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Articular complications of jejunoileal bypass surgery.
Articular complications are now frequently recognized with jejunoileal-bypass surgery for morbid obesity. We have evaluated 6 referred patients with these problems and 50 consecutive patients who had this procedure. The arthritis is variable but usually affects multiple joints. Four patients were seen during acute attacks of arthritis and all had cryoprecipitable material in their sera and plasma. Three of these 4 patients had evidence of Group D streptococcal antigen present while their joint disease was active, suggesting a possible role for bacterial antigens in the pathogenesis of the arthritis of jejunoileal bypass.
PMID: 7354470 [PubMed - indexed for MEDLINE]
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Cited by 3 PubMed Central articles
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Analysis of gamma delta V region usage in normal and diseased human intestinal biopsies and peripheral blood by polymerase chain reaction (PCR) and flow cytometry.
Bucht A, Söderström K, Esin S, Grunewald J, Hagelberg S, Magnusson I, Wigzell H, Grönberg A, Kiessling R.
Clin Exp Immunol. 1995 Jan; 99(1):57-64.
[Clin Exp Immunol. 1995]
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Jejuno-ileal bypass arthropathy: its clinical features and associations.
Delamere JP, Baddeley RM, Walton KW.
Ann Rheum Dis. 1983 Oct; 42(5):553-7.
[Ann Rheum Dis. 1983]
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Circulating immune complexes containing secretory IgA in jejunoileal bypass disease.
Clegg DO, Zone JJ, Samuelson CO Jr, Ward JR.
Ann Rheum Dis. 1985 Apr; 44(4):239-44.
[Ann Rheum Dis. 1985]