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Abstract
Polymyalgia rheumatica (PMR) is a chronic, inflammatory disorder of unknown cause clinically characterized by pain and prolonged morning stiffness affecting the shoulders and often the pelvic girdle and neck. Imaging has substantially contributed to defining PMR as a disease mainly involving extra-articular structures. This review article analyses the role of the different imaging techniques in the diagnosis and follow-up of patients with PMR with particular emphasis on the role of ultrasound, PET/CT and MRI.
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Possemato N, Crescentini F, Pazzola G, Ragazzi M, Salvarani C. IgG4-Related Sacroiliitis. Arthritis Rheumatol 2016; 68:774. [DOI: 10.1002/art.39507] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Accepted: 11/03/2015] [Indexed: 12/24/2022]
Affiliation(s)
| | | | | | - M. Ragazzi
- Azienda Ospedaliera Arcispedale Santa Maria Nuova
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Addimanda O, Macchioni P, Caruso A, Possemato N, Catanoso M, Boiardi L, Salvarani C. FRI0051 Comparison Between Clinical and Ultrasonographical Examination in Early Rheumatoid Arthritis Patients: Table 1. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.5956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Germano G, Muratore F, Cimino L, Lo Gullo A, Possemato N, Macchioni P, Cavazza A, Pipitone N, Boiardi L, Salvarani C. Is colour duplex sonography-guided temporal artery biopsy useful in the diagnosis of giant cell arteritis? A randomized study. Rheumatology (Oxford) 2014; 54:400-4. [DOI: 10.1093/rheumatology/keu241] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Di Lernia V, Ficarelli E, Lallas A, Possemato N, Chiarolanza I, Salvarani C. Frequency of monoclonal gammopathy in psoriatic patients receiving anti-TNF therapy compared with patients taking conventional drugs: a cross-sectional study. J Eur Acad Dermatol Venereol 2014; 29:2262-3. [PMID: 24911670 DOI: 10.1111/jdv.12565] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- V Di Lernia
- Department of Dermatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - E Ficarelli
- Department of Dermatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - A Lallas
- Department of Dermatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - N Possemato
- Rheumatology Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - I Chiarolanza
- Rheumatology Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - C Salvarani
- Rheumatology Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
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Tani C, Carli L, Querci F, D'Aniello D, Possemato N, Cagnoni M, Delle Sedie A, Riente L, Vagnani S, Davide C, Bombardieri S, Mosca M. SAT0179 Mri Pattern of Arthritis in Sle: A Comparative Study with Rheumatoid Arthritis and Healthy Subjects. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Possemato N, Macchioni P, Germano G, Pipitone N, Versari A, Salvarani C. Clinical images: PET-CT and contrast-enhanced ultrasound in Takayasu's arteritis. Rheumatology (Oxford) 2013; 53:447. [DOI: 10.1093/rheumatology/ket332] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Germanò G, Possemato N, Addimanda O, Caruso A, Dardani L, Macchioni P, Salvarani C. THU0328 The Role of Salivary Gland Ultrasound in Sjogren Syndrome: A Single Center Experience. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Germanò G, Macchioni P, Possemato N, Addimanda O, Salvarani C. FRI0362 Contrast-enhanced ultrasound of the sovraortic arteries: the potential role in monitoring disease activity and response to treatment in large vessel vasculitis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.1489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Germanò G, Possemato N, Pipitone N, Cimino L, Boiardi L, Bajocchi G, Macchioni P, Salvarani C. FRI0216 Does ultrasonography guidance increase the yield of temporal artery biopsy in patients with giant cell arteritis? Results from a single-blinded randomized study. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Pazzola G, Magnani L, Boiardi L, Pipitone N, Muratore F, Versari A, Formisano D, Addimanda O, Meliconi R, Pulsatelli L, Bajocchi G, Catanoso M, Padovano I, Possemato N, Lo Gullo A, Salvarani C. OP0306 Evaluation of Disease Activity Using FDG PET-CT in Patients with Large Vessel Vasculitis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tani C, D'Aniello D, Delle Sedie A, Carli L, Cagnoni M, Possemato N, Carbone M, Della Rossa A, Riente L, Baldini C, Talarico R, Caramella D, Bombardieri S, Mosca M. Rhupus syndrome: assessment of its prevalence and its clinical and instrumental characteristics in a prospective cohort of 103 SLE patients. Autoimmun Rev 2012; 12:537-41. [PMID: 23063507 DOI: 10.1016/j.autrev.2012.09.004] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2012] [Accepted: 09/24/2012] [Indexed: 11/27/2022]
