Ultrasonography Useful in Deciding Treatment for FM/RA Patients

Ultrasonography Useful in Deciding Treatment for FM/RA Patients
In patients with rheumatoid arthritis (RA) and concomitant fibromyalgia, disease activity scores may be artificially inflated due to pain and patient distress. Since disease activity score (Disease Activity Score 28, or DAS28) is one component of an algorithm clinicians use to help decide which treatment is best suited for their RA patients, it is important to remove confounding variables that could influence DAS28. Ultrasonography is one tool that can be used to predict disease activity in patients with RA and can detect RA characteristics such as synovitis. A research team from Romania recently conducted a study with ultrasonography in patients with RA and fibromyalgia and determined that ultrasonography should be used to guide treatment decisions in these patients rather than rely solely on the DAS28. "Ultrasonography... is a good marker of prognosis," wrote Dr. Linda Jessica Ghib, lead author of "The Role of Ultrasonography in Assessing Disease Activity in Patients with Rheumatoid Arthritics and Associated Fibromyalgia," which was published in Medical Ultrasonography. "The main aim of this study is to evaluate and to compare the ultrasonography and DAS28 scores between RA, RA and associated fibromyalgia, and fibromyalgia patients." All patients in the study were females diagnosed with RA and/or fibromyalgia. For every RA patient enrolled, the researchers enrolled a fibromyalgia patient and a patient with both RA and fibromyalgia. There wer
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