Article Text


THU0226 Amyotrophic lateral sclerosis (als): a trap for the rheumatologist
  1. P Goupille1,
  2. S Bouillon1,
  3. P Corcia2,
  4. J Brunais-Besse1,
  5. S Quennesson1,
  6. JP Valat1
  1. 1Rheumatology, CHU, Trousseau Hospital
  2. 2Neurology, CHU, Bretonneau Hospital, Tours, France


Background ALS is a degeneration of the central and peripheral motoneurons in the bulbar and spinal areas; its mean duration is 36 months (deaths, respiratory disorders). The incidence is 2–5 cases/100 000. Two clinical features are observed: spinal with motor defect of the limbs, bulbar with swallowing disorders.

Objectives To report 6 cases of ALS, observed in a Department of Rheumatology in a University hospital, hospitalised in 1999 for chronic painful syndromes.

Methods Description of: demographic data (age, sex), rheumatologic features (sciatica, cruralgia, painful limb, fatigue on walking.. .), clinical signs, results of explorations, course of the disease and treatment.

Abstract THU0226 Table 1

Conclusion Rheumatologist may meet ALS and must know the signs allowing the diagnosis.

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