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Biomedical subjects

Z Jajić

Publications and source records attributed to Z Jajić.

At least 19 recordsLinked to original sources
PubMed2001

Radiologic changes of ischial tuberosity in ankylosing spondylitis.

The objective of the paper was to emphasize the meaning of involvement of ischial tuberosity in ankylosing spondylitis, enriching the clinical picture of the disease and pointing to ankylosing spondylitis, especially when sacroiliitis is absent or less developed. Radiologic examination of ischial tuberosity was performed in 68 patients with different developmental stages of ankylosing spondylitis. There were 66 (97%) men and two (3%) women, aged 30 to 56 years. Anteroposterior radiographs of the pelvis were performed in all patients and independently assessed by two radiologists. The radiologic changes of ischial tuberosity were classified into four stages: 1) stage of minimal changes, 2) stage of destructive changes, 3) stage of reconstructive changes, and 4) stage of ossification of tendon fibers in the form of rumpled tufts. Radiologic changes of enthesitis were found on ischial tuberosity in 31 patients (45.5%, p < 0.01). Stage 1 or minimal changes were found in two (6.5%); stage 2 or destructive changes in 13 (42.0%); stage 3 or reconstructive changes in 11 (35.5%) and stage 4 or "tufts phenomenon" in five (16.0%) patients. The classification of changes is useful for the assessment of disease range and progression as well as for the diagnosis when sacroiliitis is obscurely developed and other radiologic signs are not present.

Adult↗
PubMed2000

Radiological changes of the symphysis in ankylosing spondylitis.

PURPOSE: To evaluate the symphyseal changes in patients with ankylosing spondylitis. MATERIAL AND METHODS: Radiological-morphological changes of the symphysis were studied in 68 patients (66 men, 2 women) with ankylosing spondylitis whose age ranged from 21 to 75 years. The duration of the disease was from 2 to 50 years. RESULTS AND CONCLUSION: Changes in the symphysis were found in 16 patients (23.5%) and were less prominent than findings in the sacroiliac joints. We classified these changes into four stages: minimal changes, apparent destruction, reparation and ankylosis. The third and the fourth stages of the changes in the symphsis were found more frequently in patients who suffered from the disease for more than 15 years. Radiological evaluation of symphyseal changes can be helpful in the evaluation of disease progression as well as in establishing a differential diagnosis.

Adult↗
PubMed2000

Quantitative analysis of digitopalmar dermatoglyphics in men with ankylosing spondylitis.

Dermatoglyphic pattern analysis, one of the genetic methods, was used to determine digitopalmar ridge count in 40 men with ankylosing spondylitis. Twenty-two variables (ridge count on each of the ten fingers, their sum on five and ten fingers, four traits on each palm, i.e. ridge count between a-b, b-c and c-d triradii, and atd angles on the palms as well as their bilateral sum) were determined. The data thus obtained were compared with digitopalmar prints of 200 healthy men who served as a control group. A significant difference from the control group was found for six variables. The atd angle was reduced on both palms and consequentially in the overall sum. Ridge count was decreased between the b-c triradius on the left palm and increased on the third finger tip bilaterally. Accordingly, a polygenic system identical in some loci to the polygenic system predisposing to ankylosing spondylitis susceptibility might be found responsible for the dermatoglyphic pattern development. That means that they could used, and that is the aim of this study, in the evaluation of the relative risk in family members with positive disease history.

Adult↗
PubMed2000

[Ankylosing spondylitis].

Ankylosing spondylitis is a chronic progressive disease of unknown etiology in which genetical and environmental factors are very important. The disease is even now diagnosed relatively late and therefore the treatment is not satisfactory. Well taken history, clinical and radiological findings enable to establish early diagnosis and introduction of modern therapy which can lead to good results and maintenance of satisfactory function of locomotor system.

Humans↗
PubMed1998

[Joint symptoms in primary hypertrophic osteoarthropathy].

Joint manifestations of hypertrophic osteoarthropathy are arthritis and arthralgia. Those occur at the all joints, but often at the lower extremities and usually are asymmetric. Swelling of the distal parts of the extremities was found in 52 patients (68.4%). Perimaleolar swelling proceed from periostal accumulation. Swollen fists are present in all patients and that phenomenon is characteristic sign of the disease. Swelling of the joints, perimaleolar edema and swelling of the distal parts of the limbs reminds of the other conditions (tumor, osteomyelitis, lues, Reiter's syndrome, psoriasis, lymphangitis, miksedema, thrombophlebitis, Caffey's disease, Engel's disease, hypervitaminosis A, RA, thyroid acropathia etc.), which must be taken into consideration.

