Author/Authors :
Karimzadeh, Hadi Department of Internal Medicine - Isfahan Bone Metabolic Disorders Research Center - School of Medicine - Isfahan University of Medical Science , Karami, Mehdi Departments of Radiology - Isfahan University of Medical Sciences , Bazgir, Nasrin Department of Internal Medicine - Isfahan Bone Metabolic Disorders Research Center - School of Medicine - Isfahan University of Medical Science , Karimifar, Mansour Medical School - Isfahan University of Medical Sciences , Yadegarfar, Ghasem Department of Biostatistics - School of Health - Isfahan University of Medical Sciences, Isfahan , Mohammadzadeh, Zohrea Departments of Radiology - Isfahan University of Medical Sciences
Abstract :
Background: The aim of this study was to recognize the findings of ultrasonography (US) in remitted rheumatic arthritis (RA) patients
for detection subclinical arthritis. Materials and Methods: 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. Results: Nearly 44.3% (n = 31) of our patients had positive sonography results including 20% synovitis,
21.4% hyperemia, and 18.6% (n = 13) effusion. A total of 1960 joints of 70 patients were evaluated, in which 3.2% (n = 63) of joints
had positive sonography findings including 1.2% synovitis, 1.5% hyperemia, and 1.1 with effusion. Conclusion: US can diagnosis
subclinical arthritis in patients with remitted RA who does not show any joint involvement in clinical examination.