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Ultrasound imaging for the rheumatologist XL. Sonographic assessment of the hip in rheumatoid arthritis patients.

OBJECTIVESThe aim of the present study was to correlate clinical and laboratory data with those obtained by ultrasound (US) evaluation of the hip in a cohort of patients with rheumatoid arthritis (RA). METHODSFifty-two RA patients attending the Rheumatology Departments involved in the present study... Full description

Journal Title: Clinical and experimental rheumatology 2012 Jul-Aug, Vol.30(4), pp.464-468
Main Author: Di Geso, Luca
Other Authors: Filippucci, Emilio , Riente, Lucrezia , Sakellariou, Garifallia , Delle Sedie, Andrea , Meenagh, Gary , Iagnocco, Annamaria , Bombardieri, Stefano , Montecucco, Carlomaurizio , Valesini, Guido , Grassi, Walter
Format: Electronic Article Electronic Article
Language: English
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ID: ISSN: 0392-856X
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title: Ultrasound imaging for the rheumatologist XL. Sonographic assessment of the hip in rheumatoid arthritis patients.
format: Article
creator:
  • Di Geso, Luca
  • Filippucci, Emilio
  • Riente, Lucrezia
  • Sakellariou, Garifallia
  • Delle Sedie, Andrea
  • Meenagh, Gary
  • Iagnocco, Annamaria
  • Bombardieri, Stefano
  • Montecucco, Carlomaurizio
  • Valesini, Guido
  • Grassi, Walter
subjects:
  • Aged–Diagnostic Imaging
  • Arthralgia–Diagnostic Imaging
  • Arthritis, Rheumatoid–Blood
  • Autoantibodies–Blood
  • Biomarkers–Metabolism
  • Blood Sedimentation–Diagnostic Imaging
  • C-Reactive Protein–Immunology
  • Cohort Studies–Methods
  • Female–Methods
  • Hip Joint–Methods
  • Humans–Methods
  • Male–Methods
  • Middle Aged–Methods
  • Peptides, Cyclic–Methods
  • Predictive Value of Tests–Methods
  • Rheumatology–Methods
  • Severity of Illness Index–Methods
  • Ultrasonography, Doppler–Methods
  • Autoantibodies
  • Biomarkers
  • Peptides, Cyclic
  • Cyclic Citrullinated Peptide
  • C-Reactive Protein
ispartof: Clinical and experimental rheumatology, 2012 Jul-Aug, Vol.30(4), pp.464-468
description: OBJECTIVESThe aim of the present study was to correlate clinical and laboratory data with those obtained by ultrasound (US) evaluation of the hip in a cohort of patients with rheumatoid arthritis (RA). METHODSFifty-two RA patients attending the Rheumatology Departments involved in the present study were enrolled. Demographic (age, gender), clinical (body mass index, disease duration, treatments, history or current hip pain, tenderness by internal or external hip rotation or palpation of the greater trochanteric region), laboratory (erythrosedimentation rate, C-reactive protein, rheumatoid factor and antibodies anti-citrullinated peptides) and clinimetric data (disease activity score 28 - DAS28, Health Assessment Questionnaire - HAQ, Lequesne index) were collected. All patients underwent an US examination of both hips according to international guidelines. RESULTSA total of 100 hips were scanned in 52 patients with RA. Approximately half of the patients reported a history of hip pain, one fourth complained of current pain, and the physical examination (internal and/or external rotation and palpation of the greater trochanteric region) evocated pain up to 19% and 22% of the patients, respectively. US examination found signs of hip joint abnormalities in 42% of the patients; US changes indicative of hip joint inflammation and damage were detected respectively in 24% and 32% of the cases. No patient presented power Doppler signal in the hip joint. A significant correlation between US pathological findings at hip level was found with clinical data (current pain and evocated pain by internal or external hip rotation). Furthermore, US cartilage lesion correlated with age of the patient, and US bone erosions with the disease duration. No correlation was found between the sonographic assessment and laboratory data, DAS 28, and Lequesne index. CONCLUSIONSUS abnormalities at hip joint level obtained in the present study correlated with clinical findings, while no correlation was found with DAS28 or laboratory data. Further investigations are encouraged to clarify the US additional value at hip level in patients with RA.
language: eng
source:
identifier: ISSN: 0392-856X
fulltext: fulltext
issn:
  • 0392856X
  • 0392-856X
url: Link


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titleUltrasound imaging for the rheumatologist XL. Sonographic assessment of the hip in rheumatoid arthritis patients.
