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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
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Comorbidities in Perthes' disease: a case control study using the General Practice Research database.

D C Perry1, C E Bruce, D Pope

  • 1Alder Hey Children's Hospital, Orthopaedic Department, Eaton Road, Liverpool L12 2AP, UK. danperry@doctors.org.uk

The Journal of Bone and Joint Surgery. British Volume
|November 29, 2012
PubMed
Summary
This summary is machine-generated.

Perthes disease, a juvenile hip condition, is linked to congenital genitourinary and inguinal anomalies. Asthma also increases risk, suggesting potential intra-uterine factors in its unknown etiology.

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Area of Science:

  • Pediatric Orthopedics
  • Epidemiology
  • Genetics

Background:

  • Perthes disease is a childhood hip disorder involving osteonecrosis with an unknown cause.
  • Previous studies suggest comorbid associations, but their validity remains unclear.

Purpose of the Study:

  • To investigate associations between Perthes disease and previously suggested comorbid conditions.
  • To explore potential etiological insights through case-control analysis.

Main Methods:

  • A case-control study utilized the United Kingdom General Practice Research database.
  • Included 619 cases of Perthes disease and 2544 controls.
  • Investigated associations with congenital anomalies, behavioral disorders, and asthma.

Main Results:

  • Significantly increased risk of Perthes disease associated with hypospadias (OR 4.04), undescended testis (OR 1.83), and inguinal hernia (OR 1.79).
  • Generalized behavioral disorder showed an association (OR 1.55), but attention deficit hyperactivity disorder did not (OR 1.01).
  • Asthma significantly increased risk (OR 1.44), independent of steroid use.

Conclusions:

  • Perthes disease shows significant associations with congenital genitourinary and inguinal anomalies.
  • Findings suggest intra-uterine factors may play a critical role in Perthes disease causation.
  • Further research into comorbid associations can refine etiological theories.