Abstract
The term "rhupus" is traditionally used to describe patients with coexistence of systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). The aim of the present work was to investigate prevalence, clinical and radiological picture as well as the serological profile of a series of rhupus patients; SLE patients and RA patients from our Unit were used as disease control groups. A total of 103 consecutive SLE patients were screened; among the entire cohort, 10 patients (9.7%) were classified as "rhupus". In our rhupus patients SLE features preceded the onset of arthritis in 5 patients (50%) while in the remaining patients arthritis appeared before or simultaneously (3 and 2 patients respectively). As compared with SLE patients, rhupus patients have significantly less kidney involvement (p=0.01) while no differences were observed between neuropsychiatric, cutaneous, hematological involvement or serositis. At our physical examination, 9 (90%) rhupus patients were presenting active joint involvement; CRP positivity and ESR levels resulted significantly higher than in SLE (p=0.006) patients while no differences were observed with respect to RA patients. In all rhupus patients, at least one pathological finding was revealed by ultrasound (US) examination at wrist and/or hand joints; overall, rhupus patients presented higher scores in all the US parameters with respect to SLE patients, especially at hands; no statistically significant differences have been observed with respect to RA patients. Magnetic resonance (MR) revealed erosions in all rhupus patients with a concomitant bone edema in five patients. The cumulative erosive burden in rhupus patients was significantly higher than in SLE patients and similar to RA patients (SLE vs rhupus p=0.005); bone pathology distribution was also similar between rhupus patients and RA patients. These data suggest the importance of assessing joint involvement in SLE with advanced imaging techniques and of evaluating the presence of prognostic factors for joint disease severity in order to establish adequate disease monitoring and to institute early appropriate therapies to avoid late consequences of unrecognized concomitant rheumatoid arthritis (Amezcua-Guerra et al., 2006 [25]; Zhao et al., 2009 [26]).
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Affiliation(s)
- C Tani
- Rheumatology Unit, Department of Internal Medicine, University of Pisa, Italy
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Delle Sedie A, Riente L, Scirè CA, Iagnocco A, Filippucci E, Meenagh G, Possemato N, Grassi W, Valesini G, Montecucco CA, Bombardieri S. Ultrasound imaging for the rheumatologist. XXIV. Sonographic evaluation of wrist and hand joint and tendon involvement in systemic lupus erythematosus. Clin Exp Rheumatol 2009; 27:897-901. [PMID: 20149302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Systemic lupus erhthematosus (SLE) is an autoimmune multisystem disorder characterised by frequent musculoskeletal manifestations. Joint involvement in SLE is usually not erosive or destructive but some patients develop hand erosive arthritis or deforming arthropathy of the hand (respectively "rhupus" hand and Jaccoud arthritis). To date, few studies, evaluated joint and tendon involvement in SLE patients by US. We studied wrist and hand structure, using ultrasound, in 50 patients affected by SLE, detecting inflammatory joint involvement in 80% of them at the wrist and in 50% at the hand. Tenosynovitis was visualised in 14 patients, while structural damage was present in 12% of the SLE group. Those results reinforce the importance of including musculoskeletal ultrasound in the patient assessment, especially in those cases in which physical examination is not conclusive.
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Affiliation(s)
- A Delle Sedie
- Cattedra di Reumatologia, Università di Pisa, Pisa, Italy.
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