Evaluation of tenosynovitis in patients with seronegative rheumatoid arthritis using microvascular flow imaging

Wang, Junkui; Wu, Zhibin; Wang, Miao; Qi, Qinghua; Song, Qingshan; Sun, Bingfang; Li, Caiyun; Yu, Dong

doi:10.1016/j.medengphy.2022.103839

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…In a recent study that exploited MSK-US for the evaluation of tendon involvement in SNRA, inflammation of the synovial sheaths of the extensor tendons of the carpus, particularly the sixth compartment, and of the finger flexors, particularly the third finger, was found to be a hallmark of the disease. The usefulness of microvascular flow imaging was also demonstrated in the same study [67]. The results obtained by MSK-US, indicating that the presence of tenosynovitis is more frequent in SNRA than in SPRA and that the extra synovial compartment is often involved in SNRA, were also confirmed by MRI investigation [68,69].…”

Section: Diagnosissupporting

confidence: 53%

When Autoantibodies Are Missing: The Challenge of Seronegative Rheumatoid Arthritis

Paroli,

Sirinian

2023

Antibodies

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Seronegative rheumatoid arthritis (SNRA) is characterized by the absence of both rheumatoid factor (RF) and antibodies against the cyclic citrullinated protein (ACPA) in serum. However, the differences between the two forms of RA are more complex and have not yet been definitively characterized. Several lines of evidences support the idea that there are specific elements of the two forms, including genetic background, epidemiology, pathogenesis, severity of progression over time, and response to therapy. Clinical features that may differentiate SNRA from SPRA are also suggested by data obtained from classical radiology and newer imaging techniques. Although new evidence seems to provide additional help in differentiating the two forms of RA, their distinguishing features remain largely elusive. It should also be emphasized that the distinctive features of RA forms, if not properly recognized, can lead to the underdiagnosis of SNRA, potentially missing the period called the “window of opportunity” that is critical for early diagnosis, timely treatment, and better prognosis. This review aims to summarize the data provided in the scientific literature with the goal of helping clinicians diagnose SNRA as accurately as possible, with emphasis on the most recent findings available.

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Section: Diagnosissupporting

confidence: 53%

When Autoantibodies Are Missing: The Challenge of Seronegative Rheumatoid Arthritis

Paroli,

Sirinian

2023

Antibodies

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“…Un rhumatisme inflammatoire chronique (polyarthrite rhumatoïde et spondylarthrite) a été retrouvé chez 42 patients soit 44,7%. La plupart des rhumatismes inflammatoires (PR et spondylarthrites) peuvent endommager les tendons, le plus souvent par l'intermédiaire d'une inflammation initiale de leur gaine synoviale, mais parfois par le biais de frottements sur des déformations osseuses de voisinage[9][10]. Le traitement était médicamenteux dans la plupart des cas : AINS (local et/ou général), antalgiques.…”

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Formes cliniques et aspects thérapeutiques des tendinopathies des membres pelviens au CNHU-HKM de cotonou

Djaho,

Doussou-Yoyo,

Badirou

et al. 2024

Rhum Afr Franc

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Résumé Objectif : Etudier les formes cliniques et aspects thérapeutiques des tendinopathies des membres pelviens (TMP) chez les patients consultant dans le service de rhumatologie du CNHU/HKM de Cotonou (Bénin). Méthodes : Il s’est agi d’une étude transversale descriptive et analytique ayant porté sur 94 patients atteints de TMP. Les informations ont été recueillies sur une fiche de collecte ou d’enquête préparée à cet effet. L’analyse des données a été effectuée avec le logiciel Epi-info version 7.2.1.0.Résultats : Quatre-vingt-quatorze (94) patients ont été recrutés dont 85,11% de femmes et l’âge moyen était de 57,55±3,64ans. Cliniquement la cheville et le pied étaient les sièges les plus touchés dans 40,42% des cas. Les diagnostics les plus retenus étaient par ordre d’importance : la talagie plantaire (28,72%), la tendinopathie de la patte d’oie (25,53%), les tendinopathies tibiales (14,89%), les tendinopathies du moyen fessier (14,89%), les tendinopathies fibulaires (13,83%). Les anti-inflammatoires non stéroïdiens ont donné de bons résultats thérapeutiques (76,60%). Le stress et le facteur majeur lié à l’évolution du traitement p=0,004. Conclusion : Les TMP atteignent en majorité les femmes d’âge mur. Elles touchent préférentiellement la cheville et le pied. Le stress est un facteur majeur lié à l’évolution du traitement. Il convient donc de lutter efficacement contre le stress pour limiter les poussées douloureuses.Mots clés : Tendinopathie, membre pelvien, traitement, Bénin.

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Comparison of Angio PLanewave UltraSensitive and Power Doppler Ultrasound in Detecting Synovial Blood Flow in Wrist and Finger Joints of Rheumatoid Arthritis Patients

Zhang,

Sun,

et al. 2024

Academic Radiology

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Evaluation of tenosynovitis in patients with seronegative rheumatoid arthritis using microvascular flow imaging

Cited by 4 publications

References 39 publications

When Autoantibodies Are Missing: The Challenge of Seronegative Rheumatoid Arthritis

When Autoantibodies Are Missing: The Challenge of Seronegative Rheumatoid Arthritis

Formes cliniques et aspects thérapeutiques des tendinopathies des membres pelviens au CNHU-HKM de cotonou

Comparison of Angio PLanewave UltraSensitive and Power Doppler Ultrasound in Detecting Synovial Blood Flow in Wrist and Finger Joints of Rheumatoid Arthritis Patients

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