Is articular pain in rheumatoid arthritis correlated with ultrasound power Doppler findings?

Autor(es)

Pereira, Daniele Freitas ^[1] ; Gutierrez, Marwin ^[2] ; Pirozzi de Buosi, Ana Leticia ^[1] ; Maia Diniz Ferreira, Fernando Bernardes ^[3] ; Draghessi, Antonella ^[2] ; Grassi, Walter ^[2] ; Natour, Jamil ^[1] ; Vilar Furtado, Rita Nely ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Paulo, Div Rheumatol, BR-04023900 Sao Paulo - Brazil

^[2] Univ Politecn Marche, Div Rheumatol, Clin Reumatol, Ancona - Italy

^[3] Univ Fed Sao Paulo, Div Radiol, BR-04023900 Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: CLINICAL RHEUMATOLOGY; v. 34, n. 11, p. 1975-1979, NOV 2015.
• Citações Web of Science: 2

Resumo

The study is addressed to determine if there is a correlation between intra-articular power Doppler (PD) and pain symptoms in patients with rheumatoid arthritis (RA). A cross-sectional study of patients with established RA was rolled out. Seventy-two patients with chronic swelling at metacarpophalangeal (MCP) joints were consecutively enrolled in the study and divided into two groups (painful and painless). In the painful group, the inclusion criteria were pain in the visual analog scale (VAS), from 0 to 10 cm, of at least 4 cm and 0 in the painless group. All two to five MCP joints, bilaterally, were scanned by ultrasound (US) searching for intra-articular PD presence. Any value of p < 0.05 was considered significant. Patients in the painful group had longer morning stiffness, worse 28-joint disease activity score (DAS 28), and health assessment questionnaire (HAQ) indexes. There were no association between pain and gray scale (GS) synovitis, odds ratio (OR) = 0.9 (0.6-1.2), p = 0.485; and pain and intra-articular PD, OR = 0.8 (0.6-1.2), p = 0.244. Intra-articular PD was not correlated with pain symptom in this study. (AU)

• Processo FAPESP: 12/04867-6 - Correlação da sinovite sem dor com parâmetros clínicos, laboratoriais e de imagem (RX e ultrassom) em pacientes com ar estabelecida
• Beneficiário: Rita Nely Vilar Furtado
• Modalidade de apoio: Auxílio à Pesquisa - Regular