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- Title
Role of High-Resolution Grey Scale and Power Doppler Ultrasonography in Assessment of Ankle Joints of Symptomatic and Asymptomatic Rheumatoid Arthritis Patients.
- Authors
Yousef, Ahmed Farid; Abogamal, Ahmed Fathy; Khater, Hamada Mohamed; Baranek, Mohamed Ahmed
- Abstract
Background: Rheumatoid arthritis (RA) is a systemic autoimmune chronic inflammatory condition that may impact a variety of organs and tissues, but mostly targets flexible (synovial) joints. Objective: The aim of the current study was to assess influence of power Doppler ultrasound (PDUS) and high-resolution ultrasonography (US) in estimation of ankle joints abnormalities in patients suffering RA with or without ankle joint pain. Patients and Methods: A cross sectional study was conducted on 100 participants presented with clinical diagnosis of RA, from the Rheumatology and Rehabilitation outpatient clinic of Al-Azhar University Hospitals. Participants were subjected to a comprehensive history, clinical examination by the referral to rheumatologist, laboratory tests, and high-resolution US and PDUS examination. Results: Patients with symptoms had a considerably higher Disease Activity Score in 28 joints (DAS 28) than those without symptoms (P<0.001). Patients without symptoms had a considerably greater prevalence of low DAS 28 scores (P<0.001), but high score was considerably greater in symptomatic individuals (P=0.007). Conclusion: US enables rapid identification and precise detection of joint and/or tendon inflammatory involvement at ankle level in individuals with RA. Clinicians should be recommended to utilize US more often to identify pathological ankle problems.
- Subjects
JAMI'AT al-Azhar; ANKLE joint; DOPPLER ultrasonography; JOINT pain; RHEUMATOID arthritis; CROSS-sectional method; ANKLE injuries
- Publication
Egyptian Journal of Hospital Medicine, 2023, Vol 90, Issue 2, p2321
- ISSN
1687-2002
- Publication type
Article
- DOI
10.21608/ejhm.2023.286005