Revista Colombiana de Reumatología (English Edition)最新文献

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“Eye of Horus” sign on ultrasound in a case of polymyalgia rheumatica 多肌痛风湿病超声示“荷露之眼”征1例
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-18 DOI: 10.1016/j.rcreue.2026.504879
José S. Cortés, Diego Niño, Carlos Darío Ochoa Rojas
{"title":"“Eye of Horus” sign on ultrasound in a case of polymyalgia rheumatica","authors":"José S. Cortés,&nbsp;Diego Niño,&nbsp;Carlos Darío Ochoa Rojas","doi":"10.1016/j.rcreue.2026.504879","DOIUrl":"10.1016/j.rcreue.2026.504879","url":null,"abstract":"<div><h3>Introduction</h3><div>Ultrasound is useful in the assessment of polymyalgia rheumatica, a condition characterized by involvement of the shoulder and pelvic girdles. The “Eye of Horus”' sign on ultrasound, corresponding to subacromial-subdeltoid bursitis and biceps brachii tenosynovitis, has been described in this patient.</div></div><div><h3>Case report</h3><div>A 70-year-old woman presented with pain and limitation in the shoulder and pelvic girdles, along with elevated acute-phase reactants. Ultrasound revealed the “Eye of Horus” sign. A diagnosis of polymyalgia rheumatica was made. She was treated with corticosteroids and methotrexate, showing improvement.</div></div><div><h3>Conclusion</h3><div>The “Eye of Horus” sign supports the diagnosis of polymyalgia rheumatica.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504879"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Latent autoimmunity in healthcare workers with natural, vaccine-induced or hybrid immunity to SARS-CoV-2 对SARS-CoV-2具有天然、疫苗诱导或混合免疫的医护人员的潜伏性自身免疫
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-21 DOI: 10.1016/j.rcreue.2026.102183
Diana M. Monsalve, Yeny Acosta-Ampudia, Manuel Rojas, Nohemi Caballero, Juliana Quintero, Carolina Ramírez-Santana
{"title":"Latent autoimmunity in healthcare workers with natural, vaccine-induced or hybrid immunity to SARS-CoV-2","authors":"Diana M. Monsalve,&nbsp;Yeny Acosta-Ampudia,&nbsp;Manuel Rojas,&nbsp;Nohemi Caballero,&nbsp;Juliana Quintero,&nbsp;Carolina Ramírez-Santana","doi":"10.1016/j.rcreue.2026.102183","DOIUrl":"10.1016/j.rcreue.2026.102183","url":null,"abstract":"<div><h3>Introduction</h3><div>SARS-CoV-2 infection and COVID-19 vaccination have prompted extensive research into the potential of this virus to induce autoimmunity and, in certain cases, contribute to the development of autoimmune diseases. However, the presence of latent autoimmunity and their role in the transition to overt autoimmune conditions remain poorly understood.</div></div><div><h3>Objective</h3><div>To evaluate the prevalence of latent autoimmunity among healthcare workers (HCWs) with natural, vaccine-induced, and hybrid immunity to SARS-CoV-2.</div></div><div><h3>Materials and methods</h3><div>We conducted a prospective observational study with 50 HCWs to assess the presence of latent rheumatic, thyroid, and phospholipid autoimmunity. Participants comprised HCWs with no previous exposure to SARS-CoV-2 or those who had undergone natural infection and subsequently received a COVID-19 booster vaccination.</div></div><div><h3>Results</h3><div>The evaluation of 25 autoantibodies associated with latent rheumatic, thyroid, and phospholipid autoimmunity revealed no statistically significant differences among the studied groups.</div></div><div><h3>Conclusions</h3><div>Natural infection with SARS-CoV-2, vaccination, or hybrid immunity against this virus was not associated with the development of new-onset latent autoimmunity.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 102183"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of lung ultrasound in connective tissue disease associated interstitial lung disease 肺超声在结缔组织病相关间质性肺疾病中的应用
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-15 DOI: 10.1016/j.rcreue.2026.504876
Esther Vicente-Rabaneda, Maria Carolina Torres, Pedro Santos-Moreno, Julia Recalde-Reyes, Wilder Carvajal-Gutierrez
