Revista Colombiana de Reumatologia最新文献

{"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.rcreu.2026.504878","DOIUrl":"10.1016/j.rcreu.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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 3","pages":"Article 504878"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Miositis eosinofílica focal que compromete al músculo pronador cuadrado y a los tendones flexores en una mujer joven: reporte de caso","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.rcreu.2026.504911","DOIUrl":"10.1016/j.rcreu.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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 3","pages":"Article 504911"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathological significance of sex hormones (testosterone and estrogen) associated with pro-inflammatory cytokines (IL-12, IL-17A, and IL-23) in patients with psoriasis and psoriatic arthritis","authors":"Randa R. Ghamyes,&nbsp;AbdulKareem A. Alkazaz","doi":"10.1016/j.rcreu.2024.12.001","DOIUrl":"10.1016/j.rcreu.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Psoriasis (PsO) and psoriatic arthritis (PsA) are immune-mediated inflammatory disorders, in which pro-inflammatory cytokines play a pathogenic role. In addition, sex hormones have been shown to influence the systemic inflammation associated with psoriatic disease.</div></div><div><h3>Objective</h3><div>Therefore, combined assessment of pro-inflammatory cytokines and sex hormones may shed more light on the pathological inflammatory response associated with PsO and PsA.</div></div><div><h3>Materials and methods</h3><div>In this case–control study, serum concentrations of three pro-inflammatory interleukins (IL-12, IL-17A, and IL-23) and two sex hormones (testosterone and estrogen) were explored in 88 patients with psoriatic disease (44 PsO and 44 PsA) and 88 controls using enzyme-linked immunosorbent assay kits.</div></div><div><h3>Results</h3><div>IL-12, IL-17A, and IL-23 concentrations were significantly greater in PsO and PsA patients than in controls. In addition, IL-12 was significantly higher in PsO than in PsA, while IL-17A was significantly elevated in PsA compared to PsO. IL-23 showed no significant difference between PsO and PsA. Testosterone concentrations were significantly elevated in PsA patients compared to PsO patients or controls, whereas there was no significant difference between PsO patients and controls. Estrogen concentrations were significantly lower in PsO and PsA patients compared to controls. Correlation analysis revealed that IL-12 was positively correlated with IL-17A in PsO, while in PsA it was positively correlated with IL-23. IL-17A and IL-23 were positively correlated with testosterone in PsO, while in PsA, IL-17A and IL-23 were negatively correlated with estrogen and testosterone, respectively.</div></div><div><h3>Conclusions</h3><div>IL-12, IL-17A, and IL-23 were up-regulated in the serum of PsO and PsA patients. However, IL-12 was more bound to PsO, IL-17A was more bound to PsA, while IL-23 levels were similar in PsO and PsA. Up-regulated testosterone levels were only linked to PsA and not PsO. PsO and PsA shared down-regulated levels of estrogen. Testosterone and estrogen were differentially associated with IL-12, IL-17A, and IL-23 in PsO and PsA.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 3","pages":"Article 102167"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647388","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}

{"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.rcreu.2025.04.005","DOIUrl":"10.1016/j.rcreu.2025.04.005","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>Ojective</h3><div><span>The objective of our study was to describe the clinical, immunological, and therapeutic characteristics of AS and to highlight its particularities compared to other </span>IIM.</div></div><div><h3>Methods</h3><div><span>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 </span>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> <!-->=<!--> <span>0.034) and ILD (</span><em>p</em> <!-->&lt;<!--> <span>0.001). Cyclophosphamide was more frequently used in the treatment of severe ILD than in that of other IIMs (</span><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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 3","pages":"Article 102187"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647392","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}

