Clinical Characteristics in Patients with Rheumatoid Arthritis: Differences between Genders.

OBJECTIVE

To compare the clinical characteristics of a group of men and women with rheumatoid arthritis (RA) and determine the differences between genders.

MATERIALS AND METHODS

A descriptive and comparative cross-sectional study was developed with a group of 50 men and a control group of 50 women with RA, from a rheumatology center in the city of Guayaquil, Ecuador. Data collected included clinical manifestations, comorbidities, treatment, and disease activity. Clinical and activity differences between sexes were analyzed.

RESULTS

Women were more devoted to housework (66%), while men consumed more tobacco (34%) and alcohol (38%). Fatigue (60%), loss of appetite (54%), and weight loss (44%) were more common in women. No differences were found in comorbidities or treatment. Women had higher values of DAS-28 (3.4 vs 2.5), HAQ-DI (1.1 vs 0.4), ESR (33.0 vs 23.2), painful joints (8 vs 3), swollen joints (6 vs 2), and overall physician assessment (3 vs 2).

CONCLUSION

The results are similar to other publications that establish that women have a more aggressive disease with greater activity of the disease and disability.