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Rheumatoid arthritis

Rheumatoid arthritis  

Kenneth F. Baker and John D. Isaacs

in Oxford Textbook of Medicine (6 edn)

Print Publication Year: 
Mar 2020
Series: 
Oxford Textbooks
Published Online: 
Jan 2020
eISBN: 
9780191809019
DOI: 
10.1093/med/9780198746690.003.0446
Career: 
Doctor, Qualified, specialist
Specialty: 
Clinical Medicine, Rheumatology
Item type: 
chapter
ISBN: 
9780198746690
clinical remission but with active power Doppler synovitis on ultrasound scans are more likely to experience future arthritis flares and joint erosions compared to patients without this finding. Nevertheless, recent trials exploring the escalation of therapy to achieve ultrasound -defined targets of disease control have failed to show superiority when compared to clinical disease activity targets alone. Complications of rheumatoid arthritis Accelerated atherosclerosis The cardiovascular (CV) complications of rheumatoid arthritis make the largest contribution
Rheumatoid arthritis

Rheumatoid arthritis  

Mike Backhouse and Heidi Siddle

in The Foot and Ankle in Rheumatology

Print Publication Year: 
Mar 2019
Series: 
Other
Published Online: 
Apr 2019
eISBN: 
9780191799211
DOI: 
10.1093/med/9780198734451.003.0006
Career: 
Doctor
Specialty: 
Clinical Medicine, Rheumatology
Item type: 
chapter
ISBN: 
9780198734451
multisegment foot kinematics and ultrasound features. Arthritis Care Res (Hoboken). 2013;65(4):495–502. 77. Woodburn J , Helliwell PS. Relation between heel position and the distribution of forefoot plantar pressures and skin callosities in rheumatoid arthritis. Ann Rheum Dis. 1996;55(11):806–10. 78. Bouysset M , et al. The rheumatoid heel: its relationship to other disorders in the rheumatoid foot. Clin Rheumatol. 1989;8(2):208–14. 79. Helliwell P , et al. The Foot and Ankle in Rheumatoid Arthritis. A Comprehensive Guide. London: Churchill
Rheumatoid Arthritis

Rheumatoid Arthritis  

Nisha Manek

in Integrative Women's Health (2 ed.)

Print Publication Year: 
Nov 2015
Series: 
Weil Integrative Library
Published Online: 
Jan 2016
eISBN: 
9780190214821
DOI: 
10.1093/med/9780190214791.003.0029
Career: 
Doctor, Qualified, specialist, Nurse, Qualified Nurse, Allied Health Professional
Specialty: 
Obstetrics and Gynaecology, Popular Health, Complementary and Alternative Medicine
Item type: 
chapter
ISBN: 
9780190214791
determining the progression of joint damage, there are many instances where ultrasound (US), magnetic resonance imaging (MRI) and computed tomography (CT) scanning provide added information. Clinicians now regularly use MRI and US to help diagnose RA in the preradiographic stage, as they offer improved visualization of joint erosions. They also have the potential to provide prognostic information as MRI bone edema/osteitis is linked to the later development of erosions. Power Doppler ultrasound (PDUS) joint positivity is also a predictor of joint damage ( McQueen, 2013
Rheumatoid Arthritis

Rheumatoid Arthritis  

Kevin B. Hoover

in Musculoskeletal Imaging Volume 1: Trauma, Arthritis, and Tumor and Tumor-Like Conditions

Print Publication Year: 
Apr 2019
Series: 
Rotations in Radiology
Published Online: 
Jun 2019
eISBN: 
9780190095772
DOI: 
10.1093/med/9780190938161.003.0030
Career: 
Doctor, Qualified, late specialism training
Specialty: 
Allied Health Professions, Radiography
Item type: 
chapter
ISBN: 
9780190938161
and edema ( block arrow ). Ultrasound ■ Findings detected on MRI are reproducibly identified on US with notable exceptions of BME (osteitis) and joint-space loss because of cartilage thinning. ■ Power Doppler signal is especially valuable in evaluating synovitis. ■ It correlates with the histologic severity of synovitis. ■ Elevated signal within at least 1 joint in a patient in clinical remission may be predictive of disease relapse. ■ Discussed in more detail in Chapter 127 , “ Ultrasound for Rheumatologic Diseases.”
Rheumatoid Arthritis

Rheumatoid Arthritis  

Derrick J. Todd and Jonathan S. Coblyn

in The Brigham Intensive Review of Internal Medicine

Print Publication Year: 
Jul 2014
Series: 
Other
Published Online: 
Jul 2014
eISBN: 
9780191742620
DOI: 
10.1093/med/9780199358274.003.0023
Career: 
Doctor, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Primary Care
Item type: 
chapter
ISBN: 
9780199358274
These can be given intravascularly or intra-articularly (MR arthrogram) for definition of intra-articular structures such as ligaments and menisci. CT scan is most useful in the assessment of bony structures, especially when MRI may be contraindicated. Musculoskeletal ultrasound with power Doppler has an emerging role in identifying bone erosions and synovitis. Bone scan is a fading technology that still has limited diagnostic utility in the patient with polyarthralgias but few objective findings of RA. Special Considerations RA involvement of the cervical
Rheumatoid arthritis

Rheumatoid arthritis  

Richard Watts, Gavin Clunie, Frances Hall, and Tarnya Marshall (eds)

in Rheumatology (Oxford Desk Reference)