{"title":"The landscape of reactive arthritis in Colombia (2017–2022): A national registry-based study","authors":"Liz Beltrán-Medina,&nbsp;Julián Barahona-Correa,&nbsp;Karen Gualdrón-Chaparro,&nbsp;Santiago Bernal-Macías,&nbsp;Daniel Fernández-Ávila","doi":"10.1016/j.rcreu.2026.504904","DOIUrl":"10.1016/j.rcreu.2026.504904","url":null,"abstract":"<div><h3>Introduction/Objectives</h3><div>Registries allow for ascertaining the epidemiology of chronic diseases such as reactive arthritis (ReA). The Colombian Ministry of Health has implemented a National Health Registry (SISPRO, Sistema Integrado de Información de la Protección Social, by its in Spanish acronym) that collects data from each medical contact in the system, which provides close to universal coverage (around 98%). We aimed to estimate the 6-year prevalence of ReA in Colombia and to describe its demographics, using data from January 1st, 2017 to December 31st, 2022.</div></div><div><h3>Material and methods</h3><div>We performed an observational, cross-sectional study using the International Classification of Diseases terms associated with ReA based on RIPS (Registros Individuales de Prestación de Servicios de Salud) database on SISPRO and calculated the period prevalence per 100,000 inhabitants.</div></div><div><h3>Results</h3><div>We found 19,081 patients with a primary diagnosis of ReA, with an estimated 6-year prevalence of 40 cases per 100,000 inhabitants (0.04%). We observed a higher prevalence in women (male-to- female ratio 0.5:1). We found the highest prevalence of cases in the 75–79 years group. Most cases were reported in Atlántico, Quindío, Bolivar, Sucre, and Magdalena. The absolute number of cases was higher in pre-COVID-19 pandemic years (2017: 3630, 2018: 3843, 2019: 4711) when contrasted with COVID-19 pandemic (2020: 2715, 2021: 3021) and post-COVID-19 pandemic (2022: 2451) years.</div></div><div><h3>Conclusion</h3><div>This is the first study to describe the demographic characteristics of ReA in Colombia. The Caribbean region presents the highest prevalence and elderly patients were most commonly affected, possibly due to misclassification with similar conditions like inflammatory ostearthritis or pseudogout.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 3","pages":"Article 504904"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I’m not a good enough mom”: Exploring the motherhood experience in women with fibromyalgia syndrome (FMS)","authors":"Anahita Khodabakhshi-Koolaee,&nbsp;Farzane Sadeghipour","doi":"10.1016/j.rcreu.2026.504864","DOIUrl":"10.1016/j.rcreu.2026.504864","url":null,"abstract":"<div><h3>Introduction</h3><div>Fibromyalgia syndrome (FMS) is a common condition among adult women, with its cause and treatment still largely unknown. The prevalence of this syndrome is estimated to affect 2% of the global population, with rates ranging between 61% and 90%. FMS is characterized by chronic, widespread pain in various parts of the body. Considering that women, particularly mothers, serve as the cornerstone of families, any physical or psychological distress they experience directly impacts other family members, including spouses and children. Thus, it is crucial to examine the various aspects of life for mothers diagnosed with FMS.</div></div><div><h3>Objective</h3><div>Accordingly, the present study sought to explore the motherhood experience in women with FMS to identify the multifaceted impacts of this condition on their lives.</div></div><div><h3>Materials and methods</h3><div>This qualitative study used a descriptive phenomenological approach. It examined the lived experience of motherhood among mothers with FMS who were referred to rheumatology and fibromyalgia treatment centers in Tehran in 2024. Semi-structured interviews were used to collect data. Fifteen mothers with FMS were selected and studied through purposive sampling until data saturation was reached. Data analysis was performed using Colaizzi's seven-step method.</div></div><div><h3>Results</h3><div>Data analysis revealed three main themes: “living with constant pain and suffering”, “fear of not being a good enough mother”, and “adaptive living with the disease”, along with six subthemes and 31 initial categories.</div></div><div><h3>Conclusions</h3><div>The findings demonstrate that mothers with FMS face significant challenges in caring for their children since the onset of the disease, often being unable to manage childcare and related responsibilities independently. Consequently, these mothers require psychological and social support from their spouses and families. Moreover, providing health insurance, patient education programs, family training sessions, individual and family counseling, nursing care education, and rehabilitation to enhance self-care behaviors for coping with the disease and managing symptoms is crucial for improving patients quality of life.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504864"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754195","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}

