![]() ![]() US examination could be a valid and reliable tool to monitor musculoskeletal features and therapeutic outcomes in SLE patients. The picture of musculoskeletal US in SLE depends on arthropathy subtype and disease activity. ![]() ![]() US changes in patients who scored C or D were more expressed at the tendon level (50% and 29%, respectively) than at the joint level (35% and 9%, respectively).Ĭonclusion. Power Doppler signal was prevalent in patients scoring A ( n = 4) or B ( n = 9) on the musculoskeletal item of the BILAG 2004, and was significantly more frequent at the joint (92%) and tendon (54%) level than in the 26 patients scoring C (19%, P = 0.0007 and 15%, P = 0.016, respectively) and in the 69 scoring D (3%, P < 0.0001 and 3%, P < 0.0001). Patients with rhupus syndrome ( n = 8) carried a higher incidence of inflammatory changes (87%) and erosions (87%) compared with the six with Jaccoud’s arthropathy (50% and 17%, respectively) and the 94 with non-deforming X-ray non-erosive arthropathy (37% and 21%, respectively). US examinations were performed on hand and wrist flexor tendons, wrist extensor tendons, second and third MCP and wrist joints bilaterally using a multi-planar scanning technique. One hundred and eight consecutive SLE patients were recruited and classified according to arthropathy type and the musculoskeletal item of the British Isles Lupus Assessment Group (BILAG) 2004 score. To estimate the prevalence of, and identify factors associated with, hand and wrist US alterations in a large cohort of SLE patients. ![]()
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