Foot neuropathy in rheumatoid arthritis patients: clinical, electrophysiological, and ultrasound studies

Elhewala, Abd Elsamad I; Soliman, Samar G.; Labeeb, Alaa; Zytoon, Ashraf Anas; El-Shanawany, Amira T.

doi:10.4103/1110-161x.189640

Cited by 4 publications

(3 citation statements)

References 57 publications

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“…Also, pain score (VAS) was higher in patients with RA with neuropathy. [26] Our study also had higher HAQ-D1 score in patients with RA with neuropathy. Hence, overall wellbeing of the patient with RA can be correlated with presence of neuropathy especially in geriatric population.…”

Section: Discussionsupporting

confidence: 62%

Evaluation of Neuropathic Pain in Rheumatoid Arthritis Patients: Relation to Clinical and Laboratory findings

Elbrashy

Soliman

Khalil

et al. 2022

Benha Journal of Applied Sciences

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Background: Rheumatoid arthritis is a multi-system autoimmune disorder predominantly involving multiple small and large joints along with certain extra-articular manifestations with the incidence of around 39.19% as per previous studies. The presence of peripheral neuropathy in patients with rheumatoid arthritis contributes significantly to the functional limitation in patients with rheumatoid arthritis. Early diagnosis and treatment of peripheral neuropathy has been shown to improve both physical and functional disabilities of patients with RA.Objectives: The objective was to assess neuropathic pain in patients with rheumatoid arthritis (RA) having neuropathic symptoms and to evaluate the relationship between electrophysiological findings and clinical &laboratory findings of RA.Materials and Methods: Consecutive patients of RA were recruited. Detailed clinical examination and electrophysiological tests were done to diagnose peripheral neuropathy. The demographic and clinical parameters were noted and tabulated. Student's t-test was used to analyze continuous variable, whereas Chi-square test was used for analysis of categorical variables.Results: Of 60 patients with RA, 75.28% (n = 45) patients had peripheral neuropathy electro-physiologically. Statistically significant association between the presence of neuropathy and age of the patients, disease duration, use of disease-modifying antirheumatic drugs, disease severity (disease activity score-28), and activity in ultrasonography (P < 0.05).Conclusion: Patients with RA, especially elderly patients, should undergo electrophysiological testing to rule out peripheral neuropathy. Electrophysiological study is a diagnostic and gold standard tool to diagnose subclinical neuropathy in patients with RA.

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Section: Discussionsupporting

confidence: 62%

Evaluation of Neuropathic Pain in Rheumatoid Arthritis Patients: Relation to Clinical and Laboratory findings

Elbrashy

Soliman

Khalil

et al. 2022

Benha Journal of Applied Sciences

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“…Fleksör retinakulum inflamasyonu ve valgus deformitesine bağlı olarak da gelişebilir (14,15). Değişik çalışmalarda, kullanılan tanı kriterlerine ve hastanın almakta olduğu tedavilere göre %5-36 oranında değişen prevalans değerleri bildirilmiştir (14,(16)(17)(18)(19). (16).…”

Section: -Posterior Tarsal Tünel Sendromu (Tts)unclassified

“…Ultrason, özellikle tuzak nöropati ile tuzak dışı nöropatilerin ayırımında, yer kaplayan oluşumların ve yapısal değişikliklerin gösterilmesinde yararlıdır. Ancak yapılan çalışmalarda, EF incelemelerin tanıda ultrasona göre daha üstün olduğu ve ilk tercih edilmesi gereken tanısal test olduğu vurgulanmıştır (16,19).…”

Section: Ayak Bileği Eversiyon Ve Dorsifleksiyon Testiunclassified

Romatolojik hastalıklarda tuzak nöropatileri: Epidemiyoloji, tanı ve ayırıcı tanı

2021

Ege Tıp Dergisi

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Romatolojik hastalıklarda sinovyum, ligament, tendon ve bursaların inflamasyonuna ve eklem deformitelerine bağlı olarak, periferik sinirlerin mekanik kompresyona uğramaları nedeniyle tuzak nöropatileri sıklıkla görülmektedir. Klinik, tanı ve tedavi romatolojik hastalığı olmayan bireylerle benzer olmakla birlikte, ağrı ve eklem kısıtlılıkları klinik muayene ve ayırıcı tanıda güçlüklere yol açabilmektedir. En sık görülen tuzak nöropatileri karpal tünel sendromu, tarsal tünel sendromu, kübital tünel sendromu ve Morton metatarsaljisidir. Tanıda klinik bulgular ve elektrofizyolojik incelemeler esastır. Manyetik Rezonans ve Ultrasonografik görüntüleme de yardımcıdır. Ayırıcı tanıda başlıca polinöropatiler, pleksopatiler ve radikülopatiler akla gelmelidir.

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Neuromuscular Ultrasound Versus Electrophysiological Studies in Assessment of Posterior Tibial Nerve Neuropathy in Rheumatoid Arthritis Patient

Risha

Al-Dahan

Altamimy

et al. 2018

The Egyptian Journal of Hospital Medicine

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Foot neuropathy in rheumatoid arthritis patients: clinical, electrophysiological, and ultrasound studies

Cited by 4 publications

References 57 publications

Evaluation of Neuropathic Pain in Rheumatoid Arthritis Patients: Relation to Clinical and Laboratory findings

Evaluation of Neuropathic Pain in Rheumatoid Arthritis Patients: Relation to Clinical and Laboratory findings

Romatolojik hastalıklarda tuzak nöropatileri: Epidemiyoloji, tanı ve ayırıcı tanı

Neuromuscular Ultrasound Versus Electrophysiological Studies in Assessment of Posterior Tibial Nerve Neuropathy in Rheumatoid Arthritis Patient

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