{"title":"Analysis of diagnostic concordance between urinary sediment and kidney biopsy","authors":"José Lucas Daza ,&nbsp;Andrés Cárdenas ,&nbsp;Juan Sebastián Reyes Bello ,&nbsp;Marcelo de Rosa ,&nbsp;María Paola Joven Sierra ,&nbsp;María Alejandra Muñoz","doi":"10.1016/j.rcreu.2026.504863","DOIUrl":"10.1016/j.rcreu.2026.504863","url":null,"abstract":"<div><h3>Introduction</h3><div>The microscopic examination of urinary sediment, an integral part of urinalysis, is a valuable diagnostic tool in nephrology. Its correct execution and interpretation are crucial in the initial diagnostic approach and the clinical follow-up of various nephropathies, with particular relevance in the suspicion of glomerular diseases. The utility of this analysis in strongly suggesting the glomerular origin of hematuria provides significant diagnostic guidance, acting as a “liquid biopsy” whose formed elements can directly correlate with renal histology findings.</div></div><div><h3>Objectives</h3><div>To evaluate the correlation between renal histological findings and the presence of dysmorphic hematuria in the urinary sediment, stratifying the analysis based on the detection of acanthocytes and/or red blood cell casts.</div></div><div><h3>Materials and methods</h3><div>The cohort consisted of 200 women (66.7%) and 100 men (33.3%). The presence of acanthocytes and/or red blood cell casts (Group D1) was significantly associated with a higher probability of PG (OR 12; 95% CI: 9.6–20.5; <em>p</em> <!-->=<!--> <!-->0.001). In contrast, dysmorphic hematuria without these specific elements (Group D2) was associated with a higher probability of NPG (OR 6; 95% CI: 2.4–8.3; <em>p</em> <!-->=<!--> <!-->0.001).</div></div><div><h3>Results</h3><div>The urine samples corresponded to 200 women (66.6%) and 100 men (33.3%). The presence of acanthocytes (D1) in proliferative glomerular diseases (GP) was 12 times more frequent compared to non-proliferative diseases (NPG) (OR 12; 95% CI: 9.6–20.5; <em>p</em> <!-->=<!--> <!-->0.01). The presence of red blood cells is 15 times more frequent in GP (OR 15; 95% CI: 9–40.9). Patients with non-acanthocyte hematuria (D2) are 6 times more frequent in an NPG (OR 6; 95% CI: 2.4–8.3; <em>p</em> <!-->=<!--> <!-->0.01).</div></div><div><h3>Conclusion</h3><div>The presence of dysmorphic hematuria is a useful marker for detecting glomerular disease, although its moderate sensitivity highlights the need for complementary diagnostic tests. In this cohort, the combination of acanthocytic dysmorphic hematuria and the presence of at least one red blood cell cast demonstrated high specificity for diagnosing proliferative glomerulopathy. However, for an accurate diagnosis and prognosis, renal biopsy remains indispensable.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504863"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754229","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}

