Joint Distribution and Two‐Year Outcome in 347 Patients With Monoarthritis of Less Than Sixteen Weeks’ Duration

Abstract

Approximately one-fourth of patients with recent-onset monoarthritis developed CIRD over 2 years. Patients presenting with ankle arthritis rarely developed CIRD, whereas patients presenting with wrist arthritis more frequently did so. Longer duration of joint swelling and ACPA- and RF positivity were also predictive of CIRD. Our findings facilitate early identification of monoarthritis patients with unfavorable prognosis. This article is protected by copyright. All rights reserved.

Evaluation of monoarthritis, one-year, retrospective single-center experience

“…Monoartritlerde en sık etkilenen eklemler diz (%54,3-100), el bilek (%1,5-26,1), kalça (%0-14,8), ayak bileği (%5) ve dirsek (%1) eklemleridir. Ayrıca monoartrit vakalarının %16-100'ü kendini sınırlamakta ve tam iyileşme görülebilmektedir (4, 5, 8, [17][18][19]. Bizim verilerimizde de en sık diz, ayak küçük eklemleri ve ayak bileği eklemlerinin tutulumu görülmüş ve hastalarımızın %60,9'unda akut monoartrit tablosu tedavi ile ya da kendiliğinden düzelmişti (Tablo 1).…”

“…Monoartrit ile başvuran hastaların %0-40'ında izlemde RA tanısını konmaktadır (5). Omuz, el ve el bilek eklemlerindeki monoartritlerde RA gelişim oranı biraz daha fazla olmaktadır (19). Ayrıca hastalardaki RF ve Anti-CCP pozitifliği RA gelişimi açısından prediktör faktörlerdendir (22).…”

Treatment of Early Undifferentiated Chronic Monoarthritis of the Wrist by Arthroscopic Wrist Synovectomy Combined with Partial Denervation

“…Undifferentiated chronic monoarthritis (UCMA) is a group of inflammatory joint diseases that are usually diagnosed by exclusion based on failure to meet rheumatologic classification criteria (e.g., rheumatoid arthritis [RA], psoriatic arthritis, and ankylosing spondylitis) 1 . While it frequently presents as an initial manifestation of other arthritis, UCMA can also persist or recede over time on its own 2–7 . Spontaneous remission rates reportedly range from 26% to 76% 6,8–12 .…”

“… 1 While it frequently presents as an initial manifestation of other arthritis, UCMA can also persist or recede over time on its own. 2 , 3 , 4 , 5 , 6 , 7 Spontaneous remission rates reportedly range from 26% to 76%. 6 , 8 , 9 , 10 , 11 , 12 While recent evidence suggests that specific biomarkers may be effective in distinguishing patients with early RA from other arthritis causes, including UCMA.…”

“… 2 , 3 , 4 , 5 , 6 , 7 Spontaneous remission rates reportedly range from 26% to 76%. 6 , 8 , 9 , 10 , 11 , 12 While recent evidence suggests that specific biomarkers may be effective in distinguishing patients with early RA from other arthritis causes, including UCMA. 13 Overall, the method to determine whether or when UCMA will develop into a rheumatologic disease is still scant.…”