ARP Rheumatology最新文献

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Detection of subclinical enthesitis by ultrasonography in patients with psoriasis and controls. 通过超声波检查发现银屑病患者和对照组的亚临床关节炎。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 Epub Date: 2024-01-04 DOI: 10.63032/UNBM9076
Duygu Silte Karamanlioglu, Feyza Unlu Ozkan, Eylem Emel Ceren Arıkan, Betul Zehra Pirdal, Gulcan Ozturk, Ilknur Aktas
{"title":"Detection of subclinical enthesitis by ultrasonography in patients with psoriasis and controls.","authors":"Duygu Silte Karamanlioglu, Feyza Unlu Ozkan, Eylem Emel Ceren Arıkan, Betul Zehra Pirdal, Gulcan Ozturk, Ilknur Aktas","doi":"10.63032/UNBM9076","DOIUrl":"10.63032/UNBM9076","url":null,"abstract":"<p><strong>Introduction: </strong>Psoriasis is a widespread chronic inflammatory skin disease; enthesitis is inflammation of the tendon, ligament, and joint capsule insertion, prevalent in patients with psoriatic arthritis.</p><p><strong>Objectives: </strong>The aim of study to evaluate the utility of the Madrid Sonography Enthesitis Index scoring system for accurate detection of subclinical enthesitis in patients with Psoriasis compared with healthy controls. Another objective was to assess increase in enthesis area and Psoriatic arthritis incidence, in a prospective 1-year follow-up.</p><p><strong>Method: </strong>Patients aged ≥18 years who were diagnosed with Psoriasis, without musculoskeletal complaints, and who did not have any clinical sign and/or symptom of enthesitis and synovitis were included in the study. The patients and healthy controls were evaluated with ultrasonography. Ultrasonography evaluation consisted of the detection of gray-scale enthesitis and power Doppler signal in the enthesis areas. The Madrid Sonography Enthesitis Index scoring system was used to quantify the extent of the sonographic enthesis abnormalities.</p><p><strong>Results: </strong>The mean MASEI score, structure, thickness, erosion, and calcification were significantly higher in the Psoriasis group than in the control group. The mean MASEI score, structure, erosion, and calcification measurements were significantly higher at the last examination when compared to the first examination. The triceps was the most commonly affected tendon in both groups.</p><p><strong>Conclusion: </strong>Ultrasonography is an important tool for diagnosis and follow-up of subclinical enthesitis in patients with psoriasis. Regardless of disease duration and severity, patients should be screened using ultrasonography at yearly intervals.</p>","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of the new PRINTO classification criteria for juvenile idiopathic arthritis in a sample of Portuguese patients. 新的 PRINTO 幼年特发性关节炎分类标准在葡萄牙患者样本中的应用。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/JXND6393
Sara Catarino, Joana Nunes, Sara Ganhão, Francisca Aguiar, Mariana Rodrigues, Iva Brito
{"title":"Application of the new PRINTO classification criteria for juvenile idiopathic arthritis in a sample of Portuguese patients.","authors":"Sara Catarino, Joana Nunes, Sara Ganhão, Francisca Aguiar, Mariana Rodrigues, Iva Brito","doi":"10.63032/JXND6393","DOIUrl":"10.63032/JXND6393","url":null,"abstract":"<p><strong>Background: </strong>The International League of Associations for Rheumatology (ILAR) classification system for juvenile idiopathic arthritis (JIA) does not depict homogenous subgroups of disease. As to unify our language with the adult rheumatic diseases, the Pediatric Rheumatology International Trials Organization (PRINTO) is attempting to revise these criteria.</p><p><strong>Objective: </strong>To reclassify a JIA sample according to the new provisional PRINTO subsets: systemic JIA (sJIA), RF-positive JIA (RF-JIA), early-onset ANA-positive JIA (eoANA-JIA), enthesitis/spondylitis-related JIA (ESR-JIA), \"other JIA\" and \"unclassified JIA\".</p><p><strong>Methods: </strong>Retrospective study including JIA patients followed in a Pediatric Rheumatology Unit at a university hospital. Medical records were reviewed, and patients were reclassified as per the provisional PRINTO criteria.</p><p><strong>Results: </strong>Of a total of 104 patients, 41 (39.4%) were reclassified as \"other JIA\", 36 (34.6%) as eoANA-JIA, 15 (14.4%) as ESR-JIA, 8 (7.7%) as sJIA and 4 (3.8%) as RF-JIA. More than 90% of the oligoarticular JIA were reclassified into either eoANA-JIA or \"other JIA\". Only one negative RF polyarticular JIA converted to RF-JIA due to the presence of a positive anti-citrulinated peptide antibody (ACPA). The psoriatic arthritis (PsA) subgroup disappeared into eoANA-JIA (25%), ESR-JIA (25%) or \"other JIA\" (50%). There were significant differences in age of onset, but not on the gender ratio or uveitis presence. Antinuclear antibody was more frequent in females (p=0.035) and younger patients (p<0.001).</p><p><strong>Conclusion: </strong>The number of affected joints and PsA features elapsed in favour of laboratory RF, ACPA and ANA traits. PsA and oligoarticular JIA were abolished. The \"other JIA\" entity is heterogenous and prevalent, claiming reformulation.</p>","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound ability in early diagnosis of metatarsal stress fractures. 超声波在早期诊断跖骨应力性骨折方面的能力。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/ZFCT7949
