Ultrasound Findings on Hands and Wrists of Patients with Systemic Lupus Erythematosus: Relationship with Physical Examination

Lins, Carolina Freitas; Ribeiro, Daniel Lima de Sá; Santos, Willer Gonçalves Dourado; Rosa, Genevievi; Machicado, Viviane; Pedreira, Ana Luisa Souza; Fonseca, Eduardo Oyama Lins; Sousa, Anna Paula Mota Duque; Silva, Carla Baleeiro Rodrigues; Matos, Marcos Almeida; Santiago, Mittermayer Barreto

doi:10.1016/j.ultrasmedbio.2017.04.016

Cited by 7 publications

(2 citation statements)

References 25 publications

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“…In other studies US showed the presence of inflammatory signs both in asymptomatic patients and those with arthralgia without objective clinical signs of inflammation, the exact prevalence of which cannot be extrapolated as these studies did not clearly separate the US findings detected in these two categories of patients. [25][26][27][28][29][30][31][32][33][34]…”

Section: Subclinical Inflammation At Joint and Tendon Levelmentioning

confidence: 99%

“…A recent important insight into musculoskeletal involvement in patients with SLE is the detection of an unexpectedly high, albeit variable among the different studies, prevalence of erosive damage. 19,20,[24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] In US studies that clearly separated the different SLE arthropathy subsets, bone erosions were also found in a considerable number of patients with SLE arthropathy subsets traditionally considered non-erosive, such as Jaccoud's arthropathy and NDNE arthritis.…”

Section: Structural Damage In Sle Arthritismentioning

confidence: 99%

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Ultrasound in the assessment of musculoskeletal involvement in systemic lupus erythematosus: state of the art and perspectives

Matteo

Isidori

Corradini

et al. 2019

Lupus

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Musculoskeletal manifestations are extremely common in patients with systemic lupus erythematosus. Transient and migratory arthralgia is frequently reported even without clinical signs of joint or tendon inflammation. In less than 15% of patients, joints may be more severely affected by deforming (Jaccoud's arthropathy) and/or erosive arthropathy (Rhupus syndrome). In recent years, ultrasound has emerged as a promising imaging technique for the assessment of musculoskeletal involvement in systemic lupus erythematosus, having demonstrated the ability to detect inflammation and structural damage both at articular and periarticular level. Recent ultrasound studies have also revealed new insights into musculoskeletal involvement in patients with systemic lupus erythematosus, some of them questioning the traditional concepts of systemic lupus erythematosus arthropathy, with potential clinical, prognostic and therapeutic implications. In daily clinical practice, the use of ultrasound in the assessment of joint and tendon involvement in patients with systemic lupus erythematosus is still limited. Several methodological issues encountered in ultrasound studies evaluating musculoskeletal involvement in systemic lupus erythematosus patients need to be addressed in order to improve both the reliability and clinical usefulness of ultrasound findings. This paper reviews ultrasound studies assessing musculoskeletal involvement in patients with systemic lupus erythematosus, highlighting certainty, limits, potential applications and future perspectives of ultrasound use in systemic lupus erythematosus patients.

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