How to investigate new-onset polyarthritis

Kumar, Ashok

doi:10.1016/j.berh.2015.04.014

Cited by 6 publications

(1 citation statement)

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“…US unquestionably improves many aspects of disease diagnosis and management, but no consensus has been reached regarding the optimal US methodology that should be used, and high levels of standardization have not yet been attained. For now, the major application of sonography in arthritis should have a focus on diagnostic and especially differential diagnostic aspects [19][20][21]. It is presently difficult to determine a minimal number of joints to be included in a global ultrasound score.…”

Section: Discussionmentioning

confidence: 99%

The epidemiology and influence of osteoarthritis on clinical, laboratory and ultrasound parameters of patients with early rheumatoid arthritis

Şerban

Satulu

Crețu

et al. 2019

Romanian Journal of Orthopaedic Surgery and Traumatology

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Background: Osteoarthritis (OA) and rheumatoid arthritis (RA) can overlap and the presence of OA can interfere with the evaluation of patients with RA.Objectives: The aim of this study was to evaluate the possible impact of OA on the clinical, laboratory and ultrasound parameters currently evaluated in patients with early RA (ERA).Methods: We have evaluated the data obtained from patients with ERA referred to our Early Arthritis Research Center (EARC). Only data from patients who fulfilled EULAR/ ACR 2010 criteria for RA and had symptom duration of less than 12 months were analyzed. All patients underwent clinical examination, laboratory tests and ultrasound (US) examination.Results: There was a clear predominance of women (62.8%). The mean age was 55.47±13.71 years. At baseline, 21 patients (48.8%) were diagnosed with OA. Hand OA did not influence the values of any of the parameters assessed (p>0.05). For patients with knee OA, significantly higher values were observed only for DAS28 at baseline (p=0.018) as well as after 12 months of observation (p=0.031).Conclusions: Significantly higher values of DAS28 were observed in patients with ERA who associated knee OA, while the values of SDAI were not influenced, suggesting that SDAI may be superior to DAS28 in evaluating patients with ERA and knee OA. The values of patient’s VAS were not influenced by the presence of hand or knee OA suggesting that these types of OA do not influence the patients’ perception of the disease activity. Moreover, the values of ultrasound scores were not influenced by the presence of OA.

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Section: Discussionmentioning

confidence: 99%