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12 December 2020: Clinical Research

Comparison of Role of Hand and Wrist Ultrasound in Diagnosis of Subclinical Synovitis in Patients with Systemic Lupus Erythematosus and Rheumatoid Arthritis: A Retrospective, Single-Center Study

Honghu Tang BCDEF , Yi Liu ABCDEFG , Yi Liu BCDF* , Hua Zhao BCDF

DOI: 10.12659/MSM.926436

Med Sci Monit 2020; 26:e926436

Table 3 Comparative analysis of patients with SLE with and without arthralgia. The results showed that patients with SLE without arthralgia tended to demonstrate abnormality according to the musculoskeletal ultrasound, which suggests that musculoskeletal ultrasound is more sensitive for evaluating SLE arthritis.

SLE (without arthralgia)SLE (with arthralgia)p Values
Cases (n%)15 (36.6%)26 (63.4%)
Age (mean±SD)32.00±7.86536.31±14.1530.218
Course of disease43.53±36.80450.85±54.3450.646
C3 (mean±SD)0.558±0.2400.514±0.2710.607
C4 (mean±SD)0.132±0.0650.123±0.1060.773
ANA (mean±SD)2.17±0.9942.37±1.0910.566
dsDNA (mean±SD)1.20±1.5211.81±1.9190.301
RNP (mean±SD)1.20±0.9960.79±0.8510.169
SSA (mean±SD)1.52±1.2461.29±0.9400.480
SSB (mean±SD)0.27±0.7990.04±0.1960.170
RIB (mean±SD)0.33±0.8160.54±0.9480.488
SM (mean±SD)0.60±0.7370.21±0.4930.050
ESR (mean±SD)19.00±16.35338.50±18.3640.002
CRP (mean±SD)2.681±1.5126.300±5.6410.020
IL-6 (mean±SD)8.169±7.87110.536±9.0690.404
SLEDAI scores (mean±SD)10.07±5.27114.54±5.1010.011
DAS28 scores (mean±SD)2.99±0.0.7733.49±0.7740.055
Ultrasonic scores (mean±SD)10.67±6.41111.23±7.6910.812
SLE – systemic lupus erythematosus; ANA – antinuclear antibody; ENA – extractable nuclear antibody; dsDNA – double-stranded DNA; SSA – Sjögren syndrome A; SSB – Sjögren syndrome B; RNP – ribonucleoprotein; SM – Smith; RIB – ribosomal; C3 – complement 3; C4 – complement 4; RF – rheumatoid factor; CCP – cyclic citrullinated peptide; AKA – keratin antibody; ESR – erythrocyte sedimentation rate; CRP – C-reactive protein; IL-6 - interleukin-6; SLEDAI – SLE disease activity index; SD – standard deviation.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750