Ross River virus disease in tropical Queensland: evolution of rheumatic manifestations in an inception cohort followed for six months

Harley, David, Bossingham, David, Purdie, David M., Pandeya, Nirmala and Sleigh, Adrian C. (2002) Ross River virus disease in tropical Queensland: evolution of rheumatic manifestations in an inception cohort followed for six months. Medical Journal of Australia, 177 7: 352-355.

Author Harley, David
Bossingham, David
Purdie, David M.
Pandeya, Nirmala
Sleigh, Adrian C.
Title Ross River virus disease in tropical Queensland: evolution of rheumatic manifestations in an inception cohort followed for six months
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2002-10-07
Sub-type Editorial
Open Access Status
Volume 177
Issue 7
Start page 352
End page 355
Total pages 4
Editor M. Van Der Weyden
Place of publication Sydney, Australia
Publisher Australasian Medical Publishing Company
Collection year 2002
Language eng
Subject C1
321028 Rheumatology and Arthritis
730212 Disease distribution and transmission
Abstract Objective: To describe the natural history of rheumatic manifestations of Ross River virus (RRV) disease. Design: Prospective longitudinal clinical review. Setting: North Queensland local government areas of Cairns, Douglas, Mareeba and Atherton during January to May 1998. Participants: General practice patients diagnosed with RRV disease on the basis of symptoms and a positive RRV IgM result. Main outcome measures: Rheumatic symptoms and signs assessed as soon as possible after disease onset and on two subsequent occasions (up to 6.5 months after onset). Results: 57 patients were recruited, 47 of whom were reviewed three times (at means of 1.1, 2.4 and 3.6 months after disease onset). Results are reported for these 47: 46 (98%) complained of joint pain at first review, with the ankles, wrists, fingers, knees and metacarpophalangeal joints (II-IV) most commonly involved. Prevalence of joint pain decreased progressively on second and third reviews, both overall (92% and 68% of patients, respectively), and in the five joints most commonly affected. The prevalence of other common rheumatic symptoms and signs, and use of non-steroidal anti-inflammatory drugs, also progressively declined over the three reviews. Conclusions: Earlier studies may have overestimated the prevalence and duration of symptoms in RRV disease. Progressive resolution over 3-6 months appears usual.
Keyword Medicine, General & Internal
Infection
Australia
Epidemic
Q-Index Code C1

Document type: Journal Article
Sub-type: Editorial
Collection: School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 42 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 14 Aug 2007, 18:42:15 EST