Augusto Silva, Tomás Fontes, João Eurico Fonseca, Fernando Saraiva
{"title":"Ultrasound ability in early diagnosis of metatarsal stress fractures.","authors":"Augusto Silva, Tomás Fontes, João Eurico Fonseca, Fernando Saraiva","doi":"10.63032/ZFCT7949","DOIUrl":"10.63032/ZFCT7949","url":null,"abstract":"<p><p>Stress fractures are common in young and active individuals, associated with aggressive or repetitive physical activity and their early detection is fundamental to optimise patient care, decrease complications and avoid unnecessary exams. Currently, magnetic resonance imaging is the standard of care for detecting these lesions. Recently, ultrasound has been getting an increasing interest for the detection of stress fractures. In this article, we describe a clinical case that involved a second metatarsal stress fracture diagnosed by ultrasound and review the literature regarding the use of ultrasound in the diagnosis of stress fractures, particularly of the metatarsals.</p>","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intestinal (pseudo-)obstruction and hydronephrosis - consider lupus. 肠(假)梗阻和肾积水--考虑狼疮。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/HIIJ8275
Agnieszka Foryś, Jakub Wroński, Mateusz Płaza, Małgorzata Wisłowska
{"title":"Intestinal (pseudo-)obstruction and hydronephrosis - consider lupus.","authors":"Agnieszka Foryś, Jakub Wroński, Mateusz Płaza, Małgorzata Wisłowska","doi":"10.63032/HIIJ8275","DOIUrl":"10.63032/HIIJ8275","url":null,"abstract":"","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Varicella zoster virus mimicking giant cell arteritis. 模仿巨细胞动脉炎的水痘带状疱疹病毒。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 Epub Date: 2024-01-14 DOI: 10.63032/RFQW9758
Joana Martins-Martinho, Inês Pintado Maury, Inês Leal, Cristina Ponte
{"title":"Varicella zoster virus mimicking giant cell arteritis.","authors":"Joana Martins-Martinho, Inês Pintado Maury, Inês Leal, Cristina Ponte","doi":"10.63032/RFQW9758","DOIUrl":"10.63032/RFQW9758","url":null,"abstract":"","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lupus nephritis outcomes - is the picture changing? 狼疮性肾炎的预后--情况是否正在发生变化?
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/DHPZ2410
Filipa Farinha, Anisur Rahman
{"title":"Lupus nephritis outcomes - is the picture changing?","authors":"Filipa Farinha, Anisur Rahman","doi":"10.63032/DHPZ2410","DOIUrl":"10.63032/DHPZ2410","url":null,"abstract":"","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Necrotizing mesenteric vasculitis in systemic lupus erythematosus. 系统性红斑狼疮的坏死性肠系膜血管炎。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/XVZP4159
Maria Helena Lourenço, Ana Bento Silva, Jessica Sousa, Helena Oliveira, Inês Silva, Manuela Costa, Jaime Cunha Branco, Maria João Gonçalves
{"title":"Necrotizing mesenteric vasculitis in systemic lupus erythematosus.","authors":"Maria Helena Lourenço, Ana Bento Silva, Jessica Sousa, Helena Oliveira, Inês Silva, Manuela Costa, Jaime Cunha Branco, Maria João Gonçalves","doi":"10.63032/XVZP4159","DOIUrl":"10.63032/XVZP4159","url":null,"abstract":"<p><p>Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder which may affect the gastrointestinal system. Half of the patients with SLE experience gastrointestinal symptoms, with the most common being nausea, vomiting, anorexia, and abdominal pain. Mesenteric vasculitis is a severe and rare complication of SLE and one of the most frequent causes of severe acute abdominal pain. The authors present a case of a 57-year-old woman with SLE who was diagnosed with necrotizing mesenteric vasculitis following a urinary septic shock. The patient was treated with high-dose corticosteroid therapy and cyclophosphamide, with resolution of the clinical picture.</p>","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correspondence on: The effects of physical exercise on axial spondyloarthritis - a systematic review. 通讯:体育锻炼对轴性脊柱关节炎的影响--系统综述。
IF 1.4 4区 医学
ARP Rheumatology Pub Date : 2024-01-01 Epub Date: 2024-02-25 DOI: 10.63032/XLPE7170
Georgina Pimentel, Rúben Duarte-Fernandes, Ricardo J O Ferreira