Adolescent↗
PubMed1998

[Occurrence of subcutaneous rheumatoid nodules in patients with rheumatoid arthritis in Croatia].

The subcutaneous rheumatoid nodules (RN) have been recognized by the American Rheumatism Association, both in 1958 and in 1987, as one of the diagnostic criteria (ARA criteria) among other rheumatoid arthritis (RA) symptoms. The aim of this research has been both to provide the incidence of occurrence of RN in patients with RA in Croatia and to determine its significance in making the RA diagnose. The test group comprised 233 patients (182 women and 51 men) with RA, their average age being 48.3 years in the range of 18 to 77. Both the anamnesis and the clinical examination have determined the occurrence of RN in 54 (23.2%) of 233 patients. The range of occurrences was more evident in men (31.4%) than in women (20.8%), though this difference was statistically irrelevant. The most common localization of benign rheumatoid nodules was the exterior side of elbow and PIP hand joints. The obtained results prove that the incidence of RN in our tested patients with RA can be compared with those of the earlier researches done in Croatia (18.1% Jajić, Vlak; 20-25% Jajić), as well as with those obtained in the western European countries (20% Doherty, George; 25% Ziff; 20-25% Miehle; 21% Wolf et al.).

Adolescent↗
PubMed1998

[Effect of nutrition on the clinical picture of rheumatoid arthritis].

46 patients with RA, both sex, who had been suffering from RA within 3 and 20 years (average 7 years), were included in our examination. Suffering from the basic disease for various time, 11 patients (23.9%) were stated that some sustenance markedly aggravate disease. Reduction diet, which was started on their own, had markedly positive effect on the symptoms and led to better quality of life. We can conclude that sustenance has an influence on disease and reduction diet markedly positive acts upon clinical expression of disease.

Adult↗
PubMed1998

[History of patient education in rheumatic diseases in Croatia].

The education of rheumatic patients in Croatia has begun in 1975 by introducing the school of back pain. Soon after that has begun the education of children with scoliosis. The education of patients with rheumatoid arthritis and ankylosing spondylitis was establish in 1985. Along with the courses of patient's education, there were printed a publications dedicated to the same problem. At the beginning there was printed a textbook Rheumatic diseases with training for rheumatic patients (1978.) and then textbook Jogging (1982.) and Reta (1984.). During 1994, there were graduated a publications dedicated to the disease having the same name: Rheumatoid arthritis, Ankylosing spondylitis, Uric arthritis and Psoriatic arthritis, which were reprinted in enlarged form (1997). Protection of the joints in rheumatic disease (1998.) is a new textbook for patients about correctly usage of the joints. Textbook Prevention of back pain and neck pain (1998.) is dedicated to healthy people for the prevention of pain syndromes of vertebra. Thus, the education was introduced in almost all parts of rheumatology and in whole Republic of Croatia.

Croatia↗
PubMed1998

[Surgical treatment of lumbar disc hernias in athletes].

In a 7-year period (1988-1995) a series of 55 patients was surgically treated at our Department for lumbar disk herniation following a certain sports activity, i.e. sports injury. The above number accounts for 2% of the total number of lumbar disk patients operated upon at our Department. The majority of patients in our series were amateur athletes, whereas a few of them were active or professional athletes. The most common cause of disk herniation among our patients was playing soccer (13 cases), which is followed by basketball (8), field athletics (7), tennis (6) and handball (4). In most cases our surgical method of choice was flavectomy (interlaminectomy). Most commonly seen intraoperative finding was intervertebral disk extrusion. In some athletes the onset of symptoms was due to a change of their usual sports activity, for example a tennis player who was injured in skiing. We believe that the onset of disk herniation in athletes is a consequence of numerous micro traumas of the intervertebral disk which are further compounded by the syndrome of overstraining. In the case of a positive indication, surgical treatment leads to a faster recovery in professional athletes.

Adolescent↗
PubMed1998

[Acute psychoses in patients with psoriatic arthritis during treatment with sulfasalazine].

We present a case of hastily progress of acute psychosis in a woman patient who has been treating with Sulphasine because of psoriatic arthritis. The medicine has been taken for a short time (one month) and in low doses. We bring out this instructive case, which shows a possibility of development of one severe and unusual complication, never noted down in literature.

Acute Disease↗
PubMed1998

[Condensing osteitis of the pubic bone].

We represent a case with development of osteitis pubis after suffering injuries in a man born 1940. The disease has developed during 10 years. The first symptoms have occurred only after 9 years. This review represent a supplement to better knowledge of etiopatogenesis of osteitis condensans pubis.

