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Guideline [Guideline for the joint swelling symptom--primary physician problem management and referral indications. German Society of Rheumatology "Quality Assurance" Committee] 2000
Keitel W, Genth E, Gromnica-Ihle E, Häntzschel H, Kalden JR, Mathies H, Raspe HH, Schneider M, Warnatz H, Zacher J, Abholz HH. · Rheumaklinik und Rheumaforschungsinstitut, Aachen. · Z Rheumatol. · Pubmed #10929443 No free full text.
Abstract: The guideline "Joint Swelling" is addressed to primary care physicians--general practitioners, internists or orthopedists without special experience in rheumatology. It provides a framework for interviewing patients, as well as for physical, laboratory and imaging examinations and for selection of treatment appropriate to the level of primary care. Situations which call for urgent evaluation and criteria for referral to rheumatologists are described. The appendix contains comments on signs and symptoms to differentiate arthralgia from joint swelling and on the diagnostic value of a history of joint swelling without confirmation by the physician. Further recommendations for the evaluation of patient history and physical and technical examinations are given in a tabular form. The significance of laboratory and imaging procedures is discussed.
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Article [The pathologists: Aschoff, Klinge and Gräff] 2008
Keitel W. · No affiliation provided · Z Rheumatol. · Pubmed #18309501 No free full text.
Abstract: The article presents three pathologists who have made important contributions to the understanding of rheumatic diseases.Ludwig Aschoff's (1866-1942) work formed the foundation and was for a long time at the centre of the discussion on pathology of rheumatic diseases. Impetus was added from a rheumatological perspective by the discovery of the Aschoff nodule as an indicator of rheumatic myocarditis. Thus, newly manifested rheumatic carditis is only diagnosed when rheumatic nodules are found.Fritz Klinge (1892-1974), following in Aschoff's footsteps, broke new ground in rheumatology in Germany. From extensive animal tests at a Leipzig institute he induced inflammatory reactions, necrosis and cell proliferation which, due to repeated sensitization, lead to arthritis and periarthritis. He identified therein a relationship to human rheumatism, which he considered to be caused by an allergic (hyperergic) reaction of the mesenchyme. In his opinion, the varying manifestations of rheumatic fever and rheumatoid arthritis presented one and the same pathological event. His main achievements were to close the gap between method-related deficits in morphology and the myriad clinical observations in the field of"rheumatic" diseases and to create a pathoanatomic platform for"rheumatism".Siegfried Gräff (1899-1947) was a strong critic of Klinge. He only ever relied on individual post mortem observations and was skeptical of animal testing in a rheumatological context. He considered"rheumatism" as a symptom, refuting its status as a disease. He distinguished rheumatic fever, as characterized by the Aschoff granuloma, from a second"rheuma-symptom" disease group, namely non-specific chronic polyarthritis (rheumatoid arthritis).
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Article [The Paris magician (Jean Martin Charcot 1825-1893 1. Multiple scientific talents] 2004
Keitel W, Kaiser H. · No affiliation provided · Z Rheumatol. · Pubmed #15605219 No free full text.
This publication has no abstract.
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Article [In the best English manner. On the 200th anniversary of the death of William Herberden (1710-1801)] 2001
Keitel W. · No affiliation provided · Z Rheumatol. · Pubmed #11759238 No free full text.
This publication has no abstract.
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Article Loss of functional capacity caused by a delayed onset of DMARD therapy in rheumatoid arthritis. Long-term follow-up results of the Keitel function test. Brief definite report. 2001
Keysser M, Keysser C, Keitel W, Keysser G. · Regionales Rheumazentrum Rostock Klinikum Südstadt Südring 81 18059 Rostock, Germany. · Z Rheumatol. · Pubmed #11383051 No free full text.
Abstract: The aim of this analysis was to investigate the impact of the postponement of DMARD therapy on the functional outcome of rheumatoid arthritis after 10 years of disease. 321 individuals with a disease duration of at least ten years were selected out of a cohort of more than 1800 patients. Two groups were analysed separately: patients who started DMARD therapy within the first year of their disease, and patients who received their first DMARD not earlier than five years after the onset of RA. The Keitel functional index was determined in every patient after 10 years of RA. After 10 years of disease, the swollen joint count and the ESR had decreased in both groups to a comparable degree. However, patients with early treatment performed significantly better in the Keitel test compared to the group with delayed therapy. Although patients with seropositive RA or rheumatoid nodules had a worse outcome in general, the benefit of early treatment was also significant in these subgroups.
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Article [Physical therapy in rheumatology. 2: Cold, electro-, balneo- and ergotherapy] 1999
Berliner M, Keitel W. · Med. Klinik III und Poliklinik, Universität Giessen. · MMW Fortschr Med. · Pubmed #10904644 No free full text.
This publication has no abstract.
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Article [Basic therapy of rheumatoid arthritis. 1: Characterization and rules for administration] 1999
Keitel W, Keitel R. · No affiliation provided · MMW Fortschr Med. · Pubmed #10904602 No free full text.
This publication has no abstract.
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Article [Physical therapy in rheumatology. 1: Exercise, Massage, heat] 1999
Berliner M, Keitel W. · Med. Klinik III und Poliklinik, Universität Giessen. · MMW Fortschr Med. · Pubmed #10897997 No free full text.
This publication has no abstract.
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Article [Basic therapy of rheumatoid arthritis. 2: Selection, long-term and combination therapy] 1999
Keitel W, Keitel R. · No affiliation provided · MMW Fortschr Med. · Pubmed #10897974 No free full text.
This publication has no abstract.
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