{"title":"Correspondence on: The effects of physical exercise on axial spondyloarthritis - a systematic review.","authors":"Georgina Pimentel, Rúben Duarte-Fernandes, Ricardo J O Ferreira","doi":"10.63032/XLPE7170","DOIUrl":"10.63032/XLPE7170","url":null,"abstract":"","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of factors affecting physical activity level in patients with primary Sjögren's syndrome. 调查影响原发性斯约格伦综合征患者体育锻炼水平的因素。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 Epub Date: 2024-01-27 DOI: 10.63032/BFOL5172
Özgül Öztürk, Nihan Neval Uzun, Özlem Feyzioğlu, Duygu Şahin, Fatih Sarıtaş, Mehmet Engin Tezcan
{"title":"Investigation of factors affecting physical activity level in patients with primary Sjögren's syndrome.","authors":"Özgül Öztürk, Nihan Neval Uzun, Özlem Feyzioğlu, Duygu Şahin, Fatih Sarıtaş, Mehmet Engin Tezcan","doi":"10.63032/BFOL5172","DOIUrl":"10.63032/BFOL5172","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine physical activity levels and understand the factors influencing an active lifestyle among patients with primary Sjögren's syndrome (pSS).</p><p><strong>Methods: </strong>Ninety-seven patients participated in this multicentric study. Physical activity levels were assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). The Inflammatory Arthritis Facilitators and Barriers (IFAB) questionnaire was used to evaluate perceived barriers and facilitators to physical activity.</p><p><strong>Results: </strong>Forty-six patients were physically inactive and the rest of them were moderately active. Commonly identified barriers included a lack of motivation, fatigue, and pain. Conversely, knowledge of the health and mood benefits for physical activity emerged as a key motivator. Patients with better scores on facilitators and lower scores on barriers exhibited higher physical activity levels (p < 0.05). Notably, a high level of perceived facilitators of physical activity (odds ratio [OR]: 1.02; 95% confidence interval [CI], 1.00 – 1.05) and reduced pain (OR: 0.81; 95% CI: 0.69 – 0.95) were linked to an active lifestyle.</p><p><strong>Conclusions: </strong>This study emphasizes the role of motivation and awareness of the benefits of physical activity for health and mood in driving physical activity for patients with primary Sjögren’s syndrome. Tailored physical activity programs that address psychological aspects and disease-related pain, and fatigue should be designed to counter sedentary lifestyles in pSS patients.</p>","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neutrophile to lymphocyte and platelet to lymphocyte ratios predict clinical response to bDMARD in naïve spondylarthritis patients. 嗜中性粒细胞与淋巴细胞比率和血小板与淋巴细胞比率可预测新发脊柱关节炎患者对 bDMARD 的临床反应。
4区 医学
ARP Rheumatology Pub Date : 2024-01-01 Epub Date: 2024-01-15 DOI: 10.63032/UTGY3244
Frederico Rajão Martins, Miguel Bernardes, Graça Sequeira, Lúcia Costa, Pedro David Carvalho
{"title":"Neutrophile to lymphocyte and platelet to lymphocyte ratios predict clinical response to bDMARD in naïve spondylarthritis patients.","authors":"Frederico Rajão Martins, Miguel Bernardes, Graça Sequeira, Lúcia Costa, Pedro David Carvalho","doi":"10.63032/UTGY3244","DOIUrl":"10.63032/UTGY3244","url":null,"abstract":"<p><p>Objective: We aim to study association between neutrophile to lymphocyte (NLR) and platelet to lymphocyte (PLR) ratios and disease activity, and their value to predict bDMARD response.\u0000\u0000Methods: A set of spondylarthritis (SpA) patients under bDMARD registered in the Reuma.pt registry was studied. Sociodemographic, clinical and laboratorial variables were assessed on bDMARD initiation, 6, 12, 18 and 24 months (M) thereafter. Univariable and multivariable generalized estimation equations models assessed associations with disease activity. The NLR and PLR predictive value was assessed using univariable and multivariable logistic regression models.\u0000\u0000Results: A total of 170 patients were included. Most were male (54.7%), with a predominantly axial phenotype (84.7%). Significant associations were observed between NLR [B=1.55, 95% confidence interval (CI) = (1.38; 1.74)] and PLR [(B=1.16, 95% CI = (1.09; 1.24)] with ASDAS-CRP (p < 0.001). Both baseline ratios predicted ∆ ASDAS-CRP ≥ 1.1 at 6 months [OR = 2.20, 95% CI = (1.21, 4.00) for NLR; OR = 1.02, 95% CI = (1.01, 1.04) for PLR, p < 0.01)]. PLR was a significant predictor of ∆ ASDAS-CRP ≥ 1.1 in all timepoints [OR (12 M) = 1.02, 95% CI = (1.00, 1.03), p < 0.05; OR (18M) = 1.02, 95% CI = (1.01, 1.03), p < 0.001; OR (24M) = 1.01, 95% CI = (1.01, 1.02), p < 0.01].\u0000\u0000Conclusion: NLR and PLR were associated with disease activity during the follow up of these patients. They seem to be significant predictors of therapeutic response to bDMARD in naïve SpA patients.</p>","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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