{"title":"Use of lung ultrasound in connective tissue disease associated interstitial lung disease","authors":"Esther Vicente-Rabaneda,&nbsp;Maria Carolina Torres,&nbsp;Pedro Santos-Moreno,&nbsp;Julia Recalde-Reyes,&nbsp;Wilder Carvajal-Gutierrez","doi":"10.1016/j.rcreue.2026.504876","DOIUrl":"10.1016/j.rcreue.2026.504876","url":null,"abstract":"<div><div>Pulmonary involvement is a common manifestation of various rheumatologic diseases, significantly impacting prognosis. Early diagnosis is crucial, and the recent use of bedside ultrasound by clinicians has opened new diagnostic avenues. This review explores the current state of the art regarding rheumatologic diseases and their ultrasound representation.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504876"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Point-of-care ultrasound in the assessment and monitoring of IgG4-related disease: A case report of atypical ureteral involvement 即时超声对igg4相关疾病的评估和监测:非典型输尿管受累1例
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-24 DOI: 10.1016/j.rcreue.2026.504878
Julia Recalde-Reyes, Wilder Carvajal-Gutiérrez, Lina María Bustos-Ávila
{"title":"Point-of-care ultrasound in the assessment and monitoring of IgG4-related disease: A case report of atypical ureteral involvement","authors":"Julia Recalde-Reyes,&nbsp;Wilder Carvajal-Gutiérrez,&nbsp;Lina María Bustos-Ávila","doi":"10.1016/j.rcreue.2026.504878","DOIUrl":"10.1016/j.rcreue.2026.504878","url":null,"abstract":"<div><h3>Introduction</h3><div>IgG4-related disease exhibits multi-organ involvement with predominant glandular affection. We present a case in which ultrasound proved useful for both diagnosis and follow-up. Ureteral involvement was documented as a rare manifestation.</div></div><div><h3>Case summary</h3><div>A 44-year-old female with increased salivary and tear glands. Ultrasound showed parenchymal heterogeneity, Zhou score of 32 points, and biopsy with positive Okazaki criteria. Treatment was started with subsequent urinary involvement and Rituximab requirement with clinical improvement and ultrasound variables in follow-up.</div></div><div><h3>Conclusions</h3><div>Ultrasound is a useful tool in the diagnosis and follow-up of IgG4-associated disease.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504878"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
«Full house» glomerulonephritis with tubuloreticular inclusions in bacterial endocarditis mimicking lupus nephritis: a case report 细菌性心内膜炎伴管网状包涵体肾小球肾炎模拟狼疮肾炎1例报告
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-08-26 DOI: 10.1016/j.rcreue.2026.504912
Diego Niño-Torres, Julia Recalde-Reyes, Johanna Álvarez, Luis Javier Cajas-Santana
{"title":"«Full house» glomerulonephritis with tubuloreticular inclusions in bacterial endocarditis mimicking lupus nephritis: a case report","authors":"Diego Niño-Torres,&nbsp;Julia Recalde-Reyes,&nbsp;Johanna Álvarez,&nbsp;Luis Javier Cajas-Santana","doi":"10.1016/j.rcreue.2026.504912","DOIUrl":"10.1016/j.rcreue.2026.504912","url":null,"abstract":"<div><h3>Introduction</h3><div>Immune complex-associated membranoproliferative glomerulonephritis and tubuloreticular inclusions have been strongly linked to systemic lupus erythematosus (SLE). However, other etiologies have been associated with these findings.</div></div><div><h3>Case presentation</h3><div>A 72-year-old male presented with a fever of unknown origin and these histopathological findings in the kidney biopsy. An extensive diagnostic workup established an infective endocarditis as the etiology.</div></div><div><h3>Conclusions</h3><div>Even in the presence of a highly suggestive kidney biopsy of a potential lupus nephritis, alternative differential diagnosis should be considered, as these findings are characteristic but not pathognomonic.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504912"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Focal eosinophilic myositis involving the pronator quadratus muscle and flexor tendons in a young woman: A case report 局灶性嗜酸性肌炎累及旋前方肌和屈肌腱:一例报告
