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Title: Ultrasound findings on hands and wrists of patients with systemic lupus erythematosus: relationship with physical examination
Other Titles: Journal Ultrasound in Med. & Biol.
Authors: Santiago, Mittermayer Barreto
Lins, Carolina Freitas
Ribeiro, Daniel Lima de Sá
Santos, Willer Gonçalves Dourado
Rosa, Genevievi
Machicado, Viviane
Pedreira, Ana Luisa
Fonseca, Emanuela Pimenta da
Sousa, Anna Paula Mota Duque
Silva, Carla Baleeiro Rodrigues
Matos, Marcos Antonio Almeida
Keywords: Systemic lupus erythematosus, Musculoskeletal ultrasound, Physical examination.
Issue Date: 16-Apr-2017
Abstract: Abstract—Diagnosis of synovitis/tenosynovitis by physical examination can be difficult. Ultrasound (US) can be an effective tool for the evaluation of joint involvement in systemic lupus erythematosus (SLE). This study will describe musculoskeletal findings by US in SLE patients and the evaluation of their correlation with physical examination. SLE patients underwent clinical/sonographic evaluation of hand/wrists. In total, 896 joints were evaluated: at least 1 change on physical examination was found in 136 joints and at least 1 US abnormality was found in 65 of 896 joints. Out of the 65 joints with US changes, only 13 had findings on physical examination. Conversely, 111 joints had tenderness on physical examination with no sonographic abnormalities. Tenosynovitis was statistically significant more frequently with joint edema (41%) (p 5 0.0003). US can detect musculoskeletal changes in only a minority of symptomatic SLE patients. Clinical findings may be related to some reasons that cannot be explained using US.
ISSN: 0301-5629
Appears in Collections:Artigos Completos Publicados em Periódicos

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