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Rheumatoid arthritis in the Northeastern area of the People's Republic of China and Western Japan

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Summary

The clinical features of 134 consecutive hospitalized patients with rheumatoid arthritis in the northeastern area of the People's Republic of China and 251 consecutive hospitalized patients from western Japan were compared. A total of 91.8% of the Chinese patients were of Han nationality, while all of the patients from Japan were Japanese. The patients in the People's Republic of China showed more inflammatory articular disease and more frequent subcutaneous nodules than did the Japanese patients in the presence of a less elevated ESR value and less radiographic joint destruction. The clinical features of the patients of Han nationality and the Japanese did not change even after adjusting the patients' age and disease duration. The reasons for the contradictory features in the Chinese patients still remain to be clarified. This study is hopefully a first step in promoting more precise studies on rheumatoid arthritis in the People's Republic of China.

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References

  1. Nai-Cheng, C. Rheumatic diseases in China. J Rheumatol 1983, Suppl 10, 10, 41–44.

    Google Scholar 

  2. Beasley, R.P., Bennett, P.H., Lin, C.C. Low prevalence of rheumatoid arthritis in Chinese. Prevalence survey in a rural community. J Rheumatol 1983, Suppl 10, 10, 11–15.

    Google Scholar 

  3. Moran, H., Chen, S-L., Muirden, K.D., Jiang, S-J., Gu, Y-Y. Hopper, J., Jiang, P-L., Lawler, G., Chen, R-B. A comparison of rheumatoid arthritis in Australia and China. Ann Rheum Dis 1986, 45, 572–578.

    Google Scholar 

  4. Moran, H., Chen, S-L., Muirden, K.D., Jiang, S-J., Gu, Y-Y., Hopper, J., Jiang, P-L., Lawler, G., Bai, M.X.J. A comparison of changes seen on radiographs of rheumatoid arthritis patients in Australia and in China. Arthritis Rheum 1987, 30, 1298–1302.

    Google Scholar 

  5. Cohen, M.G., Li, E.K., Ng, P.Y., Chan, K.L. Extra-articular manifestations are uncommon in southern Chinese rheumatoid arthritis. Br J Rheumatol 1993, 32, 209–211.

    Google Scholar 

  6. Drosos, A.A., Lanchbury, J.S., Panayi, G.S., Moutsopoulos, H.M. Rheumatoid arthritis in Greek and British patients. A comparative clinical, radiographic and serologic study. Arthritis Rheum 1992, 35, 745–748.

    Google Scholar 

  7. Wood, J.W., Kato, H., Johnson, K.G., Uda, Y., Russell, W.J., Duff, I.F., Rheumatoid arthritis in Hiroshima and Nagasaki, Japan. Arthritis Rheum 1967, 10, 21–31.

    Google Scholar 

  8. Shichikawa, K., Takenaka, Y., Maeda, A., Yoshino, R., Tsujimoto, M., Ota, H., Kashiwade, T., Hongo, I. A longitudinal population survey of rheumatoid arthritis in a rural district in Wakayama. Ruymachi 1981, Suppl 21, 35–43.

    Google Scholar 

  9. Beasley, R.P., Retailiau, H., Healey, L.A. Prevalence of rheumatoid arthritis in Alaskan Eskimos. Arthritis Rheum 1973, 16, 737–742.

    Google Scholar 

  10. Laine, V.A.I. Rheumatic complaints in an urban population in Finland. Acta Rheum Scand 1962, 8, 81–88.

    Google Scholar 

  11. Linos, A., Worthington, J.W., O'Fallon, W.M., Kurland, L.T. The epidemiology of rheumatoid arthritis in Rochester, Minnesota. Am J Epidemiol 1980, 111, 87–98.

    Google Scholar 

  12. Seglias, J., Li, E.K., Cohen, M.G., Wong, R.W.S., Potter, P.K., So, A.K. Linkage between rheumatoid arthritis susceptibility and the presence of HLA-DR4 and DRß allelic third hypervariable region sequences in southern Chinese persons. Arthritis Rheum 1992, 35, 163–167.

    Google Scholar 

  13. Ropes, M.W., Bennett, G.A., Cobb, S., Jacox, R., Jessar, R.A., 1958 revision of diagnostic criteria for rheumatoid arthritis. Bull Rheum Dis 1958, 9, 175–176.

    Google Scholar 

  14. Steinbrocker, O., Traeger, C.H., Batterman, R.C. Therapeutic criteria in rheumatoid arthritis. JAMA 1949, 140, 659–662.

    Google Scholar 

  15. Anderson, J.J., Felson, D.T., Meenan, R.F., Williams, H.J. Which traditional measures should be used in rheumatoid clinical trials? Arthritis Rheum 1989, 32, 1093–1099.

    Google Scholar 

  16. Felson, D.T., Anderson, J.J., Boers, M., Bombardier, C., Chernoff, M., Fried, B., Furst, D., Goldsmith, C., Kieszak, S., Lightfoot, R., Paulus, H., Tugwell, P., Weinblatt, M., Widmark, R., Williams, H.J., Wolfe, F. The American College of Rheumatology preliminary core set of disease activity measures for rheumatoid arthritis clinical trials. Arthritis Rheum 1993, 36, 729–740.

    Google Scholar 

  17. Yasuda, M., Nonaka, S., Wada, T., Yamamoto, M., Shiokawa, S., Suenaga, Y., Nobunaga, M. Additive two DMARD therapy of the patients with rheumatoid arthritis. Six years of clinical observation. Clin Rheumatol 1994, 13, 3, 446–454.

    Google Scholar 

  18. Tao, X., Davis, L.S., Lipsky, P.E. Effect of an extract of the Chinese herbal remedy Tripterygium wilfordii Hook F on human immune responsiveness. Arthritis Rheum 1991, 34, 1274–1281.

    Google Scholar 

  19. Tsuchiya, K. Immunogenetic analysis of rheumatoid arthritis in the Japanese population. Fukuoka Igakuzasshi 1993, 84, 68–78.

    Google Scholar 

  20. Brook, A., Corbett, M. Radiographic changes in early rheumatoid arthritis. Ann Rheum Dis 1977, 36, 71–73.

    Google Scholar 

  21. Dawes, P.T., Fowler, P.D., Clarke, S., Fisher, J., Lawton, A., Shadforth, M.F. Rheumatoid arthritis: Treatment which controls the C-reactive protein and erythrocyte sedimentation rate reduces radiographic progression. Br J Rheumatol 1986, 25, 44–49.

    Google Scholar 

  22. Wilske, K.R., Healey L.A. Remodeling the pyramid — a concept whose time has come. J Rheumatol 1989, 16, 565–567.

    Google Scholar 

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Suenaga, Y., Yasuda, M., Zhao, Y. et al. Rheumatoid arthritis in the Northeastern area of the People's Republic of China and Western Japan. Clin Rheumatol 14, 76–80 (1995). https://doi.org/10.1007/BF02208088

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