Evidence map›Paper›PMID 10784515›Full record

ArticleAnnals of the rheumatic diseases2000

Detection of multiple viral DNA species in synovial tissue and fluid of patients with early arthritis.

H D Stahl, B Hubner, B Seidl, U G Liebert, I M van der Heijden, B Wilbrink, M C Kraan, F Emmrich, P P Tak

Abstract read
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Article in Annals of the rheumatic diseases, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

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0cells of the map it votes in
28citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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  11. Human Parvoviruses.Clinical microbiology reviews · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

H D StahlInstitute of Clinical Immunology and Transfusion Medicine, University of Leipzig, Leipzig, Germany.
B Hubner
B Seidl
U G Liebert
I M van der Heijden
B Wilbrink
M C Kraan
F Emmrich
P P Tak

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveViruses have a role in the pathogenesis of various forms of arthritis. This study aimed at determining whether viral DNA can be detected in joint samples in the early stages of idiopathic arthritides.

methodsSynovial fluid (SF) and synovial tissue (ST) samples were obtained from 73 patients, with undifferentiated arthritis (n=22), rheumatoid arthritis (n=13), spondyloarthropathy (n=17), crystal arthropathy (n=8), osteoarthritis (n=7), septic arthritis (n=5), and trauma (n=1). The presence of viral DNA was investigated by polymerase chain reaction analysis.

resultsCytomegalovirus was present in 25 patients, parvovirus B19 in 15 patients, Epstein-Barr virus in 12 patients, and herpes simplex virus in 16 patients (in ST, SF, or both), respectively. The joint samples were negative for viral DNA from adenovirus and varicella-zoster virus. In ST, eight patients were double positive for parvovirus B19 and another viral DNA, with herpes simplex virus being the most prevalent. Seven patients were double positive for other viruses (cytomegalovirus, herpes simplex virus, Epstein-Barr virus). In SF, four patients were double or triple positive for viral DNA. Paired samples were available in 56 patients. In these, viral DNA was detected in 37 patients in ST, as compared with 19 in SF.

conclusionThese data show that one or more viruses can be detected in the synovial specimens of patients with early arthritis, irrespective of the clinical diagnosis. This observation might be explained by migration of inflammatory cells harbouring viral DNA into the inflamed joints.

Indexed as

ArthritisCytomegalovirusDNA, ViralHerpesvirus 4, HumanHumansParvovirus B19, HumanPolymerase Chain ReactionSimplexvirusSynovial FluidSynovial MembraneDNA, Viral

Identifiers

PMID10784515
PMCPMC1753147

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.