PsA classification criteria in Turkish patients changes, the CASPAR criteria seems to be more prominent among all criteria for both early and late cases with its high sensitivity.


“Introduction:  Antimalarial medications are basal active drugs used for the treatment of various rheumatological conditions. check details Their common side-effects include eye damage. Aim:  The aim of this study is to determine the safety of antimalarial medications used for rheumatological conditions and the incidence of retinopathy. Material and methods:  Eighty-five patients with rheumatological conditions, who were followed in our rheumatology clinics between 2005 and 2009 while under chloroquine (CQ) and/or hydroxychloroquine (HQ) treatment were included in the study. Indirect ophthalmoscopic examination with 90 dioptry lens, frontal segment

examination and macular visual area test were applied to all patients. Severity of retinopathy was evaluated as mild initial defect in the macula, or severe visual area loss. Results:  Retinopathy

findings were detected in 21 out of 85 patients (24.7%). Of these patients, 12 had mild initial defects while nine had severe visual area loss. Of 21 patients, eight were on HQ and 13 were on CQ treatment. Of the patients seen with findings of retinopathy, 17 had comorbid hypertension (HT) and six had diabetes mellitus (DM). Patients receiving CQ are under higher risk compared to those on HQ treatment (P = 0.001). Patient age, disease duration, HT and DM presence had no statistically significant effect on retinopathy development (P = 0.144, P = 0.305, P = 0.258, P = 0.395, respectively). Conclusion:  The incidence of retinopathy among patients using antimalarial medications as observed in this study was relatively high. RANTES Based on these results, it is essential to emphasize the importance of close monitoring in patients receiving antimalarial medications and evaluation of visual findings before treatment initiation. “
“The philosophy of “Publish or Perish” does not generate good science. It does not require a maverick mind to denounce this school of thought. The sole purpose of this concept is often to produce papers desperately for career enhancements and not for benefitting the society with fruits of science. The huge funds required for conducting relevant research including clinical trials often preclude investigator initiated studies.

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