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Medicine
Jan, 2008;87 (1): 37-44.

Jaccoud arthropathy in systemic lupus erythematosus: analysis of clinical characteristics and review of the literature.

Mittermayer B Santiago, Verena Galvão
Author Information
  1. Mittermayer B Santiago: From Rheumatology Service (MBS), Hospital Santa Izabel and Escola Bahiana de Medicina e Saúde Pública (MBS); Fundação Bahiana para o Desenvolvimento das Ciências (VG), Salvador, Bahia, Brazil.
PMID: 18204369 DOI: 10.1097/MD.0b013e3181632d18

Abstract

Jaccoud arthropathy (JA) was initially described in patients with rheumatic fever and later in several other rheumatologic conditions, particularly systemic lupus erythematosus (SLE). In patients with the latter disorder, a prevalence of about 5% has been observed. We conducted the current study to describe a series of patients with SLE with JA, followed at the Hospital Santa Izabel, Salvador, Brazil, during the year 2006. We reviewed the literature on JA, with emphasis on the histologic, clinical, radiologic, and therapeutic aspects of the condition. Twenty-one patients with JA were identified, corresponding to a prevalence of 3.47% in the population of 606 patients with the diagnosis of SLE attended in our service. Twenty patients were women, and the mean age was 40.2 +/- 8.8 years (range, 24-55 yr). The most frequently found joint deformities were swan neck and thumb subluxation, both identified in 14 patients. Ulnar deviation was seen in 8, boutonniere deformity in 3, and hallux valgus in 2 patients. We found no difference in the clinical or laboratory features in SLE patients with or without JA. The patients with JA presented a trend toward a lower quality of life compared with the patients with SLE without JA, but without statistical significance.

