Ayaz, N Aktay

Bakkaloglu, A

Demirkaya, E

Haghari, S

Türker, T

Özaltin, F

Özen, S

Özçakar, L

English

PubMed

E Demirkaya

L Özçakar

S Haghari

N Aktay Ayaz

T Türker

F Özaltin

A Bakkaloglu

S Özen

Crossref

Musculoskeletal sonography in juvenile systemic lupus erythematosus

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BioMed Central
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(page number not for citation purposes)
Pediatric Rheumatology
Open AccessPoster presentation
Musculoskeletal sonography in juvenile systemic lupus 
erythematosus
E Demirkaya*1, L Özçakar1, S Haghari1, N Aktay Ayaz1, T Türker2, F Özaltin1, 
A Bakkaloglu1 and S Özen1
Address: 1Hacettepe University, School of Medicine, Ankara, Turkey and 2Gülhane Military Medical Academy, Ankara, Turkey
* Corresponding author    
Objective
Musculoskeletal involvement of juvenile systemic lupus
erythematosus (JSLE) is basically an arthralgia and/or
arthritis attacking typically the small joints of the hands,
wrists and knees. We aimed to demonstrate the role of
sonography in depicting peri/articular changes in JSLE
and to find out whether certain tendons of JSLE patients
were different from those of healthy controls'.
Methods
Thirty JSLE patients (27 female, 3 male) were recruited for
this study. For comparison of the sonographic data, 32
healthy volunteers were included as a control group.
Sonographic evaluations were performed by a physiatrist
experienced in musculoskeletal sonography.
Results
Knee effusion was observed more frequently in the JSLE
group in comparison with the control subjects (p = 0.00).
When tendon thickness measurements were compared
between the groups, flexor and extensor tendons of the
third digit (at MCP joint level) of JSLE patients were found
to be thinner (p values being 0.04 and 0.03, respectively).
Tendon thickness values did not correlate with disease
duration and SLE disease activity index scores (p values >
0.05).
Conclusion
The main findings of our study were relevant with i)
increased involvement of the following sites in JSLE; knee,
ankle, hand extensor tendons, wrist, elbow, hand flexor
tendons (in decreasing order of frequencies) and ii)
decreased extensor/flexor tendon thicknesses in the hands
of JSLE patients. Physicians should be aware of the poten-
tially disabling scenario of tendon pathologies. Defining
the extent of joint and tendon pathologies in Pediatric SLE
may guide us in the management of the disease.
from 15th Paediatric Rheumatology European Society (PreS) Congress
London, UK. 14–17 September 2008
Published: 15 September 2008
Pediatric Rheumatology 2008, 6(Suppl 1):P242 doi:10.1186/1546-0096-6-S1-P242
<supplement> <title> <p>15<sup>th </sup>Paediatric Rheumatology European Society (PreS) Congress</p> </title> <editor>Wietse Kuis, Patricia Woo, Angelo Ravelli, Hermann Girschick, Michaël Hofer, Johannes Roth, Rotraud K Saurenmann, Alberto Martini, Pavla Dolezova, Janjaap van der Net, Pierre Quartier, Lucy Wedderburn and Jan Scott</editor> <note>Meeting abstracts – A single PDF containing all abstracts in this Supplement is available <a href="http://www.biomedcentral.com/content/files/PDF/1546-0096-6-S1-full.pdf">here</a>.</note> </supplement>
This abstract is available from: http://www.ped-rheum.com/content/6/S1/P242
© 2008 Demirkaya et al; licensee BioMed Central Ltd. 


Musculoskeletal sonography in juvenile systemic lupus erythematosus

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