Rheumatoid arthritis echocardiography and ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]

Overview

Echocardiography/Ultrasound

  • Ultrasound is helpful in the diagnosis of rheumatoid arthritis. Findings on an ultrasound suggestive of rheumatoid arthritis include:[1][2]
    • Inflammation of synovium
    • Tenosynovitis- Earliest manifestation is involvement of extensor carpi ulnaris tendon which can lead to erosion of ulnar styloid process
    • Bursitis
  • Therapeutic use of ultrasound:
    • It is used for guiding corticosteroid injection in the joint
    • Fluid aspiration from the joint with the guidance of ultrasound

References

  1. Boutry N, Morel M, Flipo RM, Demondion X, Cotten A (December 2007). "Early rheumatoid arthritis: a review of MRI and sonographic findings". AJR Am J Roentgenol. 189 (6): 1502–9. doi:10.2214/AJR.07.2548. PMID 18029892.
  2. Sudoł-Szopińska I, Jans L, Teh J (March 2017). "Rheumatoid arthritis: what do MRI and ultrasound show". J Ultrason. 17 (68): 5–16. doi:10.15557/JoU.2017.0001. PMC 5392548. PMID 28439423.

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