creatorDi Geso, Luca ; Filippucci, Emilio ; Riente, Lucrezia ; Sakellariou, Garifallia ; Delle Sedie, Andrea ; Meenagh, Gary ; Iagnocco, Annamaria ; Bombardieri, Stefano ; Montecucco, Carlomaurizio ; Valesini, Guido ; Grassi, Walter
contributorDi Geso, Luca (correspondence author) ; Di Geso, Luca (record owner)
ispartofClinical and experimental rheumatology, 2012 Jul-Aug, Vol.30(4), pp.464-468
identifierISSN: 0392-856X
subjectAged–Diagnostic Imaging ; Arthralgia–Diagnostic Imaging ; Arthritis, Rheumatoid–Blood ; Autoantibodies–Blood ; Biomarkers–Metabolism ; Blood Sedimentation–Diagnostic Imaging ; C-Reactive Protein–Immunology ; Cohort Studies–Methods ; Female–Methods ; Hip Joint–Methods ; Humans–Methods ; Male–Methods ; Middle Aged–Methods ; Peptides, Cyclic–Methods ; Predictive Value of Tests–Methods ; Rheumatology–Methods ; Severity of Illness Index–Methods ; Ultrasonography, Doppler–Methods ; Autoantibodies ; Biomarkers ; Peptides, Cyclic ; Cyclic Citrullinated Peptide ; C-Reactive Protein
descriptionOBJECTIVESThe aim of the present study was to correlate clinical and laboratory data with those obtained by ultrasound (US) evaluation of the hip in a cohort of patients with rheumatoid arthritis (RA). METHODSFifty-two RA patients attending the Rheumatology Departments involved in the present study were enrolled. Demographic (age, gender), clinical (body mass index, disease duration, treatments, history or current hip pain, tenderness by internal or external hip rotation or palpation of the greater trochanteric region), laboratory (erythrosedimentation rate, C-reactive protein, rheumatoid factor and antibodies anti-citrullinated peptides) and clinimetric data (disease activity score 28 - DAS28, Health Assessment Questionnaire - HAQ, Lequesne index) were collected. All patients underwent an US examination of both hips according to international guidelines. RESULTSA total of 100 hips were scanned in 52 patients with RA. Approximately half of the patients reported a history of hip pain, one fourth complained of current pain, and the physical examination (internal and/or external rotation and palpation of the greater trochanteric region) evocated pain up to 19% and 22% of the patients, respectively. US examination found signs of hip joint abnormalities in 42% of the patients; US changes indicative of hip joint inflammation and damage were detected respectively in 24% and 32% of the cases. No patient presented power Doppler signal in the hip joint. A significant correlation between US pathological findings at hip level was found with clinical data (current pain and evocated pain by internal or external hip rotation). Furthermore, US cartilage lesion correlated with age of the patient, and US bone erosions with the disease duration. No correlation was found between the sonographic assessment and laboratory data, DAS 28, and Lequesne index. CONCLUSIONSUS abnormalities at hip joint level obtained in the present study correlated with clinical findings, while no correlation was found with DAS28 or laboratory data. Further investigations are encouraged to clarify the US additional value at hip level in patients with RA.
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titleUltrasound imaging for the rheumatologist XL. Sonographic assessment of the hip in rheumatoid arthritis patients.
descriptionOBJECTIVESThe aim of the present study was to correlate clinical and laboratory data with those obtained by ultrasound (US) evaluation of the hip in a cohort of patients with rheumatoid arthritis (RA). METHODSFifty-two RA patients attending the Rheumatology Departments involved in the present study were enrolled. Demographic (age, gender), clinical (body mass index, disease duration, treatments, history or current hip pain, tenderness by internal or external hip rotation or palpation of the greater trochanteric region), laboratory (erythrosedimentation rate, C-reactive protein, rheumatoid factor and antibodies anti-citrullinated peptides) and clinimetric data (disease activity score 28 - DAS28, Health Assessment Questionnaire - HAQ, Lequesne index) were collected. All patients underwent an US examination of both hips according to international guidelines. RESULTSA total of 100 hips were scanned in 52 patients with RA. Approximately half of the patients reported a history of hip pain, one fourth complained of current pain, and the physical examination (internal and/or external rotation and palpation of the greater trochanteric region) evocated pain up to 19% and 22% of the patients, respectively. US examination found signs of hip joint abnormalities in 42% of the patients; US changes indicative of hip joint inflammation and damage were detected respectively in 24% and 32% of the cases. No patient presented power Doppler signal in the hip joint. A significant correlation between US pathological findings at hip level was found with clinical data (current pain and evocated pain by internal or external hip rotation). Furthermore, US cartilage lesion correlated with age of the patient, and US bone erosions with the disease duration. No correlation was found between the sonographic assessment and laboratory data, DAS 28, and Lequesne index. CONCLUSIONSUS abnormalities at hip joint level obtained in the present study correlated with clinical findings, while no correlation was found with DAS28 or laboratory data. Further investigations are encouraged to clarify the US additional value at hip level in patients with RA.
