انواع بیماریهای روماتیسمی در بین مراجعه کنندگان به بیمارستان حضرت رسول اکرم(ص)

OBJECTIVE: In order to determine demographic characteristics and to estimate the prevalence of various rheumatic diseases encountered in rheumatology clinic in Tehran, this survey was conducted. METHODS: This study was carry out at Hazzrat-e Rasool university hospital, the major teaching hospital of Iran university of medical sciences and health services. The study population consisted of 3856 consecutive newly refered patients of various ages who were seen at the clinic between May 1992 and June 1995. The patients were classified into diagnosis related groups (DRG) according to 1983 ARA classification of arthritis and rheumatism. RESUL TS: The 3856 studied patients had a mean age of 40 years and 67% were women. Connective tissue disease was the most common DRG which was found in 29.5% of the patients. Osteoarthritis and rheumatoid arthritis in various stages were the most common diseases found in 19.6% and 17.4% of the Patients respectively. Soft tissue rheumatism was found in 18.5%, infectious agents related rheumatic syndromes in 3%, Spondyloarthropathies in 3.8%, and nonspecific arthritis in 1.8% of the patients. No case of HIV related musculoskeletal problems was found in this survey. Erythema nodosum, carpal tunnel syndrome, fibromyalgia syndrome and  PSS were more common in women (F/M Ratio >8). and ankylosing spondylitis and gout in males (MIFRatio>8). Juvenile rheumatoid arthritis, acute rheumatic fever and vasculitis were the most common diseases in pediatrics patients (age of first visit« 16 years), and osteoarthritis (OA), rheumatoid arthritis (RA) and extraarticular lesions in geriatric patients (age of first vtsite: 60 years). RA (24.4%), SLE (11.6%), OA(10%) and vasculitis (6.5%) were the most common diseases in 525 hospitalized patients. SLE was the major cause of patient mortality. CONCLUSIONS: The results of this survey are compatible with data obtain from textbook and other similar surveys.