{"title":"Prevalence of high probability of pulmonary hypertension in early systemic sclerosis. Description of a cohort of patients","authors":"Luis Javier Cajas ,&nbsp;Julia Recalde Reyes ,&nbsp;Javier Alejandro Correa ,&nbsp;Wilder Carvajal ,&nbsp;José S. Cortés","doi":"10.1016/j.rcreu.2026.504865","DOIUrl":"10.1016/j.rcreu.2026.504865","url":null,"abstract":"<div><h3>Introduction</h3><div>Systemic sclerosis is an autoimmune disease characterized by skin and internal organ fibrosis. In the early stages of the disease, complications such as pulmonary hypertension may manifest. The aim of this study was to evaluate the frequency of high probability of pulmonary hypertension and associated factors in a cohort of patients with early systemic sclerosis or systemic sclerosis without cutaneous involvement.</div></div><div><h3>Methods</h3><div>Retrospective cohort study. Patients from the rheumatology outpatient clinic of the Hospital Universitario Nacional between 2017 and 2023 were included. Patients were categorized into early systemic sclerosis and systemic sclerosis without cutaneous involvement. The classification of high probability of pulmonary hypertension was based on echocardiographic features, pulmonary anatomy, lung function, and clinical context.</div></div><div><h3>Results</h3><div>Seventy-one patients with early systemic sclerosis and 51 patients with systemic sclerosis without cutaneous involvement were included in the analysis. Ninety six percent of patients were women, with an average age of 57 years; the most frequent symptoms were related to the gastrointestinal tract. The most common positive autoantibodies were anticentromere antibodies. The prevalence of high probability of pulmonary hypertension was 26%. High probability of group 1 pulmonary hypertension was the most frequent. No factors associated with high probability of pulmonary hypertension were identified.</div></div><div><h3>Conclusions</h3><div>Studies on patients in early stages of systemic sclerosis are scarce in our setting. High probability of pulmonary hypertension can be common in the early stages of systemic sclerosis. It could be useful to implement screening strategies for pulmonary hypertension in the early stages of systemic sclerosis.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504865"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754230","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}

{"title":"Diagnóstico fast-track de arteritis de células gigantes mediante ecografía Doppler en una paciente con necrosis de cuero cabelludo","authors":"Juan David Vélez-Aguirre ,&nbsp;José David Puerta-Rojas ,&nbsp;Adriana Lucía Vanegas-García ,&nbsp;Carlos Horacio Muñoz-Vahos ,&nbsp;Maribel Plaza-Tenorio","doi":"10.1016/j.rcreu.2026.504880","DOIUrl":"10.1016/j.rcreu.2026.504880","url":null,"abstract":"<div><h3>Introduction</h3><div>Doppler ultrasound has gained significant value in different clinical scenarios. The European Alliance of Associations for Rheumatology suggests Doppler ultrasonography of temporal and axillary arteries as the method of choice to support the clinical diagnosis of giant cell arteritis (GCA).</div></div><div><h3>Clinical findings and interventions</h3><div>We present the case of an 88-year-old woman with typical symptoms of cranial GCA in whom the suspicion was confirmed using Doppler ultrasound of temporal and axillary arteries, which allowed immediate treatment.</div></div><div><h3>Conclusion</h3><div>Doppler ultrasound of temporal and axillary arteries constitutes the method of choice to support the diagnosis of cranial GCA due to its low cost, wide availability, real-time results, and high accuracy when compared to temporal artery biopsy, which is time-consuming and not exempt from complications.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504880"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754252","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}

{"title":"From traditional to digital: Artificial intelligence, transforming ultrasound in rheumatology","authors":"Diego Javier Martínez Lozano ,&nbsp;Yimy F. Medina ,&nbsp;Adriana Beltrán-Ostos ,&nbsp;Carlos A. Guillén-Astete","doi":"10.1016/j.rcreu.2026.504872","DOIUrl":"10.1016/j.rcreu.2026.504872","url":null,"abstract":"<div><div>The use of artificial intelligence (AI) in musculoskeletal ultrasound has grown significantly in recent years, particularly in rheumatology, where standardization of diagnostic accuracy and image acquisition is essential. This article provides a narrative review of the available scientific literature on AI applications in musculoskeletal ultrasound, focusing on the recent advances in machine learning and deep learning algorithms. Sixteen studies published between 2020 and 2023 were reviewed, applying AI to anatomical segmentation and diagnostic prediction in musculoskeletal conditions, such as rheumatoid arthritis and other inflammatory diseases. Most of the reviewed studies employed deep learning algorithms to enhance the diagnostic accuracy and reduce operator-dependent variability. However, a common limitation across studies is the lack of external validation, indicating that future research should focus on confirming the generalizability of these models to larger populations and diverse clinical settings. Despite this limitation, the results suggest that AI has the potential to optimize clinical decision making and improve patient care in the context of musculoskeletal ultrasound in rheumatology.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504872"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754255","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}