Humans↗
PubMed1997

[Scintigraphy in the early diagnosis of the secondary hypertrophic osteoarthropathy syndrome].

We treated twenty-three patients with secondary hypertrophic osteoarthropathy (SHO). Lung cancer was associated with SHO in 21 cases. The underlying conditions for the rest of the patients were pulmonary fibrosis, bronchiastasic, pneumonia and mediastinal cancer. The history, physical examination, radiography and bone-scan were performed. For bone-scan it was used intravenously instilled disfonate compound marked with 99 mTc-HMDP-"Osteocis" in the dosage of 740 MBq. Mild periostosis on the shaft bones was found in 5 patients with positive radio-labelling. In other patients bone-scan showed polytopic radiolabelling whilst radiography didn't show and periostosis. In conclusion we can say that the bone-scan is very sensitive method for the detection of the increase bone-tissue function.

Bone and Bones↗
PubMed1997

[Work capacity evaluation in patients with ankylosing spondylitis].

The aim of the study was to establish the employment and working ability for patients with ankylosing spondylitis. The study was performed using a questionnaire mailed to 185 patients with verified diagnosis of ankylosing spondylitis who were treated at the Department of Rheumatology of the University Hospital "Sestre milosrdnice" in Zagreb in the last 5 years. The questionnaire included a few categories of questions and here we analysed those referring the working abilities. The answers were obtained from 92 patients. We took in account the data for 79 patients who fall into the age group of working population (men to 65 yrs, women to 60 yrs.). In that group there were 50 men and 29 women. Twenty-six patients have a full time job, 7 patients have a part-time job, one changed the job and 45 of them are retired. The difference of working abilities was observed regarding to the physical requirement for the job (P < 0.05) and the duration of the disease (P < 0.05). Among the patients who are retired majority stated that ankylosing spondylitis was the cause of their retirement. As for the patients who still work (N = 34), 14 of them were not on sick-leave the last year at all, 2 of them were absent up to one week, 10 patients were absent from 1 to 4 weeks, 3 patients were on sick-leave from 1 to 3 months, and 5 of them more than 3 months. Statistically significant difference was observed in sick-leave rate regarding to the physical requirements for the job (P < 0.01), but not regarding to the duration of the disease (P > 0.05). The results of our study suggest that ankylosing spondylitis reduce the working ability especially for patients who have a hard job. There is an imperative to maintain the working abilities of patients with ankylosing spondylitis as long as possible.

Aged↗
PubMed1997

[Clinical features of ankylosing spondylitis--epidemiologic study].

The aim of the study was to establish some clinical features of ankylosing spondylitis in an epidemiological study using a mailed questionnaire. The questionnaire was sent to 185 patients with ankylosing spondylitis who were treated at the Department for Physical Medicine, Rehabilitation and Rheumatology. The answers were obtained from 92 patients (49.7%). In the studied cohort there were 60 men and 32 women. The average age of all patients were 51.6 +/- 11.8 yrs. In most of the patients (69 or 75%) the duration of ankylosing spondylitis is more than 15 years. The diagnosis of ankylosing spondylitis was established on average 6.5 years after the beginning of symptoms. Patients suffering from ankylosing spondylitis more than 15 years reported that the worst period of the disease was the starting 10 years. The main symptoms of the disease are stiffness and pain. The aggravation of pain occurs with enhanced physical activity as well as with prolonged rest--Painful swelling of one or more joints of 3 weeks duration had 63.7%, and more than 3 weeks duration 40.7% patients. There was no difference in occurrence of painful swelling extravertebral joints regarding to duration of the disease (P > 0.05). The most often affected joints were hips and shoulders. Eyes inflammation was reported by 63 patients, and unspecified enterocolitis had 16 patients.

Female↗
PubMed1996

[Dysphagia due to cervical spine involvement in ankylosing spondylitis].

Here we present a case of a patient with a massive ossification of annulus fibrosus and longitudinal ligament at the level C3-C4, C4-C5 and C5-C6, also called the Van Swaay bridge. One can observe a propulsion of the pharingeal tissue at the level of the massive Van Swaay bridge between C5 and C6 which caused pressure and dysphagia.

Cervical Vertebrae↗
PubMed1996

[Hypertrophic osteoarthropathy in hemiparesis].

A case of concomitant hypertrophic osteoarthropathy and hemiparesis is presented. The patient had several attacks of cerebrovascular insult with hemiparesis of both the left and right sides. After the last attack he developed clubbed fingers and later periostal reaction on the long bones. The case is interesting and rare, particularly as we have not found similar data in literature.

Cerebrovascular Disorders↗