Prospective X-ray densitometry and ultrasonography study of the hand bones of patients with rheumatoid arthritis of recent onset

Daragon, A.; Krzanowska, Katarzyna; Vittecoq, Olivier; Ménard, Jean-François; Hau, Isabelle; Jouen-Beades, Fabienne; Lesage, Corinne; Bertho, Jean-Marie; Tron, François; Loët, Xavier Le

doi:10.1016/s1297-319x(00)00227-x

Cited by 23 publications

(16 citation statements)

References 26 publications

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“…It is clear that hand BMD measurement using DEXA is a precise, repeatable and reliable method. The hand BMD has been shown to correlate with BMD at other parts of the body (23). Different radiographic scoring methods have been developed to evaluate the disease progression in RA however they had restricted ability to evaluate bone mineralization (23).…”

Section: Discussionmentioning

confidence: 99%

Measurement of Foot Bone Mineral Density in Rheumatoid Arthritis: Its Application and Clinical Relevance

et al. 2010

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Objective: Hand and foot joints are the primary targets in rheumatoid arthritis (RA) and decrease in the periarticular bone mineral density (BMD) is one of the earliest and considerable change in the affected joint. This study aimed to assess the relationship between foot bone mineral density (fBMD) measured by Dual Energy X-ray absorptiometry (DEXA) and BMD at axial sites, disease activity, functional status and quality of life in patients with RA Materials and Methods: 50 patients with RA, 40 age-and sexmatched patients with osteoarthritis (OA) and 14 voluntary healthy individuals were included in the study. C-reactive protein, erythrocyte sedimentation rate (ESR), Ritchie Articular Index (RAI), Health Assesment Questionnare (HAQ), and Foot Function Index (FFI) were measured. X-ray of the feet was scored by Larsen and Sharp/van der Heijde methods. Axial and fBMD were measured by DXA. Results:The results of the present study revealed that Turkish patients with RA carrying SE with HLA-DRB1 genes is significantly related with the production of anti-CCP. The diagnostic sensitivity and specificity of anti-CCP for RA is determined as 73,3% and 100% respectively. Conclusion: These results suggest for the first time that foot BMD measurement by DEXA is a useful and precise method. Foot BMD may reflect both localized and generalized bone loss and may be a potential outcome measure particularly in patients with marked foot involvement. (Turk J Rheumatol 2010; 25: 56-62)

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Section: Discussionmentioning

confidence: 99%

Measurement of Foot Bone Mineral Density in Rheumatoid Arthritis: Its Application and Clinical Relevance

et al. 2010

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“…Similarly, five longitudinal studies reported hand bone loss was higher in patients with RA than in matched healthy controls or patients with other rheumatic diseases, including spondyloarthropathies or [7] CS RA: 100 F 53. In the IFX treated group hand bone loss arrested at the hip but not at the hand and lumbar spine undifferentiated arthritis [4,10,[23][24][25] .…”

Section: Researchmentioning

confidence: 91%

“…Similarly, Berglin et al [31] found a significant correlation between hand bone loss and radiological progression over 24 mo follow up in patients with early RA. On the other hand, two studies failed to show a significant correlation between hand BMC loss and radiographic joint damage [25,26] .…”

Section: Hand Bone Mass and Functional Outcomementioning

confidence: 98%

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Hand bone mass in rheumatoid arthritis: A review of the literature

Kılıç

Özgöçmen

2015

WJO

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“…However, discrepant results were published by Dragon et al who determined failure of QUS parameters in 32 patients with early peripheral polyarthritis (median disease duration = 4 months) to classify these patients into RA or another rheumatic disease (83).…”

Section: Relation Of Qus To Underlying Disease Characteristicsmentioning

confidence: 97%

Clinical utilities of quantitative ultrasound in osteoporosis associated with inflammatory rheumatic diseases

Naganathan

et al. 2018

Quant. Imaging Med. Surg.

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Secondary osteoporosis is an important co-morbidity related to inflammatory rheumatic diseases that is attributed to several factors including inflammatory cytokines, inactivity and glucocorticoid treatment.Quantitative ultrasound (QUS) has been utilized in osteoporosis research due to its detectability of bone density as well as bone quality. The current narrative review is to address the potential utilities of QUS in secondary osteoporosis of inflammatory rheumatic diseases, focusing on the clinical aspects of QUS in these diseases, based on the conformity of QUS with dual emission X-ray absorptiometry (DXA), the relationship with disease characteristics, and its capability of fracture prediction. Although limited data demonstrate that QUS had moderate to strong correlation with DXA, and might be useful as a potential imaging tool to screen for osteoporosis, further research is still required for QUS to be utilized effectively for the best outcome in these patients with rheumatic diseases.

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Prospective X-ray densitometry and ultrasonography study of the hand bones of patients with rheumatoid arthritis of recent onset

Cited by 23 publications

References 26 publications

Measurement of Foot Bone Mineral Density in Rheumatoid Arthritis: Its Application and Clinical Relevance

Measurement of Foot Bone Mineral Density in Rheumatoid Arthritis: Its Application and Clinical Relevance

Hand bone mass in rheumatoid arthritis: A review of the literature

Clinical utilities of quantitative ultrasound in osteoporosis associated with inflammatory rheumatic diseases

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