Print Publication Year: 
Apr 2009
Series: 
Oxford Desk References
Published Online: 
Oct 2011
eISBN: 
9780191725746
DOI: 
10.1093/med/9780199229994.003.0006
Career: 
Doctor, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Rheumatology
Item type: 
chapter
ISBN: 
9780199229994
Magnetic resonance (MR) imaging and ultrasound (US) Patients with subclinical disease may have erosions on presentation. Also radiographs can miss erosions. • MR scanning and high-resolution ultrasound (US) with colour flow Doppler are more sensitive at detecting early erosive disease, subclinical synovitis and small joint effusions compared with radiographs. • MR with IV gadolinium contrast permits accurate assessment of synovial invasion though discrimination of tissue from fluid can be difficult. Figure 6.1 Severe erosive rheumatoid arthritis. Dual X-ray absorptiometry
Diagnosis and clinical features of rheumatoid arthritis

Diagnosis and clinical features of rheumatoid arthritis  

Raashid Luqmani, Maarten Boers, and Theodore Pincus (eds)

in Rheumatoid Arthritis (Oxford Rheumatology Library)

Print Publication Year: 
Feb 2010
Series: 
Oxford Medical Libraries, Oxford Rheumatology Library
Published Online: 
May 2011
eISBN: 
9780191740213
DOI: 
10.1093/med/9780199556755.003.0003
Career: 
Nurse, Qualified Nurse, Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Rheumatology
Item type: 
chapter
ISBN: 
9780199556755
disease affecting the shoulders The availability of musculoskeletal ultrasound means that joints can be imaged in greater detail, revealing the presence of soft tissue swelling, increased vascular supply to the joints (on colour Doppler ) and also shows the presence of erosions more commonly than can be seen on X-ray ( Figure 3.9 ). However, it is not entirely clear that ‘erosions’ seen on ultrasound scans long before they are apparent on X-ray indicate the same phenomena. It is possible that ultrasound is showing what may be potentially reversible bony changes, whilst
Rheumatoid arthritis—clinical features

Rheumatoid arthritis—clinical features  

Eugen Feist and Gerd-R. Burmester

in Oxford Textbook of Rheumatology (4 ed.)

Print Publication Year: 
Oct 2013
Series: 
Oxford Textbooks
Published Online: 
Oct 2014
eISBN: 
9780191757730
DOI: 
10.1093/med/9780199642489.003.0111_update_001
Career: 
Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Rheumatology
Item type: 
chapter
ISBN: 
9780199642489
protein; ESR—erythrocyte sedimentation rate; RF— rheumatoid factor. Conventional radiographic examinations (including wrists, hands, and forefeet as well as other affected joints) are still the gold standard for the documentation of the erosive nature and progress of RA, but provide relatively low sensitivity for detection of early soft tissue and erosive bone changes. Therefore, as useful imaging techniques for documentation of the inflammatory soft tissue process in early RA, ultrasound including power Doppler examination (US with PD: visualization of effusion
Ultrasound

Ultrasound  

David Kane and Philip Platt

in Oxford Textbook of Rheumatology (4 ed.)

Print Publication Year: 
Oct 2013
Series: 
Oxford Textbooks
Published Online: 
Oct 2016
eISBN: 
9780191757730
DOI: 
10.1093/med/9780199642489.003.0067_update_002
Career: 
Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Rheumatology
Item type: 
chapter
ISBN: 
9780199642489
structural deterioration in rheumatoid arthritis. Arthritis Rheum 2008;58(10):2958–2967. 18. Bruyn GA , Hanova P , Iagnocco A ,, et al. Ultrasound definition of tendon damage in patients with rheumatoid arthritis. Results of a OMERACT consensus-based ultrasound score focussing on the diagnostic reliability. Ann Rheum Dis 2014;73:1929–1934. 19. Walther M , Harms H , Krenn V , et al. Correlation of power Doppler sonography with vascularity of the synovial tissue of the knee joint in patients with osteoarthritis and rheumatoid arthritis. Arthritis Rheum
Musculoskeletal Ultrasound in the Emergency Setting

Musculoskeletal Ultrasound in the Emergency Setting  

Michael A. Bruno

in Emergency Radiology

Print Publication Year: 
Feb 2016
Series: 
Rotations in Radiology
Published Online: 
Feb 2016
eISBN: 
9780190223687
DOI: 
10.1093/med/9780190223656.003.0050
Career: 
Doctor, Qualified, late specialism training, Qualified, early specialism training, Qualified, specialist
Specialty: 
Radiology, Emergency Medicine
Item type: 
chapter
ISBN: 
9780190223656
colour Doppler ultrasonography: a reliable measurement tool for quantifying tendon pathology. Br J Sports Med . 2005;39:700–703. Farrant JM , O’Connor PJ , Grainger AJ. Advanced imaging in rheumatoid arthritis: Part 1—synovitis. Skeletal Radiol . Apr 2007;36(4):269–279. Fiocco U , Ferro F , Vezzu M , et al. Rheumatoid and psoriatic knee synovitis: clinical, grey scale, and power Doppler ultrasound assessment of the response to Etanercept. Ann Rheum Dis . 2005;64:899–905. Fornage B. Musculoskeletal Ultrasound , Clinics in Diagnostic Ultrasound , vol.

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