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Knee joint synovitis in Behçet's disease: a sonographic study.
F Ceccarelli1, R Priori, A Iagnocco
1Divisione e Cattedra di Reumatologia, Dipartimento di Scienze Oftalmiche, Università "La Sapienza", Roma, Italy.
Clinical and Experimental Rheumatology
|November 14, 2007
Summary
Ultrasound effectively detects knee involvement in Behçet
Area of Science:
- Rheumatology
- Medical Imaging
Background:
- Behçet's disease (BD) is a multisystemic inflammatory disorder.
- Peripheral joint involvement is a common clinical manifestation in BD patients.
Purpose of the Study:
- To investigate knee involvement in Italian Behçet's disease patients using ultrasound (US).
- To assess the utility of US in detecting arthritic signs, bone erosions, and Baker's cysts in BD.
Main Methods:
- Knee US was performed on 30 Italian BD patients.
- Evaluated for joint effusion, synovial proliferation, bone erosions, and Baker's cysts using a semi-quantitative score.
- Assessed disease activity and its correlation with US findings.
Main Results:
- 60% of BD patients showed knee involvement on US, including synovial proliferation (46%) and joint effusion (46%).
- Bone erosions were detected in 10% of patients.
- A positive correlation was found between disease activity and US score.
Conclusions:
- Peripheral joint involvement is a significant clinical feature in Italian BD patients.
- Ultrasound is a valuable tool for detecting knee involvement in Behçet's disease.
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