References

Alarcon-Segovia D, Abud-Mendoza C, Diaz-Jouanen E, Iglesias A, De los Reyes V, Hernandez-Ortiz J. Deforming arthropathy of the hands in systemic lupus erythematosus. J Rheumatol. 1988;15:65-69.
Alnot JY, Liverneaux P, Welby F. [Jaccoud's arthropathy. Surgical results of 41 hands]. Chir Main. 2004;23:229-236.
Aptekar RG, Lawless OJ, Decker JL. Deforming non-erosive arthritis of the hand in systemic lupus erythematosus. Clin Orthop Relat Res. 1974;100:120-124.
Babini SM, Cocco JA, de la Sota M, Babini JC, Arturi A, Marcos JC, Morteo OG. Tendinous laxity and Jaccoud's syndrome in patients with systemic lupus erythematosus. Possible role of secondary hyperparathyroidism. J Rheumatol. 1989;16:494-498.
Ballard M, Meyer O, Adle-Biassette H, Grossin M. Jaccoud's arthropathy with vasculitis and primary Sjogren's syndrome A new entity. Clin Exp Rheumatol. 2006;24:S102-S103.
Beausang E, Barnett EV, Goldstein S. Jaccoud's arthritis. A case report. Ann Rheum Dis. 1967;26:239-245.
Bittl JA, Perloff JK. Chronic post-rheumatic fever arthropathy of Jaccoud. Am Heart J. 1983;105:515-517.
Bleifeld CJ, Inglis AE. The hand in systemic lupus erythematosus. J Bone Joint Surg Am. 1974;56:1207-1215.
Bradley JD. Jaccoud's arthropathy in adult dermatomyositis. Clin Exp Rheumatol. 1986;4:273-276.
Bradley JD, Pinals RS. Jaccoud's arthropathy in scleroderma. Clin Exp Rheumatol. 1984;2:337-340.
Burda CD, Sanders CV. Chronic postrheumatic-fever (Jaccoud's) arthritis. Case report with the rheumatoid factor and a family history of rheumatoid arthritis. Arch Intern Med. 1967;120:712-716.
Bywaters EGL. Jaccoud's syndrome: a sequel to the joint involvement of systemic lupus erythematosus. Clin Rheum Dis. 1975;1:125-148.
Caznoch CJ, Esmanhotto L, Silva MB, Skare TL. Pattern of joint involvement in patients with systemic lupus erythematosus and its association with rheumatoid factor and hypermobility. Rev Bras Reum. 2006;46:261-265.
Chen HJ, Bloch KJ. Hypocomplementemic urticarial vasculitis, Jaccoud's arthropathy, valvular heart disease, and reversible tracheal stenosis: a surfeit of syndromes. J Rheumatol. 2001;28:383-386.
Choi EK, Gatenby PA, Bateman JF, Cole WG. Antibodies to type II collagen in SLE: a role in the pathogenesis of deforming arthritis? Immunol Cell Biol. 1990;68:27-31.
Conrozier T, Balblanc JC, Chapard R, Biron P, Mathieu P, Vignon E. [Jaccoud's arthritis and angioimmunoblastic lymphadenopathy]. Rev Rhum Mal Osteoartic. 1990;57:423-425.
Cronin ME. Musculoskeletal manifestations of systemic lupus erythematosus. Rheum Dis Clin North Am. 1988;14:99-116.
de la Sota M, Garcia-Morteo O, Maldonado-Cocco JA. Jaccoud's arthropathy of the knees in systemic lupus erythematosus. Arthritis Rheum. 1985;28:825-827.
de la Sota M, Maldonado Cocco JA. Jaccoud's arthropathy in knees in systemic lupus erythematosus. Clin Rheumatol. 1989;8:416-417.
Del Fava MF, Mangueira CLP, Yoshinari NH, Ribeiro AP, Santi CG, Neto ML, Gonçalves CR. Poliartrite, pioderma gangrenoso e pustulose subcornea: uma associação inusitada. Rev Bras Reum. 1999;36:159-161.
Dray GJ, Millender LH, Nalebuff EA, Philips C. The surgical treatment of hand deformities in systemic lupus erythematosis. J Hand Surg [Am]. 1981;6:339-345.
Esdaile JM, Danoff D, Rosenthall L, Gutkowski A. Deforming arthritis in systemic lupus erythematosus. Ann Rheum Dis. J. 1981;40:124-126.
Evans JA, Hastings DE, Urowitz MB. The fixed lupus hand deformity and its surgical correction. J Rheumatol. 1977;4:170-175.
