Karimzadeh Hadi, Karami Mehdi, Bazgir Nasrin, Karimifar Mansour, Yadegarfar Ghasem, Mohammadzadeh Zohrea
Department of Internal Medicine, Isfahan Bone Metabolic Disorders Research Center, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran.
Department of Radiology, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2018 Apr 26;23:38. doi: 10.4103/jrms.JRMS_308_17. eCollection 2018.
The aim of this study was to recognize the findings of ultrasonography (US) in remitted rheumatic arthritis (RA) patients for detection subclinical arthritis.
This descriptive study was conducted during 2016 in a rheumatology center. A total of 70 patients with remitted RA were included in the study. Sonography was performed on all 70 patients who did not show any clinical arthritis in clinical examination to find synovitis and effusion were evaluated with gray scale and hyperemia with power Doppler US.
Nearly 44.3% ( = 31) of our patients had positive sonography results including 20% synovitis, 21.4% hyperemia, and 18.6% ( = 13) effusion. A total of 1960 joints of 70 patients were evaluated, in which 3.2% ( = 63) of joints had positive sonography findings including 1.2% synovitis, 1.5% hyperemia, and 1.1 with effusion.
US can diagnosis subclinical arthritis in patients with remitted RA who does not show any joint involvement in clinical examination.
本研究的目的是识别缓解期类风湿关节炎（RA）患者的超声检查（US）结果，以检测亚临床关节炎。
本描述性研究于2016年在一个风湿病中心进行。共有70例缓解期RA患者纳入研究。对所有70例在临床检查中未表现出任何临床关节炎的患者进行超声检查，以发现滑膜炎，并通过灰阶和能量多普勒超声评估积液和充血情况。
近44.3%（n = 31）的患者超声检查结果为阳性，包括20%的滑膜炎、21.4%的充血和18.6%（n = 13）的积液。共评估了70例患者的1960个关节，其中3.2%（n = 63）的关节超声检查结果为阳性，包括1.2%的滑膜炎、1.5%的充血和1.1%的积液。
超声可诊断临床检查中未显示任何关节受累的缓解期RA患者的亚临床关节炎。
