Abstract
Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory disease of marked by a symmetric, peripheral polyarthritis. Bone erosion is an integral part of RA, our aim of this study is to find out that among digital radiography and ultrasosnography, which investigation picks up bone erosion more easily and earlier, thus picking up deformity earlier.
Methodology: It was cross-sectional study, conducted in the Rheumatology OPD of Medical College, Kolkata during a period of 1 year among 77 adult literate person. Digital radiography and ultrasonography of peripheral joints were done, and comparison was done to find out which modality detected the joint deformity earlier.
Results: In our study population usg was a better modality of imaging than digital radiography for detecting joint deformity in newly diagnosed RA patoent.
References
- Shah A, Claire W. Rheumatoid arthritis. Chapter 380. In: Kasper DL, Fauci AS, Hauser SL, et al, eds. Harrison‘s principle of internal medicine. 19th edn. 2015:2137-2148
- Ideguchi H, Ohno S, Hattori H, Senuma A, Ishigatsubo Y 2006 Bone erosions in rheumatoid arthritis can be repaired through reduction in disease activity with conventional disease-modifying antirhe-umatic drugs. Arthritis Res Ther 8: R76
- Molenaar ET, Voskuyl AE, Dinant HJ, Bezemer PD, Boers M, Dijkmans BA. Progression of radiologic damage in patients with rheumatoid arthritis in clinical remission. Arthritis Rheum 2004; 50: 36–42.
- Kane D, Grassi W, Sturrock R. Musculoskeletal ultrasound—a state of the art review in rheumatology. Part 2: Clinical indications for musculoskeletal ultrasound in rheumatology. Rheumatology (Oxford) 2004;43:829–838
- Wakefield RJ, Balint PV, Szkudlarek M, Filippucci E, Backhaus M, D'Agostino MA, et al, OMERACT 7 Special Interest Group. Musculoskeletal ultrasound including definitions for ultrasonographic pathology. J Rheumatol 2005; 32: 2485–7.
- Ødegård S, et al. Association of early radiographic damage with impaired physical function in rheumatoid arthritis: a ten-year, longitudinal observational study in 238 patients. Arthritis Rheum. 2006;54:68–75.
- Scott DL, et al. The links between joint damage and disability in rheumatoid arthritis. Rheumatology (Oxford) 2000;39:122–132.
- Welsing PM, van Gestel AM, Swinkels HL, Kiemeney LA, van Riel PL. The relationship between disease activity, joint destruction, and functional capacity over the course of rheumatoid arthritis. Arthritis Rheum. 2001;44:2009–2017.
- Enzer I, Dunn G, Jacobsson L. An epidemiologic study of trends in prevalence of rheumatoid factor seropositivity in Pima Indians. Arthritis Rheum (2002); 46:1729–1734
- Malaviya AN, Kapoor SK, Singh RR et al. Prevalence of rheumatoid arthritis in the adult Indian population. Rheumatol Int (1993); 13(4): 131-134
- Chopra A. The COPCORD world of musculoskeletal pain and arthritis. Rheumatology (Oxford) (2013) November; 52(11):1925-1928
- Mahajan A, Jasrotia DS, Manhas AS, Jamwal SS. Prevalence of major rheumatic disorders in Jammu. JK Science (2003); 5:63-66
- Hemminki K, Li X, Sundquist J, Sundquist K. Familial associations of rheumatoid arthritis with autoimmune diseases and related conditions. Arthritis Rheum (2009); 60:661-668
- Rak JM, Maestroni L, Balandraud N, et al. Transfer of the shared epitope through microchimerism in women with rheumatoid arthritis. Arthritis Rheum (2009); 60:73
- van der Helm-van Mil AH, Verpoort KN, Breedveld FC et al. The HLADRB1 shared epitope alleles are primarily a risk factor for anti-cyclic citrullinated peptide antibodies and are not an independent risk factor for development of rheumatoid arthritis. Arthritis Rheum (2006); 54:1117.
Corresponding Author
Dr Raja Bhattacharya
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DOI: https://dx.doi.org/10.18535/jmscr/v6i12.113
