دورية أكاديمية
أعرض في EDS

The value of power Doppler ultrasound in patients with rheumatoid arthritis in clinical remission: Reclassifying disease activity?

التفاصيل البيبلوغرافية
العنوان: The value of power Doppler ultrasound in patients with rheumatoid arthritis in clinical remission: Reclassifying disease activity?
عنوان ترانسليتريتد: Valor de la ecografía con Doppler de poder en pacientes con artritis reumatoide en remisión clínica: ¿reclasificación de la actividad de la enfermedad?
المؤلفون: Vergara F; Sección de Reumatología, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Ruta S; Sección de Reumatología, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Rosa J; Sección de Reumatología, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: javier.rosa@hospitalitaliano.org.ar., Marín J; Sección de Reumatología, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., García-Mónaco R; Sección de Reumatología, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Soriano ER; Sección de Reumatología, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
المصدر: Reumatologia clinica [Reumatol Clin (Engl Ed)] 2018 Jul - Aug; Vol. 14 (4), pp. 202-206. Date of Electronic Publication: 2017 Mar 18.
نوع المنشور: Journal Article
اللغة: English; Spanish; Castilian
بيانات الدورية: Publisher: Elsevier Doyma Country of Publication: Spain NLM ID: 101717526 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2173-5743 (Electronic) Linking ISSN: 21735743 NLM ISO Abbreviation: Reumatol Clin (Engl Ed) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Barcelona?] : Elsevier Doyma
مواضيع طبية MeSH: Ultrasonography, Doppler*, Arthritis, Rheumatoid/*diagnostic imaging, Adult ; Aged ; Arthritis, Rheumatoid/classification ; Arthritis, Rheumatoid/therapy ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Remission Induction ; Severity of Illness Index
مستخلص: Objectives: The aim of the present study was to describe the ultrasound (US) findings in patients with rheumatoid arthritis (RA) in clinical remission, and to evaluate the ability of power Doppler (PD) US to reclassify disease activity in these patients.
Material and Methods: We included consecutive patients with RA according to 2010 American College of Rheumatology/European League Against Rheumatism criteria, who were in clinical remission by the Disease Activity Score (DAS28<2.6). Twenty joints of both hands were assessed by US. PD signal was evaluated on a semi-quantitative scale from 0 to 3. Three different US-modified DAS28 (US-DAS28) were constructed, replacing the clinical swollen joint count by the PD US joint count using PD score ≥1, ≥2 or ≥3, respectively.
Results: Eighty-six patients were included. Twenty-three (26.7%) patients had at least one joint with abnormal US-positive PD signal. Thirteen percent of patients were reclassified to low disease activity by applying the US-DAS28 when joints were considered active with a PD signal ≥1; 12%, when a PD signal ≥2 was considered, and 2% of the patients were reclassified when a PD score of 3 was considered. No patients were reclassified to a level of moderate or high activity applying US-DAS28.
Conclusions: Although around a quarter of patients with RA in clinical remission showed PD US features indicating residual activity, only a small percentage were reclassified to a state of low activity and none to a level of moderate or high activity, applying the proposed US-DAS28.
(Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.)
فهرسة مساهمة: Keywords: Artritis reumatoide; Clinical remission; Doppler; Ecografía; Remisión clínica; Rheumatoid arthritis; Ultrasound
تواريخ الأحداث: Date Created: 20170324 Date Completed: 20181211 Latest Revision: 20210525
رمز التحديث: 20221213
DOI: 10.1016/j.reuma.2017.01.007
PMID: 28330716
قاعدة البيانات: MEDLINE
الوصف
تدمد:2173-5743
DOI:10.1016/j.reuma.2017.01.007