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超声证实肌腱滑膜炎在评估接受阿巴西普治疗的早期类风湿关节炎患者疾病活动度中的作用。

Usefulness of ultrasonography-proven tenosynovitis to monitor disease activity of a patient with very early rheumatoid arthritis treated by abatacept.

机构信息

Department of Immunology and Rheumatology, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.

出版信息

Mod Rheumatol. 2013 May;23(3):582-6. doi: 10.1007/s10165-012-0680-3. Epub 2012 Jul 7.

DOI:10.1007/s10165-012-0680-3
PMID:22772459
Abstract

We introduced abatacept (ABT) in a very early rheumatoid arthritis (RA) patient with active tenosynovitis of hands defined by musculoskeletal ultrasonography (MSKUS). MSKUS-proven tenosynovitis remarkably improved at 2 months in spite of clinical exacerbation, followed by clinical remission at 5 months. MSKUS abnormalities also disappeared. Although ABT was discontinued due to an adverse event after the sixth infusion, she remained in clinical remission as well as imaging remission by MSKUS at 13 months.

摘要

我们为一位非常早期的类风湿关节炎(RA)患者引入了阿巴西普(ABT),该患者手部的肌腱滑膜炎活动,通过肌肉骨骼超声(MSKUS)证实。尽管临床病情恶化,但在 2 个月时 MSKUS 证实的肌腱滑膜炎显著改善,随后在 5 个月时达到临床缓解。MSKUS 异常也消失了。尽管在第六次输注后因不良事件停用 ABT,但在 13 个月时,她仍然处于临床缓解和 MSKUS 影像学缓解状态。

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引用本文的文献

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Clinical utilization of musculoskeletal sonography involving non-physician rehabilitation providers: a scoping review.非医师康复提供者进行肌肉骨骼超声的临床应用:范围综述。
Eur J Phys Rehabil Med. 2016 Apr;52(2):253-62. Epub 2015 Jul 16.
2
Comparison of prevalence of synovitis by ultrasound assessment in subjects exposed or not to self-reported physical overexertion: the Monday's synovitis.通过超声评估比较自我报告有或无身体过度劳累的受试者滑膜炎患病率:周一滑膜炎。
ScientificWorldJournal. 2014;2014:563981. doi: 10.1155/2014/563981. Epub 2014 Nov 6.