Most Frequent Musculoskeletal Manifestation of Systemic Lupus Erythematosus Patients in Dr. Hasan Sadikin General Hospital Bandung
Background: Systemic Lupus Erythematosus
(SLE) is an autoimmune disease with wide range of
clinical symptoms. The patients frequently complain
musculoskeletal involvement during the active state
of the disease. Musculoskeletal manifestation in SLE
patients is an important sign in making early diagnosis
and monitoring treatment response. This study aims
to determine the presentation of musculoskeletal
involvement of SLE patients in Dr. Hasan Sadikin General
Hospital Bandung.
Methods: a descriptive cross-sectional quantitative
study done by interviewing SLE patients concerning
musculoskeletal manifestation as the primary data and
tracking their medical record as the secondary data.
Study was conducted between September to November
2016 in Rheumatology Clinic Dr. Hasan Sadikin General
Hospital Bandung.
Result: Ninety-seven SLE patients, 91 females (93,81%)
and 6 males (6,19%), were enrolled in this study with
mean age 35.12 (±10.91) years. The three highest
proportions of muskuloskeltal manifestations were
arthritis of the knee (84,5%), myalgia of upper back
(40,2%), and muscle weakness (15,5%). We did not
find any Jaccoud’s Arthropathy (JA) and tendinitis
manifestation. Osteoporosis were occured in 4
patients (4,12%), whereas gout arthritis, spondytlitis,
osteoarthritis, rotator cuff syndrome, and rhupus were
only occured in one patient (1,03%), respectively.
Conclusion: The common musculoskeletal
manifestation in SLE patients were arthritis of knee,
myalgia of upper back, and muscle weakness. Only
small portion of patients suffered from osteoporosis,
gout arthritis, spondytlitis, osteoarthritis, rotator cuff
syndrome, and rhupus.
Keyword: musculoskeletal manifestation,
musculoskletal involment, SLE