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-28 DOI: 10.1016/j.rcreue.2026.504911
Daniel Barona-Rommy, Carlos A. Cañas, Santiago Lopez-Garcia, Luis A. Escobar-Florez, Jorge M. Madriñan-Tascon, Fabio Bonilla-Abadía
{"title":"Focal eosinophilic myositis involving the pronator quadratus muscle and flexor tendons in a young woman: A case report","authors":"Daniel Barona-Rommy,&nbsp;Carlos A. Cañas,&nbsp;Santiago Lopez-Garcia,&nbsp;Luis A. Escobar-Florez,&nbsp;Jorge M. Madriñan-Tascon,&nbsp;Fabio Bonilla-Abadía","doi":"10.1016/j.rcreue.2026.504911","DOIUrl":"10.1016/j.rcreue.2026.504911","url":null,"abstract":"<div><h3>Introduction</h3><div>Idiopathic eosinophilic myositis (IEM) is a poorly understood inflammatory myopathy. We present the case of a patient with this condition who achieved complete symptom resolution following treatment.</div></div><div><h3>Case presentation</h3><div>A 26-year-old female patient presented with inflammatory changes and pain in the right forearm for 30 days. Physical examination revealed tenosynovitis of the right-hand flexors. Laboratory tests showed eosinophilia and elevated IgE levels. Magnetic resonance imaging (MRI) demonstrated findings consistent with myositis affecting the pronator quadratus muscle and deep finger flexors, along with distal forearm tenosynovitis. A biopsy revealed a lymphoplasmacytic inflammatory infiltrate with abundant eosinophils in both endomysial and perimysial locations. Treatment with deflazacort and antihistamines led to complete symptom resolution.</div></div><div><h3>Conclusions</h3><div>IEM is an extremely rare disease with heterogeneous clinical manifestations. We hope this case report contributes to a better understanding of this condition and serves as a foundation for future studies on IEM.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504911"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The cultural adaptation, reliability and validity of the Turkish version of the Maastricht Social Participation Profile questionnaire in patients with rheumatoid arthritis 土耳其版马斯特里赫特社会参与问卷在类风湿关节炎患者中的文化适应性、信度和效度
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-21 DOI: 10.1016/j.rcreue.2026.504888
Aylin Cicekli, Saniye Yardim, Sebahat Yaprak Cetin, Atif Cicekli, Ayse Ayan
{"title":"The cultural adaptation, reliability and validity of the Turkish version of the Maastricht Social Participation Profile questionnaire in patients with rheumatoid arthritis","authors":"Aylin Cicekli,&nbsp;Saniye Yardim,&nbsp;Sebahat Yaprak Cetin,&nbsp;Atif Cicekli,&nbsp;Ayse Ayan","doi":"10.1016/j.rcreue.2026.504888","DOIUrl":"10.1016/j.rcreue.2026.504888","url":null,"abstract":"<div><h3>Introduction</h3><div>Social participation of individuals with chronic physical disabilities is crucial because it examines their processes of integration, which contributes to the identification of their quality of life, inclusion in life situations, and processes of discrimination.</div></div><div><h3>Objective</h3><div>This study aimed to investigate the validity and reliability of the Turkish version of the Maastricht Social Participation Profile (MSPP) in patients with rheumatoid arthritis (RA).</div></div><div><h3>Materials and methods</h3><div>The study involved experts in consulting who evaluated the scale’s content validity after retrospective translation into Turkish. The sample consisted of 130 volunteer patients diagnosed with RA by a rheumatologist. The reliability and validity of the scale used in the research was examined with confirmatory factor analysis (CFA), the Cronbach’s alpha coefficient. The Cronbach alpha reliability coefficients were calcula ted to test the internal consistency and reliability of scales. Also, intraclass correlation coefficient (ICC) was used to evaluate the consistency or reproducibility of the scale.