Clinical Examination and Ultrasound Methods for Detection of Joints Involvements in Rheumatoid Arthritis

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Clinical Examination and Ultrasound Methods for Detection of Joints Involvements in Rheumatoid Arthritis
Key Take-Away: 

Rheumatoid arthritis (RA) is a disabling condition causing functional impairment and severe pain in the joints. However, its early diagnosis may reduce the risk of disability.

In this study, a comparative analysis has been done between diagnostic modalities for rheumatoid arthritis detection, and it was interpreted that ultrasound examination was superior for the diagnosis of RA.

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by synovial tissue inflammation and destruction of articular components which if not controlled properly, can cause disability in joints.

ABSTRACT: 
Background: 

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by synovial tissue inflammation and destruction of articular components which if not controlled properly, can cause disability in joints.

Therefore, evaluation of disease activity and its control is very important. In recent years, using ultrasound is promising for the evaluation of disease activity. This study aimed to compare “clinical examination” and “ultrasonography” methods in the detection of disease activity in patients with RA.

Methods: 

This cross-sectional study was conducted during 2015 in Al-Zahra Hospital of Isfahan. Based on the American College of Rheumatology 2010 criteria, 90 patients with RA diagnosed by rheumatologist were included in the study.

All patients, collaborator by radiologists were subjected to ultrasound of specific joints structures using two methods, i.e., high-resolution ultrasonography and power Doppler.

Results: 

A total of 2520 joints from 90 patients were examined by physical examination and ultrasonography, 244 joints (9.7%) in physical examination and 348 joints (13.4%) in ultrasonography.

A total of 2520 joints from 90 patients were examined by physical examination and ultrasonography, 244 joints (9.7%) in physical examination and 348 joints (13.4%) in ultrasonography. The difference between the two groups was statistically significant (p<0.001).

Conclusion: 

Probably, ultrasonography can diagnose joint involvement better than physical examination in patients with RA.

 

Source:

Journal of Research in Medical Sciences

Link to the source:

http://jrms.mui.ac.ir/index.php/jrms/article/view/10672

The original title of the article:

Agreement of clinical examination and ultrasound methods for detection of joints involvements in rheumatoid arthritis

Authors:

Hadi Karimzadeh et al.

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