当前位置： SCI文献检索 > JOINT BONE SPINE期刊下所有文献 > Ultrasonography and detection of subclinical joints and tendons involvements in Systemic Lupus erythematosus (SLE) patients: A cross-sectional multicenter study.

Ultrasonography and detection of subclinical joints and tendons involvements in Systemic Lupus erythematosus (SLE) patients: A cross-sectional multicenter study.

Abstract：

OBJECTIVES:The aims of this study in SLE population were (1) to describe ultrasonography (US) joint abnormalities, (2) to estimate the reliability of clinical swollen joint count (C-SJC) and SLEDAI (C-SLEDAI) versus US-SJC and US-SLEDAI scores, (3) to highlight specific patterns of lupus patients with Power Doppler (PD) abnormalities. METHOD:For this cross-sectional multicenter study, 151 consecutive adult SLE patients were recruited. Evaluation included a clinical standardized joint assessment, B-mode and PD US of 40 joints and 26 tendons blinded for clinical examination. Reliability and agreement between clinical and B-mode US were calculated using the intraclass correlation coefficients (ICC [95% Confidence Interval]). RESULTS:We found a very high frequency of subclinical US abnormalities in asymptomatic patients: 85% of patients without joint symptoms had at least 1 US abnormality. Among them 46 patients (87%) had a history of joint involvement. The most frequent abnormalities were joint effusmaions (108 patients), synovial hypertrophy (SH, 109 patients) and synovitis (61 patients). Joint or tendon PD signal (grade>1) was found in 44% of patients (67/151). Synovitis were mainly located especially on MCPs and wrists. Even if reliability between clinical and grey-scale US SJC assessments was poor, reliability between clinical and US SLEDAI was good. Comparison between SLE patients with and without PD signal did not show any specific SLE pattern. CONCLUSION:US may be useful to assess joint involvement in SLE patients but did not significantly change SLEDAI score.

journal_name

Joint Bone Spine

journal_title

Joint bone spine

authors

Salliot C,Denis A,Dernis E,Andre V,Perdriger A,Albert JD,Mammou Mraghni S,Griffoul-Espitalier I,Hamidou M,Le Goff B,Joulin SJ,Marhadour T,Richez C,Poursac N,Lazaro E,Rist S,Corondan A,Quinten C,Martaillé V,Valéry A

doi

10.1016/j.jbspin.2018.01.013

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

741-745

issue

6

eissn

1297-319X

issn

1778-7254

pii

S1297-319X(18)30016-2

journal_volume

85

pub_type

杂志文章,多中心研究

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