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. 2018 Apr 26:23:38.
doi: 10.4103/jrms.JRMS_308_17. eCollection 2018.

Ultrasonographic findings of rheumatoid arthritis patients who are in clinical remission

Hadi Karimzadeh  1 , Mehdi Karami  2 , Nasrin Bazgir  1   3 , Mansour Karimifar  4 , Ghasem Yadegarfar  5 , Zohrea Mohammadzadeh  2
Affiliations

Ultrasonographic findings of rheumatoid arthritis patients who are in clinical remission

Hadi Karimzadeh et al. J Res Med Sci. .

Abstract

Background: The aim of this study was to recognize the findings of ultrasonography (US) in remitted rheumatic arthritis (RA) patients for detection subclinical arthritis.

Materials and methods: This descriptive study was conducted during 2016 in a rheumatology center. A total of 70 patients with remitted RA were included in the study. Sonography was performed on all 70 patients who did not show any clinical arthritis in clinical examination to find synovitis and effusion were evaluated with gray scale and hyperemia with power Doppler US.

Results: Nearly 44.3% (n = 31) of our patients had positive sonography results including 20% synovitis, 21.4% hyperemia, and 18.6% (n = 13) effusion. A total of 1960 joints of 70 patients were evaluated, in which 3.2% (n = 63) of joints had positive sonography findings including 1.2% synovitis, 1.5% hyperemia, and 1.1 with effusion.

Conclusion: US can diagnosis subclinical arthritis in patients with remitted RA who does not show any joint involvement in clinical examination.

Keywords: Remission; rheumatoid arthritis; ultrasonography.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Prevalence of type of joint involvement in sonography assessment
See this image and copyright information in PMC

References

    1. Firestein GS, Budd RC. Kelley's Text Book of Rheumatology. 10th ed. Philadelphia: Elsevier Sounders Publication; 2017. pp. 1165–84.
    1. Karimzadeh H, Seyedbonakdar Z, Mousavi M, Karami M. Comparison the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination or ultrasound methods. J Res Med Sci. 2016;21:134. - PMC - PubMed
    1. Jamshidi AR, Tehrani Banihashemi A, Roknsharifi S, Akhlaghi M, Salimzadeh A, Davatchi F, et al. Estimating the prevalence and disease characteristics of rheumatoid arthritis in Tehran: A WHO -ILAR COPCORD study (from Iran COPCORD study, Urban study stage 1) Med J Islam Repub Iran. 2014;28:93. - PMC - PubMed
    1. Scirè CA, Montecucco C, Codullo V, Epis O, Todoerti M, Caporali R, et al. Ultrasonographic evaluation of joint involvement in early rheumatoid arthritis in clinical remission: Power Doppler signal predicts short-term relapse. Rheumatology (Oxford) 2009;48:1092–7. - PubMed
    1. Felson DT, Smolen JS, Wells G, Zhang B, van Tuyl LH, Funovits J, et al. American College of Rheumatology/European League against Rheumatism provisional definition of remission in rheumatoid arthritis for clinical trials. Ann Rheum Dis. 2011;70:404–13. - PubMed