Is articular pain in rheumatoid arthritis correlated with ultrasound power Doppler findings?

Pereira, Daniele Freitas; Gutiérrez, Marwin; Buosi, Ana Letícia Pirozzi; Ferreira, Fernando Bernardes Maia Diniz; Draghessi, Antonella; Grassi, Walter; Natour, Jamil; Furtado, Rita Nely Vilar

doi:10.1007/s10067-015-2964-4

Cited by 7 publications

(3 citation statements)

References 21 publications

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“…We found a clear sign of joint synovitis (synovial hypertrophy with or without PDS) in 40% of cases, more frequently in cases with a longer dactylitis duration and without pain. It is not surprising that patients with US-detected synovitis had no pain as other studies have already reported a disparity between clinical and US findings for synovitis in other rheumatic diseases [36][37][38]. In particular, pain was not correlated with GS synovitis and intra-articular PD in patients with rheumatoid arthritis.…”

Section: Discussionmentioning

confidence: 87%

Symptomatic psoriatic dactylitis is associated with ultrasound determined extra-synovial inflammatory features and shorter disease duration

et al. 2018

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Objectives To explore the link between ultrasonographic features of dactylitis in psoriatic arthritis (PsA) and symptoms, digital tenderness and duration of dactylitis. Methods Forty-eight cases of PsA dactylitis were investigated using high frequency ultrasound (US) both in grey scale (GS) and Power Doppler (PD), evaluating the presence and the degree of flexor tenosynovitis, peri-tendinous oedema, subcutaneous PD, extensor tendon involvement, GS synovitis and intra-articular PD signal (PDS) of the involved digits. Patients were compared according to the presence of local pain and digital tenderness, the duration of dactylitis and the concomitant treatment. ResultsThe presence of pain/tenderness was positively associated with US GS flexor tenosynovitis of grade > 2 (p < 0.001), PDflexor tenosynovitis (p < 0.001), peri-tendinous oedema (p < 0.001) and subcutaneous PDS (p < 0.001); moreover, it was negatively associated with GS synovitis (p < 0.001) and intra-articular PD (p < 0.001). The same positive and negative association with US findings were found comparing patients with duration of dactylitis shorter or longer than the median (24 weeks) (p < 0.001 for all comparisons). Conclusions Pain and digital tenderness are linked to dactylitis duration and earlier lesions are associated with extra synovial inflammatory changes. These findings suggest a hitherto unappreciated extra synovial basis for symptoms in PsA dactylitis.

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Section: Discussionmentioning

confidence: 87%

Symptomatic psoriatic dactylitis is associated with ultrasound determined extra-synovial inflammatory features and shorter disease duration

et al. 2018

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“…(110) We did not explore the value of being in ultrasound remission on other important patient related outcomes, such as pain, but previous studies indicate that the level of joint pain on a VAS scale do not correlate with ultrasound inflammation at one time point. (206,207)…”

Section: Association Between Subclinical Remission and Future Good Oumentioning

confidence: 99%

Predictors of sustained remission in patients with early rheumatoid arthritis treated according to an aggressive treat-to-target protocol

Olsen

Aga

et al. 2018

Rheumatology

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“…All these data suggest that local symptoms in active dactylitis are linked with extracapsular lesions, particularly flexor tenosynovitis and STOe, highlighting the central role of extra-articular structures in the genesis of digit pain. The sonographic evidence of joint synovitis does not seem to correlate with pain in the digit; this is not surprising since other rheumatic diseases demonstrate this same quality (Figure 2) [60][61][62].…”

Section: Correlation Between Imaging and Clinical Parametersmentioning

confidence: 96%

Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging

Girolimetto

Giovannini

Crepaldi

et al. 2021

JCM

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Dactylitis, one of the most typical features of psoriatic arthritis (PsA), is the diffuse swelling of the digits and is determined by the involvement of different anatomic structures, including: the subcutaneous fibrous tissue “accessory pulley” system; flexor tendons, with their related structures; the articular synovium; the small enthesis of the hands. Dactylitis is currently considered both a marker of disease activity and severe prognosis and its importance in PsA is emphasized by the inclusion in the classification criteria of PsA. This review focuses on the role of imaging in the management of PsA patients with dactylitis in clinical practice and in a research setting. Furthermore, imaging could be a valuable tool to assist in unravelling some of the underlying mechanisms of the onset and chronicization of dactylitis in PsA patients.

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Is articular pain in rheumatoid arthritis correlated with ultrasound power Doppler findings?

Abstract: Intra-articular PD was not correlated with pain symptom in this study.

Cited by 7 publications

References 21 publications

Symptomatic psoriatic dactylitis is associated with ultrasound determined extra-synovial inflammatory features and shorter disease duration

Symptomatic psoriatic dactylitis is associated with ultrasound determined extra-synovial inflammatory features and shorter disease duration

Predictors of sustained remission in patients with early rheumatoid arthritis treated according to an aggressive treat-to-target protocol

Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging

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