Comparitive Study Between Early Menopause and Premenopausal Rheumatoid Arthritis patients

Authors

1 Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Sohag, Sohag University

2 Rheumatology & rehabilitation department, faculty of medicine, Sohag University, Sohag, Egypt

Abstract

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune systemic inflammatory disease marked by symmetric, peripheral polyarthritis. It is the most common form of inflammatory arthritis and often results in joint damage and physical disability. Exposure to estrogen may be protective against the onset of disease, yet earlier age at menopause may be associated with a greater proportion of patients presenting with a milder disease course
Aim of the work: Assess the effect of early menopause on the activity and severity of rheumatoid arthritis.
Patients and Methods: Cross sectional clinical study, included 50 patient divided on 2 groups (premenopausal and early menopausal), diagnosed as RA based on ACR/EULAR  classification criteria 2010.
Results: Disease activity was higher in earlymenopause group than premenopause group.
Conclusion: Early menopause is associated with a mild type of RA among women with disease onset after 45 years of age.

Keywords


  1. Sammaritano LR. Menopause in patients with autoimmune diseases. Autoimmunity reviews. 2012;11(6-7):A430-6.
  2. Hazes JM, Coulie PG, Geenen V, Vermeire S, Carbonnel F, Louis E, et al. Rheumatoid arthritis and pregnancy: evolution of disease activity and pathophysiological considerations for drug use. Rhe-umatology. 2011;50(11):1955-68.
  3. Tengstrand B, Carlstrom K, Hafstrom I. Gonadal hormones in men with rheumatoid arthritis--from onset through 2 years. The Journal of rheumatology. 2009;36(5):887-92.
  4. Doran MF, Pond GR, Crowson CS, O'Fallon WM, Gabriel SE. Trends in incidence and mortality in rheumatoid arthritis in Rochester, Minnesota, over a forty-year period. Arthritis and rheumatism. 2002;46(3):625-31.
  5. Karlson EW, Mandl LA, Hankinson SE, Grodstein F. Do breast-feeding and other reproductive factors influence future risk of rheumatoid arthritis? Results from the Nurses' Health Study. Arthritis and rheumatism. 2004;50(11):3458-67.
  6. Merlino LA, Cerhan JR, Criswell LA, Mikuls TR, Saag KG. Estrogen and other female reproductive risk factors are not strongly associated with the development of rheumatoid arthritis in elderly women. Seminars in arthritis and rheumatism. 2003;33(2):72-82.
  7. Pikwer M, Bergstrom U, Nilsson JA, Jacobsson L, Turesson C. Early menopause is an independent predictor of rheumatoid arthritis. Annals of the rheumatic diseases. 2012;71(3):378-81.
  8. Brennan P, Ollier B, Worthington J, Hajeer A, Silman A. Are both genetic and reproductive associations with rheumatoid arthritis linked to prolactin? Lancet. 1996;348(9020):106-9.
  9. Barrett JH, Brennan P, Fiddler M, Silman A. Breast-feeding and postpartum relapse in women with rheumatoid and inflammatory arthritis. Arthritis and rheumatism. 2000;43(5):1010-5.
  10. Jorgensen C, Picot MC, Bologna C, Sany J. Oral contraception, parity, breast feeding, and severity of rheumatoid arthritis. Annals of the rheumatic diseases. 1996;55(2):94-8.
  11. Camacho EM, Lunt M, Farragher TM, Verstappen SM, Bunn DK, Symmons DP. The relationship between oral contraceptive use and functional outcome in women with recent-onset inflammatory poly-arthritis: results from the Norfolk Arthritis Register. Arthritis and rheumatism. 2011;63(8):2183-91.