Ultrasonography Can Guide Drug Modification in Arthritis

This article originally appeared here.
Share this content:
Ultrasonography Can Guide Drug Modification in Arthritis
Ultrasonography Can Guide Drug Modification in Arthritis

THURSDAY, Aug. 25, 2016 (HealthDay News) -- Ultrasonography can be useful for guiding modification of anti-rheumatic drugs and steroids for patients with inflammatory arthritis (IA), according to a study published online Aug. 19 in the International Journal of Rheumatic Diseases.

York Kiat Tan, M.B.B.S., from Singapore General Hospital, and colleagues conducted a retrospective study involving 46 adult IA patients to examine the utility of ultrasonography in guiding modification of disease-modifying anti-rheumatic drug (DMARD) and steroid therapy. Data were analyzed for 37 patients with both power Doppler (PD) vascularity and greyscale (GS) synovial hypertrophy joint findings.

The researchers found that all 10 patients escalated and/or initiated on DMARD and nine of 10 patients escalated or initiated on steroids were positive for PD and GS. PD-negative findings were seen in six of seven patients with dose reduction and/or cessation of DMARDs and five of seven with dose reduction or cessation of steroids. Six patients were GS-positive and PD-negative; of these, three had dose reduction or cessation of DMARDs and four had dose reduction of steroids; none had DMARD/steroid escalation.

"Ultrasonography of physician-selected joints can improve clinical assessment, resulting in treatment modification," the authors write. "Positive PD findings were particularly influential, while the clinical significance of GS positivity alone requires further investigation."

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Phone-Based Intervention Aids Rheumatoid Arthritis Care

Phone-Based Intervention Aids Rheumatoid Arthritis Care

Educational phone calls with nurses promote shared decision making in care

Early PT Linked to Less Opioid Use in Musculoskeletal Pain

Early PT Linked to Less Opioid Use in ...

For opioid-naive patients, early physical therapy tied to less opioid use in shoulder, neck, knee, back pain

Emotional Stress of Holidays Can Trigger Heart Attacks

Emotional Stress of Holidays Can Trigger Heart Attacks

Higher risk seen on Christmas Eve, particularly in older adults with diabetes, heart disease

is free, fast, and customized just for you!




Already a member?

Sign In Now »