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Patterns of foot complaints in systemic lupus erythematosus: a cross sectional survey
journal contribution
posted on 2023-06-21, 06:02 authored by Simon J Otter, Sunil Kumar, Peter Gow, Nicola Dalbeth, Michael Corkill, Maheswaran Rohan, Kevin DaviesKevin Davies, Sam Pankelthelam, Keith RomeBackground: Foot complaints are common in inflammatory arthropathies such as rheumatoid arthritis and cause considerable disability. However, little is published about the nature and extent of foot complaints in systemic lupus erythematosus (SLE). We aimed to explore foot complaints among people with (SLE) and to evaluate the associations between foot pain and self-reported activities of daily living and well-being. Methods: We developed and tested a new 40-item item self-administered questionnaire, using a five-stage development process utilising patient involvement throughout to ensure face and content validity. The self-administered instrument was posted to 406 people with SLE attending adult rheumatology clinics across three health boards in Auckland, New Zealand. The questionnaire enquired about symptoms of foot pain, extra-articular features, anatomical distribution of symptoms according to validated foot-mannequins and the impact of foot symptoms on activities of daily living and well-being. Results: In total, 406 questionnaires were posted, with 131 responses (response rate 32 %). We found 89 % were women, mean (SD) age 51 (15) years, mean (SD) diagnosis 12.5 (11.1) years. Overall, 77 % of those responding to the questionnaire reported foot pain during their SLE, with 45 % reporting current foot pain. All regions of the feet were affected, with the hindfoot (32 %) and ankles (30 %) most troublesome. The most common self-reported extra-articular foot complaints were cold feet, swelling and numbness. Almost two-thirds (61 %) reported foot pain adversely affected their lives; foot pain prevented sleeping in 36 % and had a negative effect on emotions for 33 %. Only 33 % of participants had seen a podiatrist. Significant association was found between foot pain and standing longer than 15 min (p?
History
Publication status
- Published
File Version
- Published version
Journal
Journal of Foot and Ankle ResearchISSN
1757-1146Publisher
BioMed CentralExternal DOI
Volume
9Page range
10Department affiliated with
- BSMS Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2017-01-16First Open Access (FOA) Date
2017-01-16First Compliant Deposit (FCD) Date
2017-01-16Usage metrics
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