eprintid: 10057025
rev_number: 35
eprint_status: archive
userid: 608
dir: disk0/10/05/70/25
datestamp: 2018-09-26 10:53:26
lastmod: 2021-09-21 22:14:22
status_changed: 2018-09-26 10:53:26
type: article
metadata_visibility: show
creators_name: Lei, L
creators_name: Morgan, S
creators_name: Ntatsaki, E
creators_name: Ciurtin, C
title: Comparative Assessment of Hand Joint Ultrasound Findings in Symptomatic Patients with Systemic Lupus Erythematosus and Sjögren's Syndrome: A Pilot Study
ispublished: pub
subjects: UCH
divisions: UCL
divisions: B02
divisions: C10
divisions: D17
divisions: G90
divisions: D20
keywords: Ultrasound, Arthritis, Systemic lupus erythematosus, Sjögren's syndrome, erosions, Power, Doppler signal
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: Systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (SS) can be associated with inflammatory arthritis, which is underdiagnosed by clinical examination. The aim of this cross-sectional, observational study was to compare, for the first time, the ultrasound (US)-detected joint abnormalities in these two diseases and to define the role of US in patient management. Participants had SLE (n = 18) and SS (n = 23), symptoms of hand joint pain and no previous diagnosis of arthritis. Data on disease activity, duration, damage scores, inflammatory and serologic markers, treatment and clinical and ultrasound parameters (derived from the assessment of 902 joints) were analysed and correlated using descriptive statistics, correlation tests and regression models. Subclinical synovitis/tenosynovitis was detected in 44.4% of SLE patients and 21.7% of SS patients (p = 0.23). There was no significant correlation between either the total Power Doppler score or the total grey-scale score and disease activity scores (British Isles Lupus Assessment Group index and European League Against Rheumatism Sjögren's syndrome disease activity index). Both damage scores (Systemic Lupus International Collaborating Clinics index and Sjögren's syndrome disease damage index) correlated with the total grey-scale synovitis score. Significant proportions of the participants with SLE and SS had erosions (55.6% and 34.8%, respectively, p = 0.184) and osteophytes (61.1% vs. 60.9%, p = 0.98) in at least one joint. The lack of correlation between disease activity scores and US outcome measures indicated their limitations in diagnosing subclinical synovitis in SLE and SS patients. Future research is needed to determine if the development of erosions could be prevented by early diagnosis and prompt treatment of inflammatory arthritis associated with SLE and SS.
date: 2019-03
date_type: published
publisher: Elsevier
official_url: https://doi.org/10.1016/j.ultrasmedbio.2018.09.024
oa_status: green
full_text_type: other
language: eng
primo: open
primo_central: open_green
article_type_text: Article
verified: verified_manual
elements_id: 1587562
doi: 10.1016/j.ultrasmedbio.2018.09.024
lyricists_name: Ciurtin, Coziana
lyricists_name: Ntatsaki, Eleana
lyricists_id: CCIUR23
lyricists_id: ENTAT49
actors_name: Stacey, Thomas
actors_id: TSSTA20
actors_role: owner
full_text_status: public
publication: Ultrasound in Medicine & Biology
volume: 45
number: 2
pagerange: 452-460
issn: 0301-5629
citation:        Lei, L;    Morgan, S;    Ntatsaki, E;    Ciurtin, C;      (2019)    Comparative Assessment of Hand Joint Ultrasound Findings in Symptomatic Patients with Systemic Lupus Erythematosus and Sjögren's Syndrome: A Pilot Study.                   Ultrasound in Medicine & Biology , 45  (2)   pp. 452-460.    10.1016/j.ultrasmedbio.2018.09.024 <https://doi.org/10.1016/j.ultrasmedbio.2018.09.024>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10057025/7/Ciurtin%20UMB-D-18-00400R2.pdf