Fernandez A, Quintana G, Matteson EL, Restrepo JF, Rondon F, Sanchez A, Iglesias A. Lupus arthropathy: historical evolution from deforming arthritis to rhupus. Clin Rheumatol. 2004;23:523-526.
Fernandez A, Quintana G, Rondon F, Restrepo JF, Sanchez A, Matteson EL, Iglesias A. Lupus arthropathy: a case series of patients with rhupus. Clin Rheumatol. 2006;25:164-167.
Franceschini F, Cretti L, Quinzanini M, Rizzini FL, Cattaneo R. Deforming arthropathy of the hands in systemic lupus erythematosus is associated with antibodies to SSA/Ro and to SSB/La. Lupus. 1994;3:419-422.
Gerster JC, Peter O. Jaccoud's arthropathy in acrodermatitis chronica atrophicans. Br J Rheumatol. 1998;37:347-348.
Girgis FL, Popple AW, Bruckner FE. Jaccoud's arthropathy. A case report and necropsy study. Ann Rheum Dis. 1978;37:561-565.
Goyal G, Thakur R, Singh S. Chronic post-rheumatic fever (Jaccoud's) arthropathy involving carpometacarpal joints. Heart. 2006;92:1243.
Grahame R, Mitchell AB, Scott JT. Chronic post-rheumatic fever (Jaccoud's) arthropathy. Ann Rheum Dis. 1970;29:622-625.
Houser SL, Askenase PW, Palazzo E, Bloch KJ. Valvular heart disease in patients with hypocomplementemic urticarial vasculitis syndrome associated with Jaccoud's arthropathy. Cardiovasc Pathol. 2002;11:210-216.
Ignaczak T, Espinoza LR, Kantor OS, Osterland CK. Jaccoud arthritis. Arch Intern Med. 1975;135:577-579.
Ishikawa O, Miyachi Y, Watanabe H. Hypocomplementaemic urticarial vasculitis associated with Jaccoud's syndrome. Br J Dermatol. 1997;137:804-807.
Johnson JJ, Leonard-Segal A, Nashel DJ. Jaccoud's-type arthropathy: an association with malignancy. J Rheumatol. 1989;16:1278-1280.
Joseph B, Chacko V. Chronic post-rheumatic-fever arthritis (Jaccoud's arthritis) involving the feet. A case report. J Bone Joint Surg Am. 1984;66:1124-1125.
Kahn MF. Jaccoud's syndrome in a rheumatology unit. Clin Rheumatol Pract. 1986;4:153-155.
Kahn MF. Jaccoud's arthritis and urticarial hypocomplementemic vasculitis. J Rheumatol. 1989;16:252.
Kane D, Bresnihan B. Jaccoud's arthropathy secondary to severe chronic eczema of the palms. Br J Rheumatol. 1997;36:1339-1340.
Khellaf M, Chaouat D, Ancelle G, Rascovski S, Binet O, Beltzer-Garelly E. [Association of mycosis fungoides and Jaccoud syndrome]. Rev Med Interne. 1995;16:923-925.
Klemp P, Majoos FL, Chalton D. Articular mobility in systemic lupus erythematosus (SLE). Clin Rheumatol. 1987;6:202-207.
Labowitz R, Schumacher HR Jr. Articular manifestations of systemic lupus erythematosus. Ann Intern Med. 1971;74:911-921.
Lawless OJ, Whelton JC. Proceedings: Deforming hand arthritis in systemic lupus erythematosus. Arthritis Rheum. 1974;17:323.
Leventhal LJ, Straka PC, Schumacher HR Jr. Jaccoud arthropathy and acroosteolysis in KID syndrome. J Rheumatol. 1989;16:1274-1277.
Levin EB. Jaccoud's arthritis. Post-rheumatic fever complication-not rheumatoid arthritis. Calif Med. 1970;112:19-22.
Lipa I, Cerimovic S, Mahic-Zikic A. [Chronic Jaccoud polyarthritis and Takayasu arteritis]. Med Arh. 1987;41:189-193.
Maher JM, Strosberg JM, Rowley RF, Farber M. Jaccoud's arthropathy and inflammatory bowel disease. J Rheumatol. 1992;19:1637-1639.
Manthorpe R. The man behind the syndrome. Sigismond Jaccoud. With his 23d lecture he became part of medical history. Lakartidningen. 1992;89:1585-1585.
Manthorpe R, Bendixen G, Schioler H, Viderbaek A. Jaccoud's syndrome. A nosographic entity associated with systemic lupus erythematosus. J Rheumatol. 1980;7:169-177.
