Comment je fais un bilan échographique des mains et des pieds dans la polyarthrite rhumatoïde ?

Guérini, H.; Ayral, X.; Campagna, R.; Feydy, A.; Pluot, E.; Rousseau, J.; Gossec, Laure; Chevrot, A.; Dougados, Maxime; Jl, Drapé

doi:10.1016/s0221-0363(10)70015-9

Cited by 11 publications

(3 citation statements)

References 20 publications

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“…Tenosynovitis has also been described in studies as an ultrasound sign of RA in rheumatoid arthritis. In fact, apart from the articular tropism, the periarticular structures constitute a bed for rheumatoid disease [7] [18].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Ultrasound Concordance of Joint Damages in Rheumatoid Arthritis in a Resource-Limited Country

Adjadohoun¹,

Kiki²,

Akanni³

et al. 2021

OJRad

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Section: Discussionmentioning

confidence: 99%

Clinical and Ultrasound Concordance of Joint Damages in Rheumatoid Arthritis in a Resource-Limited Country

Adjadohoun¹,

Kiki²,

Akanni³

et al. 2021

OJRad

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“…Each patient received after that, frontal X-rays of both hands taking the wrists and both forefoots, then an osteoarticular ultrasound of the 32 articulated joints (the 2 wrists, the 10 MCP and PPI of the hands and the 10 MTP). The ultrasound was performed according to the daily practice protocol proposed by Guerini [7].…”

Section: Methodsmentioning

confidence: 99%

Clinical and Ultrasound Concordance of Joint Damages in Rheumatoid Arthritis in a Resource-Limited Country

Adjadohoun¹,

Kiki²,

Akanni³

et al. 2021

OJRad

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“…Synovitis on grey-scale measurements was defined via synovial hypertrophy, although no scoring was performed [7]. Synovial vascularization was visualized on color Doppler and scored semi-quantitatively from 0 to 3 (S0 = inactive synovitis [no detectable Doppler signal inside the joint]; S1 = mild [Doppler signal involving <1/3 of the synovium]; S2 = moderate [Doppler signal involving >1/3 but < 2/3 of the synovium]; and S3 = pronounced [>2/3 of the synovium involved]) [8, 9]. Still images from all the examinations were stored on local PACS (Picture archive and communication system).…”

Section: Methodsmentioning

confidence: 99%

Does rheumatoid synovitis activity vary during the day? Evaluation with color doppler sonography

Lazaar

Lhoste-Trouilloud

Pereira

et al. 2017

BMC Musculoskelet Disord

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BackgroundClinical symptoms of rheumatoid arthritis (RA) improve in the course of the day, as can synovitis activity, reported via doppler ultrasound (US). The aim of the study was to establish whether the Color Doppler (CD) scores of synovitis in RA changes throughout the day.MethodsIn total, 27 patients with active RA, including 14 patients receiving corticosteroids were studied. US evaluation was performed twice in each patient, at 9 a.m. (T0) and after 4 p.m. (T1) on the same day by a single radiologist and using the same instrument. Overall, 30 joints were assessed, including grey scale and CD (S0 = no flow [no detectable CD)]; S1 = mild [CD <1/3 of the synovium]; S2 = moderate [CD <2/3]; S3 = pronounced [CD >2/3]).ResultsIn the total population, synovitis was detected more often in the evening than in the morning (39% vs. 33%, p = 0.02). The difference remained significant only in patients without corticosteroid administration (44% vs. 37%, p = 0.04). Moreover, a greater number of CD-positive joints were likewise found (S0 vs. S1 + S2 + S3) in the evening (57% vs. 51%, p = 0.04) in patients not receiving corticosteroids (67% vs. 41%, p = 0.002). More moderate (S2) and pronounced (S3) than mild (S1) synovitis was observed at T1 vs. T0 (39% vs. 24%, p = 0.03) in patients not receiving corticosteroids. More synovitis (40% vs 36% p = 0.02) in the dominant hand were found in the evening than in the morning.ConclusionSynovitis and CD activity increase during the day in RA patients, especially in joints of the dominant hands and in patients without corticosteroids.

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Comment je fais un bilan échographique des mains et des pieds dans la polyarthrite rhumatoïde ?

Cited by 11 publications

References 20 publications

Clinical and Ultrasound Concordance of Joint Damages in Rheumatoid Arthritis in a Resource-Limited Country

Clinical and Ultrasound Concordance of Joint Damages in Rheumatoid Arthritis in a Resource-Limited Country

Clinical and Ultrasound Concordance of Joint Damages in Rheumatoid Arthritis in a Resource-Limited Country

Does rheumatoid synovitis activity vary during the day? Evaluation with color doppler sonography

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