To study the frequency and features of joint and tendon involvement in the hand of patients with primary Sjögren's syndrome (pSS) by musculoskeletal ultrasound (US) examination.
Objective. To stud), the frequency and features of joint and tendon involvement in the hand of patients with primary Sjogren's syndrome (pSS) by musculoskeletal ultrasound (US) examination.Methods. Forty-eight patients with pSS diagnosed according to the preliminary classification criteria proposed by the American-European Classification Criteria Group were enrolled in the study. Bilateral US examination of the 1(st)-5(th) metacarpophalangeal (MCP), 2(nd)-5(th) proximal interphalangeal (PIP) joints and of flexor tendons were performed A semi-quantitative grading method (0 to 3)for scoring joint effusion, synovial proliferation and intra-articular power Doppler (PD) signal was used.Results. We observed clear evidence of inflammatory arthritis in 9 (18.7%) patients. Bone erosions at MCP and/or PIP joint were visualized in 6 out of 48 (12.5%) patients. In 10 (20.8%) patients we imaged flexor tenosynovitis which appeared more frequent than in healthy subjects even if no statistically signi...
Ultrasound imaging for the rheumatologist. XXIII. Sonographic evaluation of hand joint involvement in primary Sjögren's syndrome
Scirè, C;Montecucco, C;
2009
Abstract
Objective. To stud), the frequency and features of joint and tendon involvement in the hand of patients with primary Sjogren's syndrome (pSS) by musculoskeletal ultrasound (US) examination.Methods. Forty-eight patients with pSS diagnosed according to the preliminary classification criteria proposed by the American-European Classification Criteria Group were enrolled in the study. Bilateral US examination of the 1(st)-5(th) metacarpophalangeal (MCP), 2(nd)-5(th) proximal interphalangeal (PIP) joints and of flexor tendons were performed A semi-quantitative grading method (0 to 3)for scoring joint effusion, synovial proliferation and intra-articular power Doppler (PD) signal was used.Results. We observed clear evidence of inflammatory arthritis in 9 (18.7%) patients. Bone erosions at MCP and/or PIP joint were visualized in 6 out of 48 (12.5%) patients. In 10 (20.8%) patients we imaged flexor tenosynovitis which appeared more frequent than in healthy subjects even if no statistically signi...I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