Martinez TY, Pereira CA, dos Santos ML, Ciconelli RM, Guimaraes SM, Martinez JA. Evaluation of the short-form 36-item questionnaire to measure health-related quality of life in patients with idiopathic pulmonary fibrosis. Chest. 2000;117:1627-1632.
Martini A, Ravelli A, Viola S, Burgio RG. Systemic lupus erythematosus with Jaccoud's arthropathy mimicking juvenile rheumatoid arthritis. Arthritis Rheum. 1987;30:1062-1064.
Mediwake R, Isenberg DA, Schellekens GA, van Venrooij WJ. Use of anti-citrullinated peptide and anti-RA33 antibodies in distinguishing erosive arthritis in patients with systemic lupus erythematosus and rheumatoid arthritis. Ann Rheum Dis. 2001;60:67-68.
Meyers OL, Chalmers IM. Jaccoud's arthropathy: report of seven cases. S Afr Med J. 1977;51:753-757.
Miled-M'Rad K, M'Rad S, Kchir M, Belkhoja C, Bahri B, Hendaoui L, Ben Dridi M. [Caroli's disease and Jaccoud's arthropathy]. Ann Gastroenterol Hepatol (Paris). 1993;29:107-109.
Mizutani W, Quismorio FP Jr. Lupus foot: deforming arthropathy of the feet in systemic lupus erythematosus. J Rheumatol. 1984;11:80-82.
Molina JF, Molina J, Gutierrez S, Uribe O, Garcia C, Ristea R, Gharavi A, Scopelitis E, McGrath H, Wilson W, Espinoza LR. Deforming arthropathy of the hands (Jaccoud's) in systemic lupus erythematosus (SLE). An independent subset of SLE? Arthritis Rheum. 1995;38:S347.
Morley KD, Leung A, Rynes RI. Lupus foot. Br Med J (Clin Res Ed). 1982;284:557-558.
Moro C, Castro C, Gonzalez LM, Ruigomez L. [Articular sequelae of rheumatic fever (Jaccoud's arthropathy)]. Rev Esp Cardiol. 1978;31:73-78.
Moro C, Castro C, Lanza MG, Font dM, Cosio FG, Ruigomez L, Schuller A. Jaccoud's arthropathy in patients with chronic rheumatic valvular heart disease. Eur J Cardiol. 1978;6:459-468.
Murphy WA, Staple TW. Jaccoud's arthropathy reviewed. Am J Roentgenol Radium Ther Nucl Med. 1973;118:300-307.
Navarret EE, Glenny JE, Moradei CO, Marroquin C. [Chronic arthritis after rheumatic fever. Jaccoud's syndrome.]. Rev Asoc Med Argent. 1964;78:62-65.
Ostendorf B, Scherer A, Specker C, Modder U, Schneider M. Jaccoud's arthropathy in systemic lupus erythematosus: differentiation of deforming and erosive patterns by magnetic resonance imaging. Arthritis Rheum. 2003;48:157-165.
Palazzi C, D'Amico E, De Santis D, Petricca A. Jaccoud's arthropathy of the hands as a complication of pyrophosphate arthropathy. Rheumatology (Oxford). 2001;40:354-355.
Palazzo E, Bourgeois P, Meyer O, De Bandt M, Kazatchkine M, Kahn MF. Hypocomplementemic urticarial vasculitis syndrome, Jaccoud's syndrome, valvulopathy: a new syndromic combination. J Rheumatol. 1993;20:1236-1240.
Panichewa S, Chitrabamrung S, Vatanasuk M. Hand deformities in a patient with chronic lung disease; Jaccoud's arthropathy. Clin Rheumatol. 1983;2:65-69.
Paredes JG, Lazaro MA, Citera G, Da Representacao S, Maldonado Cocco JA. Jaccoud's arthropathy of the hands in overlap syndrome. Clin Rheumatol. 1997;16:65-69.
Pastershank SP, Resnick D. "Hook" erosions in Jaccoud's arthropathy. J Can Assoc Radiol. 1980;31:174-175.
Piette JC, Le Thi HD, Ziza JM, Vidailhet MJ, Chapelon C, Godeau P, Gatfosse M. [Jaccoud's rheumatism in Sharp's syndrome]. Rev Rhum Mal Osteoartic. 1988;55:153-154.
Preston ET. Avulsion of both quadriceps tendons in hyperparathyroidism. JAMA. 1972;221:406-407.
Reilly PA, Evison G, McHugh NJ, Maddison PJ. Arthropathy of hands and feet in systemic lupus erythematosus. J Rheumatol. 1990;17:777-784.