</div></div><div><h3>Results</h3><div>The MSPP research data showed an acceptable fit in terms of goodness-of-fit index values. Structural differences emerged in all sub-dimensions, with the modified MSPP Cronbach’s alpha calculated at 0.86 for the total scale.</div></div><div><h3>Conclusion</h3><div>In conclusion, the Turkish version of the MSPP is valid, reliable, and appropriate tool for evaluating the social participation of RA patients. This study aims to fill the gap in the evaluation of social participation among chronic illness patients with RA in Turkey. By developing a scale for this purpose, it is expected to provide valuable guidance for future research.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504888"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eye drops made with autologous serum vs. eye drops made from platelet-rich plasma in the treatment of dry eye. A scoping review 自体血清滴眼液与富血小板血浆滴眼液治疗干眼症的比较。范围审查
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-11 DOI: 10.1016/j.rcreue.2026.504922
Melissa Barros, Karol Araque, Lina Andrea Gómez
{"title":"Eye drops made with autologous serum vs. eye drops made from platelet-rich plasma in the treatment of dry eye. A scoping review","authors":"Melissa Barros,&nbsp;Karol Araque,&nbsp;Lina Andrea Gómez","doi":"10.1016/j.rcreue.2026.504922","DOIUrl":"10.1016/j.rcreue.2026.504922","url":null,"abstract":"<div><div>Dry eye syndrome is characterized by an alteration in the production and stability of the tear film, leading to debilitating symptoms that affect quality of life. Its incidence increases with age, the presence of systemic diseases such as autoimmune disorders and diabetes, as well as environmental factors and lifestyle habits, including prolonged use of electronic devices and exposure to adverse climates. Conventional treatments include artificial tears and topical anti-inflammatory agents, which provide symptomatic relief, although clinical variability makes standardization of management difficult. In this context, biological therapies such as autologous serum (AS) eye drops and platelet-rich plasma (PRP) eye drops have emerged, showing efficacy in moderate and severe cases, highlighting the need for personalized approaches and further clinical research. To assess their usefulness, a scoping review was conducted following PRISMA-ScR guidelines, with searches carried out in PubMed, Google Scholar, and Scopus. Experimental and analytical observational studies in English and Spanish were included, while theoretical works, animal studies, narrative or systematic reviews, and non-analytical studies were excluded. Out of 951 identified records, five met the inclusion criteria and were analyzed both quantitatively and qualitatively. The results confirmed that both autologous serum and PRP are safe and effective treatments in moderate to severe stages. Both improved clinical parameters, although PRP may offer additional advantages in epithelial regeneration and tear film stability. However, methodological heterogeneity prevented establishing their definitive superiority.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504922"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical features of antisynthetase syndrome: A Tunisian cohort 抗合成酶综合征的临床特征:突尼斯队列
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-21 DOI: 10.1016/j.rcreue.2026.102187
Sana Toujani, Faiza Ben Messaoud, Mariem Ben Brahim, Cherifa Abdelkafi, Zaineb Meddeb, Saloua Hamzaoui, Thara Larbi, Amira El Ouni, Kamel Bouslama
