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Dtsch Med Wochenschr 2015; 140(16): 1223-1226
DOI: 10.1055/s-0041-103783
Klinischer Fortschritt
Rheumatologie
© Georg Thieme Verlag KG Stuttgart · New York

Gelenk-Ultraschall bei rheumatoider Arthritis

Ultrasound examination in rheumatoid arthritis
Sarah Ohrndorf
1   Abteilung für Rheumatologie und klinische Immunologie, Charité Universitätsmedizin Berlin
,
Marina Backhaus
1   Abteilung für Rheumatologie und klinische Immunologie, Charité Universitätsmedizin Berlin
2   Abteilung Innere Medizin- Rheumatologie und Klinische Immunologie, Akademisches Lehrkrankenhaus der Charité, Park-Klinik Weissensee, Berlin
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
11. August 2015 (online)

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Zusammenfassung

Der Ultraschall am Bewegungsapparat in der rheumatologischen Routinediagnostik erhöht die diagnostische Trefferquote in der Ermittlung einer entzündlichen Gelenkerkrankung.

Der Power-Doppler-Ultraschall ist hilfreich, um eine subklinische Synovitis der kleinen Fingergelenke bei Patienten mit einer rheumatoiden Arthritis nachzuweisen, die zum Progress der Knochendestruktion führen kann. Strenge klinische Remissionskriterien gehen mit einer geringeren Synovitis im Power Doppler einher.

Abstract

Musculoskeletal ultrasound in the clinical routine praxis increases the hit rate for the diagnosis of inflammatory joint diseases.

Power Doppler ultrasound is helpful in the detection of subclinical synovitis in the small finger joints in patients with rheumatoid arthritis; subclinical synovitis can lead to severe joint destruction. Rigorous clinical remission criteria result in lower synovitis detected by power Doppler ultrasound.

Schlüsselwörter

Arthrosonografie - rheumatoide Arthritis - Synovitis

Keywords

musculoskeletal ultrasound - rheumatoid arthritis - synovitis
 

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