Wrist ultrasound analysis of patients with early rheumatoid arthritis
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7
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article
Data de publicação
2011
Editora
ASSOC BRAS DIVULG CIENTIFICA
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BRAZILIAN JOURNAL OF MEDICAL AND BIOLOGICAL RESEARCH, v.44, n.1, p.11-15, 2011
Resumo
In the present study, we evaluated 42 wrists using the semi-quantitative scales power Doppler ultrasound (PDUS) and gray scale ultrasound (GSUS) with scores ranging from 0 to 3 and correlated the results with clinical, laboratory and radiographic data. Twenty-one patients (17 women and 4 men) with rheumatoid arthritis according to criteria of the American College of Rheumatology were enrolled in the study from September 2008 to July 2009 at Universidade Estadual de Campinas (UNICAMP). The average disease duration was 14 months. The patients were 66.6% Caucasians and 33.3% non-Caucasians, with a mean age of 42 and 41 years, respectively. A dorsal longitudinal scan was performed by ultrasound on the radiocarpal and midcarpal joints using GE LOGIQ XP-linear ultrasound and a high frequency (8-10 MHz) transducer. All patients were X-rayed, and the Larsen score was determined for the joints, with grades ranging from 0 to V. This study showed significant correlations between clinical, sonographic and laboratory data: GSUS and swollen right wrist (r = 0.546), GSUS of right wrist and swelling of left wrist (r = 0.511), PDUS of right wrist and pain in left wrist (r = 0.436), PDUS of right wrist and C-reactive protein (r = 0.466). Ultrasound can be considered a useful tool in the diagnosis of synovitis in early rheumatoid arthritis mainly when the anti-cyclic citrullinated peptide and rheumatoid factor are negative, and can lead to an early change in the therapeutic decision.
Palavras-chave
Power Doppler ultrasound, Gray scale ultrasound, Rheumatoid arthritis, Wrist, Synovitis
Referências
- Filippucci E, 2006, CLIN EXP RHEUMATOL, V24, P1
- Kane D, 2004, RHEUMATOLOGY, V43, P829, DOI 10.1093/rheumatology/keh215
- GRASSI W, 1995, ARTHRITIS RHEUM, V38, P786, DOI 10.1002/art.1780380611
- Fiocco U, 2005, ANN RHEUM DIS, V64, P899, DOI 10.1136/ard.2004.025585
- LARSEN A, 1987, SCAND J RHEUMATOL, V16, P395
- Koski JM, 2005, ANN RHEUM DIS, V64, P926, DOI 10.1136/ard.2004.027409
- Balint PV, 2002, ANN RHEUM DIS, V61, P905, DOI 10.1136/ard.61.10.905
- Szkudlarek M, 2006, ARTHRITIS RES THER, V8, DOI 10.1186/ar1904
- Grassi W, 2005, BEST PRACT RES CL RH, V19, P467, DOI 10.1016/j.berh.2005.01.002
- PLANT MJ, 1994, J RHEUMATOL, V21, P1808
- FERRAZ MB, 1990, J RHEUMATOL, V17, P813
- van Gestel AM, 1998, ARTHRITIS RHEUM, V41, P1845, DOI 10.1002/1529-0131(199810)41:10<1845::AID-ART17>3.0.CO;2-K
- Naredo E, 2004, J RHEUMATOL, V31, P308
- Hafstrom I, 2009, ANN RHEUM DIS, V68, P508, DOI 10.1136/ard.2008.087833
- LARSEN A, 1977, ACTA RADIOL DIAGN, V18, P481
- Backhaus M, 2009, ARTHRIT RHEUM-ARTHR, V61, P1194, DOI 10.1002/art.24646
- Taylor PC, 2004, ARTHRITIS RHEUM, V50, P1107, DOI 10.1002/art.20123
- Bresnihan B, 2004, ANN RHEUM DIS, V63, P333, DOI 10.1136/ard.2003.015982
- Brown AK, 2005, ARTHRIT RHEUM-ARTHR, V53, P83, DOI 10.1002/art.20926
- CICONELLI R, 1999, REV BRAS REUMATOL, V39, P145
- D'Agostino MA, 2005, ARTHRIT RHEUM-ARTHR, V53, P284, DOI 10.1002/art.21078
- Grassi W, 2003, BEST PRACT RES CL RH, V17, P17, DOI 10.1053/yberh.2003.271
- Kane D, 2006, ARTHRIT RHEUM-ARTHR, V55, P341, DOI 10.1002/art.21860
- KAYE JJ, 1991, RHEUM DIS CLIN N AM, V17, P457
- MANGER B, 1995, ARTHRITIS RHEUM, V38, P736, DOI 10.1002/art.1780380603
- Wakefield RJ, 2004, ANN RHEUM DIS, V63, P382, DOI 10.1136/ard.2003.007062