The role of ultrasonographic synovial assessment in rheumatoid arthritis patients with concomitant fibromyalgia

dc.authoridKahveci, Abdulvahap/0000-0002-2611-2372
dc.contributor.authorPolat, Musa
dc.contributor.authorKahveci, Abdulvahap
dc.contributor.authorTecer, Duygu
dc.contributor.authorGunendi, Zafer
dc.contributor.authorGogus, Feride
dc.date.accessioned2024-10-26T18:00:44Z
dc.date.available2024-10-26T18:00:44Z
dc.date.issued2023
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjectives: This study aimed to compare the prevalence and musculoskeletal ultrasonography (US) findings of rheumatoid arthritis (RA) patients with concomitant fibromyalgia (FM) according to the 1990 American College of Rheumatology (ACR) FM classification criteria or the 2016 ACR FM diagnostic criteria. Patients and methods: This cross-sectional study included 63 patients (17 males, 46 females; mean age: 48.2 +/- 7.1 years; range, 18 to 62 years) with RA. Medical history and laboratory data were obtained from electronic records. Clinical examination, composite disease activity measures, functional status, and the German 7-joint ultrasound score were assessed to evaluate disease activity and synovial inflammation. The patients were divided into three groups: patients who met only the 2016 ACR criteria, patients who met only the 1990 ACR criteria, and patients who met both criteria. Results: In patients with RA, concomitant FM prevalence was 34.9% according to the 2016 ACR FM diagnostic criteria versus 23.8% according to the 1990 ACR FM classification criteria. Rheumatoid arthritis patients with FM had high tender joint count and disease activity scores, while musculoskeletal US findings were similar. Patients who met only the 2016 ACR FM diagnostic criteria had significantly higher gray-scale US and power Doppler US synovitis scores than patients who satisfied only ACR 1990 FM classification criteria (p=0.03 and p=0.02, respectively). Conclusion: Synovial inflammation is a prominent sign in RA patients diagnosed with FM according to the 2016 ACR FM diagnostic criteria. The higher disease activity seen in the presence of FM in RA patients is associated with FM rather than synovitis.
dc.identifier.doi10.46497/ArchRheumatol.2023.9585
dc.identifier.endpage182
dc.identifier.issn2618-6500
dc.identifier.issue2
dc.identifier.pmid37680511
dc.identifier.scopus2-s2.0-85162832664
dc.identifier.scopusqualityN/A
dc.identifier.startpage174
dc.identifier.trdizinid1186512
dc.identifier.urihttps://doi.org/10.46497/ArchRheumatol.2023.9585
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1186512
dc.identifier.urihttps://hdl.handle.net/20.500.12418/27831
dc.identifier.volume38
dc.identifier.wosWOS:000920678100001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish League Against Rheumatism
dc.relation.ispartofArchives of Rheumatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjecthigher activity presence patients Fibromyalgia
dc.subjectmusculoskeletal ultrasonography
dc.subjectrheumatoid arthritis
dc.subjectsubclinical inflammation
dc.titleThe role of ultrasonographic synovial assessment in rheumatoid arthritis patients with concomitant fibromyalgia
dc.typeArticle

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