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0Aged–Diagnostic Imaging
1Arthralgia–Diagnostic Imaging
2Arthritis, Rheumatoid–Blood
3Autoantibodies–Blood
4Biomarkers–Metabolism
5Blood Sedimentation–Diagnostic Imaging
6C-Reactive Protein–Immunology
7Cohort Studies–Methods
8Female–Methods
9Hip Joint–Methods
10Humans–Methods
11Male–Methods
12Middle Aged–Methods
13Peptides, Cyclic–Methods
14Predictive Value of Tests–Methods
15Rheumatology–Methods
16Severity of Illness Index–Methods
17Ultrasonography, Doppler–Methods
18Autoantibodies
19Biomarkers
20Peptides, Cyclic
21Cyclic Citrullinated Peptide
22C-Reactive Protein
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titleUltrasound imaging for the rheumatologist XL. Sonographic assessment of the hip in rheumatoid arthritis patients.
authorDi Geso, Luca ; Filippucci, Emilio ; Riente, Lucrezia ; Sakellariou, Garifallia ; Delle Sedie, Andrea ; Meenagh, Gary ; Iagnocco, Annamaria ; Bombardieri, Stefano ; Montecucco, Carlomaurizio ; Valesini, Guido ; Grassi, Walter
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5Blood Sedimentation–Diagnostic Imaging
6C-Reactive Protein–Immunology
7Cohort Studies–Methods
8Female–Methods
9Hip Joint–Methods
10Humans–Methods
11Male–Methods
12Middle Aged–Methods
13Peptides, Cyclic–Methods
14Predictive Value of Tests–Methods
15Rheumatology–Methods
16Severity of Illness Index–Methods
17Ultrasonography, Doppler–Methods
18Autoantibodies
19Biomarkers
20Peptides, Cyclic
21Cyclic Citrullinated Peptide
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abstractOBJECTIVESThe aim of the present study was to correlate clinical and laboratory data with those obtained by ultrasound (US) evaluation of the hip in a cohort of patients with rheumatoid arthritis (RA). METHODSFifty-two RA patients attending the Rheumatology Departments involved in the present study were enrolled. Demographic (age, gender), clinical (body mass index, disease duration, treatments, history or current hip pain, tenderness by internal or external hip rotation or palpation of the greater trochanteric region), laboratory (erythrosedimentation rate, C-reactive protein, rheumatoid factor and antibodies anti-citrullinated peptides) and clinimetric data (disease activity score 28 - DAS28, Health Assessment Questionnaire - HAQ, Lequesne index) were collected. All patients underwent an US examination of both hips according to international guidelines. RESULTSA total of 100 hips were scanned in 52 patients with RA. Approximately half of the patients reported a history of hip pain, one fourth complained of current pain, and the physical examination (internal and/or external rotation and palpation of the greater trochanteric region) evocated pain up to 19% and 22% of the patients, respectively. US examination found signs of hip joint abnormalities in 42% of the patients; US changes indicative of hip joint inflammation and damage were detected respectively in 24% and 32% of the cases. No patient presented power Doppler signal in the hip joint. A significant correlation between US pathological findings at hip level was found with clinical data (current pain and evocated pain by internal or external hip rotation). Furthermore, US cartilage lesion correlated with age of the patient, and US bone erosions with the disease duration. No correlation was found between the sonographic assessment and laboratory data, DAS 28, and Lequesne index. CONCLUSIONSUS abnormalities at hip joint level obtained in the present study correlated with clinical findings, while no correlation was found with DAS28 or laboratory data. Further investigations are encouraged to clarify the US additional value at hip level in patients with RA.
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