How to investigate: Suspected systemic rheumatic diseases in patients presenting with muscle complaints

Altabás-González, Irene; Pérez-Gómez, Naír; Pego-Reigosa, José María

doi:10.1016/j.berh.2019.101437

Cited by 3 publications

(3 citation statements)

References 84 publications

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“…This perspective highlights that the involvement of muscle is widespread in many rheumatic diseases, which can also affect other conditions including the connective tissue diseases like systemic lupus erythematosus, Sjogren's syndrome and systemic sclerosis ( 1 ). Imaging, in particular the more recent novel techniques like SWE and qMRI, shows potential to improve the understanding of how muscle is affected in rheumatic diseases.…”

Section: Future Perspectives and Conclusionmentioning

confidence: 99%

“…Despite the usefulness of ultrasound and magnetic resonance imaging (MRI) in diagnosing arthritis and monitoring disease progression in joints and related joint structures, the role of muscle imaging has conventionally been centered around the diagnosis of inflammatory muscle diseases. However, with an increasing appreciation of the impact and prevalence of muscular symptoms in rheumatic diseases ( 1 ), and as a result of technological developments, recent attention has been directed toward the utility of imaging for the assessment of muscle pathology in rheumatic diseases.…”

Section: Introductionmentioning

confidence: 99%

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Novel Muscle Imaging in Inflammatory Rheumatic Diseases—A Focus on Ultrasound Shear Wave Elastography and Quantitative MRI

et al. 2020

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In recent years, imaging has played an increasing role in the clinical management of patients with rheumatic diseases with respect to aiding diagnosis, guiding therapy and monitoring disease progression. These roles have been underpinned by research which has enhanced our understanding of disease pathogenesis and pathophysiology of rheumatology conditions, in addition to their key role in outcome measurement in clinical trials. However, compared to joints, imaging research of muscles is less established, despite the fact that muscle symptoms are very common and debilitating in many rheumatic diseases. Recently, it has been shown that even though patients with rheumatoid arthritis may achieve clinical remission, defined by asymptomatic joints, many remain affected by lingering constitutional systemic symptoms like fatigue, tiredness, weakness and myalgia, which may be attributed to changes in the muscles. Recent improvements in imaging technology, coupled with an increasing clinical interest, has started to ignite new interest in the area. This perspective discusses the rationale for using imaging, particularly ultrasound and MRI, for investigating muscle pathology involved in common inflammatory rheumatic diseases. The muscles associated with rheumatic diseases can be affected in many ways, including myositis—an inflammatory muscle condition, and myopathy secondary to medications, such as glucocorticoids. In addition to non-invasive visual assessment of muscles in these conditions, novel imaging techniques like shear wave elastography and quantitative MRI can provide further useful information regarding the physiological and biomechanical status of the muscle.

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Section: Future Perspectives and Conclusionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Novel Muscle Imaging in Inflammatory Rheumatic Diseases—A Focus on Ultrasound Shear Wave Elastography and Quantitative MRI

et al. 2020

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“…стью [2] и чувствительными нарушениями, определяет возникновение сложностей при проведении дифференциального диагностического поиска в неврологической и ревматологической практике.…”

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Acute sensory inflammatory demyelinating polyneuropathy and central diabetes insipidus

Саковец

Богданов

2021

RJTAO

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Workplace barriers among people with rheumatic and chronic back pain: Results from the work experience survey for rheumatic conditions

AlHeresh

Simpson

Allaire

et al. 2023

WOR

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BACKGROUND: The Work Experience Survey for Rheumatic Conditions (WES-RC) is a prominent feature of an evidence-based intervention to prevent premature job loss among people with arthritis. The WES-RC is used to identify client perceived barriers related to work performance. The degree to which people with arthritis and rheumatic conditions report barriers on the WES-RC has not been reported. OBJECTIVE: The purpose of this study was to characterize the barriers reported on the WES-RC. METHODS: Data from participants who completed the WES-RC in the Work It study trial were included (N = 143). Descriptive statistics were used to characterize the sample and the frequency with which barriers on the WES-RC were reported. Responses to the top three bothersome barriers to study participants were summed. RESULTS: The mean age of the sample was 50.3 years; 73% were female, and 66% white. All WES-RC items were checked as a barrier by at least two participants; less than 10 participants checked 34 items. Barriers in the ‘getting ready for work and traveling to and from, or for work’ domain, were frequently reported. The most bothersome barriers were ‘standing or being on feet too long’ and ‘prolonged sitting’. CONCLUSION: The WES-RC is a self-reported checklist that captures a wide breadth of work-related barriers that could be experienced by people with arthritis who are currently employed.

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How to investigate: Suspected systemic rheumatic diseases in patients presenting with muscle complaints

Cited by 3 publications

References 84 publications

Novel Muscle Imaging in Inflammatory Rheumatic Diseases—A Focus on Ultrasound Shear Wave Elastography and Quantitative MRI

Novel Muscle Imaging in Inflammatory Rheumatic Diseases—A Focus on Ultrasound Shear Wave Elastography and Quantitative MRI

Acute sensory inflammatory demyelinating polyneuropathy and central diabetes insipidus

Workplace barriers among people with rheumatic and chronic back pain: Results from the work experience survey for rheumatic conditions

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