Rivero MG, Salvatore AJ, Gomez-Puerta JA, Mascaro JM Jr, Canete JD, Munoz-Gomez J, Sanmarti R. Accelerated nodulosis during methotrexate therapy in a patient with systemic lupus erythematosus and Jaccoud's arthropathy. Rheumatology (Oxford). 2004;43:1587-1588.
Russell AS, Percy JS, Rigal WM, Wilson GL. Deforming arthropathy in systemic lupus erthematosus. Ann Rheum Dis. 1974;33:204-209.
Siam AR, Hammoudeh M. Jaccoud's arthropathy of the shoulders in systemic lupus erythematosus. J Rheumatol. 1992;19:980-981.
Spronk PE, ter Borg EJ, Kallenberg CG. Patients with systemic lupus erythematosus and Jaccoud's arthropathy: a clinical subset with an increased C reactive protein response? Ann Rheum Dis. 1992;51:358-361.
Sturgess AS, Littlejohn GO. Jaccoud's arthritis and panvasculitis in the hypocomplementemic urticarial vasculitis syndrome. J Rheumatol. 1988;15:858-861.
Sukenik S, Hendler N, Yerushalmi B, Buskila D, Liberman N. Jaccoud's-type arthropathy: an association with sarcoidosis. J Rheumatol. 1991;18:915-917.
Szczepanski L, Targonska B, Piotrowski M. Deforming arthropathy and Jaccoud's syndrome in patients with systemic lupus erythematosus. Scand J Rheumatol. 1992;21:308-309.
Takeishi M, Mimori A, Suzuki T. Clinical and immunological features of systemic lupus erythematosus complicated by Jaccoud's arthropathy. Mod Rheumatol. 2001;11:47-51.
Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester RJ. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982;25:1271-1277.
Tani K, Narita M, Ishigatsubo Y, Chiba J, Matsunaga K, Kato K, Nagaoka S, Sakamoto H, Takahashi H, Tani S. [A case of SLE complicated with Jaccoud's syndrome]. Ryumachi. 1983;23:35-41.
Thakur R, Gupta LC, Misra M, Saran RK, Hasan M. Jaccoud's arthropathy-diagnostic and therapeutic implications. Postgrad Med J. 1988;64:809-811.
Tishler M, Yaron M. Jaccoud's arthropathy and psoriatic arthritis. Clin Exp Rheumatol. 1993;11:663-664.
Tsai JJ, Tsai WJ, Yen JH, Chen JR, Lin SF, Liu HW. Malignant pheochromocytoma associated with Jaccoud's-type arthropathy, Raynaud's phenomenon, positive antinuclear antibody and rheumatoid factor. Gaoxiong Yi Xue Ke Xue Za Zhi. 1994;10:518-521.
Twigg HL, Smith BF. Jaccoud's arthritis. Radiology. 1963;80:417-421.
van Vugt RM, Derksen RH, Kater L, Bijlsma JW. Deforming arthropathy or lupus and rhupus hands in systemic lupus erythematosus. Ann Rheum Dis. 1998;57:540-544.
Villiaumey J, Arlet J, Avouac B. Diagnostic criteria and new etiologic events in the arthropathy of Jaccoud: a report of 10 cases. Clin Rheumatol Pract. 1986;4:156-175.
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-483.
Weeratunge CN, Roldan J, Anstead GM. Jaccoud arthropathy: a rarity in the spectrum of HIV-associated arthropathy. Am J Med Sci. 2004;328:351-353.
Weissman BN, Rappoport AS, Sosman JL, Schur PH. Radiographic findings in the hands in patients with systemic lupus erythematosus. Radiology. 1978;126:313-317.
Whittaker R, Griffiths H. Jaccoud's arthropathy and hypermobility syndrome. J Rheumatol. 1993;20:1636.
Wright S, Filippucci E, Grassi W, Grey A, Bell A. Hand arthritis in systemic lupus erythematosus: an ultrasound pictorial essay. Lupus. 2006;15:501-506.

MeSH Term

Adult
Arthritis, Rheumatoid
C-Reactive Protein
Diagnosis, Differential
Female
Humans
Joint Deformities, Acquired
Lupus Erythematosus, Systemic
Magnetic Resonance Spectroscopy
Male
Metacarpal Bones
Metatarsal Bones
Middle Aged
Prevalence
Retrospective Studies

Chemicals

C-Reactive Protein
Journal Article Research Support, Non-U.S. Gov't Review

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