Mogami Roberto, Pereira Vaz João Luiz, de Fátima Barcelos Chagas Yêdda, de Abreu Mirhelen Mendes, Torezani Rodrigo Sperling, de Almeida Vieira André, Junqueira Filho Eduardo Alvarenga, Barbosa Yasmin Baptista, Carvalho Antonio Carlos Pires, Lopes Agnaldo José
Department of Radiology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Rheumatology, Gafrée e Guinle University Hospital, Federal State University of Rio de Janeiro, Rio de Janeiro, Brazil.
J Ultrasound Med. 2018 Feb;37(2):511-520. doi: 10.1002/jum.14344. Epub 2017 Aug 8.
The purpose of this series was to describe the ultrasonographic and radiographic manifestations of changes to the hands and wrists in 50 patients with chronic musculoskeletal symptoms secondary to Chikungunya fever during the 2016 outbreak that occurred in Rio de Janeiro, Brazil. Most of the plain radiographs were normal (62%). The most common ultrasonographic findings were small joint synovitis (84%), wrist synovitis (74%), finger tenosynovitis (70%), and cellulitis (50%). In most cases, power Doppler did not show an increase in synovial vascular flow. The plain radiographs showed no specific findings, whereas the ultrasound images revealed synovial compromise and neural thickening.
本系列研究的目的是描述2016年巴西里约热内卢基孔肯雅热疫情期间50例继发于基孔肯雅热的慢性肌肉骨骼症状患者手部和腕部变化的超声和放射学表现。大多数X线平片正常（62%）。最常见的超声表现为小关节滑膜炎（84%）、腕滑膜炎（74%）、手指腱鞘炎（70%）和蜂窝织炎（50%）。在大多数情况下，能量多普勒未显示滑膜血流增加。X线平片无特异性表现，而超声图像显示滑膜受损和神经增粗。