{"title":"Clinical features of antisynthetase syndrome: A Tunisian cohort","authors":"Sana Toujani,&nbsp;Faiza Ben Messaoud,&nbsp;Mariem Ben Brahim,&nbsp;Cherifa Abdelkafi,&nbsp;Zaineb Meddeb,&nbsp;Saloua Hamzaoui,&nbsp;Thara Larbi,&nbsp;Amira El Ouni,&nbsp;Kamel Bouslama","doi":"10.1016/j.rcreue.2026.102187","DOIUrl":"10.1016/j.rcreue.2026.102187","url":null,"abstract":"<div><h3>Introduction</h3><div>Antisynthetase syndrome (AS) is an autoimmune idiopathic inflammatory myopathy (IIM) identified by the positivity of anti t-RNA synthetases. Clinical manifestations include inflammatory myopathy, interstitial lung disease (ILD), mechanic’s hands (hyperkeratosis lesions of the fingers), arthritis or Raynaud’s phenomenon.</div></div><div><h3>Objective</h3><div>The objective of our study was to describe the clinical, immunological, and therapeutic characteristics of AS and to highlight its particularities compared to other IIM.</div></div><div><h3>Methods</h3><div>Retrospective data from the internal medicine department of Mongi Slim hospital in Tunis were collected over a period of 16years. We compared demographic, clinical, biological and morphological findings, treatments, and outcomes of patients with AS with a group of patients with IIM other than AS.</div></div><div><h3>Results</h3><div>Thirty patients with AS and twenty patients with other IIMs were included. Patients with AS had significantly more amyopathic forms (<em>p</em> <!-->=<!--> <!-->0.034) and ILD (<em>p</em> <!-->&lt;<!--> <!-->0.001). Cyclophosphamide was more frequently used in the treatment of severe ILD than in that of other IIMs (<em>p</em> <!-->=<!--> <!-->0.023).</div></div><div><h3>Conclusion</h3><div>AS is a rare entity with a heterogenous clinical spectrum. It is associated with increased morbidity and mortality especially if the lung involvement is severe.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 102187"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-guided intra-articular glucocorticoid injection: A systematic review of the literature 超声引导下关节内糖皮质激素注射:文献系统综述
Revista Colombiana de Reumatología (English Edition) Pub Date : 2026-07-01 Epub Date: 2026-09-28 DOI: 10.1016/j.rcreue.2026.504920
Luis Pereira Sarduy, Alida Ricardo Marzo
{"title":"Ultrasound-guided intra-articular glucocorticoid injection: A systematic review of the literature","authors":"Luis Pereira Sarduy,&nbsp;Alida Ricardo Marzo","doi":"10.1016/j.rcreue.2026.504920","DOIUrl":"10.1016/j.rcreue.2026.504920","url":null,"abstract":"<div><div>Ultrasound-guided intra-articular glucocorticoid (IA-GC) injection has transformed local management of various rheumatic diseases by improving procedural accuracy and safety. This systematic review analyzed evidence published between 2010 and 2024 on the efficacy, safety, optimal dosing, and controversies surrounding ultrasound-guided IA-GC, including original articles, systematic reviews, meta-analyses, and clinical practice guidelines. The studies showed that ultrasound guidance significantly increased injection accuracy (86.7% vs 26.7% with landmark guidance; <em>P</em> &lt; .05) and reduced procedural pain by 48% (VAS: 3.0 ± 2.8 cm vs 5.8 ± 3.0 cm; <em>P</em> &lt; .001). It also improved short-term therapeutic outcomes (VAS at 2 weeks: 1.5 ± 1.9 cm vs 2.8 ± 2.4 cm; <em>P</em> = .034), with significant improvements in pain and joint function. In knee osteoarthritis, pain reduction (VAS) was approximately 4.4 points (95% CI: 4.1–4.7), with a short-term success rate of 78.6%. In the acromioclavicular joint, ultrasound guidance yielded greater pain relief (mean difference [MD] 1.9, 95% CI: 1.2–2.6; <em>P</em> &lt; .00001) and functional improvement (Constant score MD 10.9, 95% CI: 6.57–15.23; <em>P</em> &lt; .00001) compared with landmark-guided injection. The most supported regimen was triamcinolone 40 mg for large joints and 10−20 mg for small joints, although dosing varied considerably. Serious complications were uncommon, but systematic safety assessment was insufficient. Ultrasound-guided IA-GC is a valuable tool, although multicenter, standardized studies are needed to strengthen clinical recommendations.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 3","pages":"Article 504920"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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