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Published on: July 14, 2023
Foot function in rheumatoid arthritis patients: a cross-sectional study
Agnes Patricia de Andrade1, Elinah Narumi Inoue1, Renato Nisihara2,3
1Rheumatology Service, Medicine Department, Evangelic University Hospital of Curitiba, R. Padre Agostinho, 2770, Curitiba, 80730-000, Brazil.
Rheumatoid arthritis (RA) patients frequently experience foot pain and functional difficulties, with 98% reporting pain. Controlling disease inflammation is key to managing these debilitating foot problems in RA.
Area of Science:
- Rheumatology
- Orthopedics
- Immunology
Background:
- Rheumatoid arthritis (RA) is a chronic autoimmune disease primarily affecting small joints.
- Foot involvement is common in RA, impacting patient function and quality of life.
Purpose of the Study:
- To determine the prevalence of foot problems in Brazilian RA patients.
- To investigate the relationship between foot involvement and disease activity markers, serological, and epidemiological factors.
Main Methods:
- A cross-sectional study involving 100 RA patients and 100 matched healthy controls.
- Foot function assessed using the Foot Functional Index-Brazilian version (FFI-BR).
- Disease activity measured by C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and DAS28-ESR.
Main Results:
- RA patients showed significantly higher rates of foot pain (98% vs 76%), functional difficulty (96% vs 66%), and incapacity (73% vs 20%) compared to controls.
- FFI-BR scores correlated significantly with ESR, CRP, and DAS28-ESR.
- No association found between FFI-BR scores and gender, ethnicity, rheumatoid factor status, or medication use.
Conclusions:
- The majority of RA patients suffer from significant foot problems.
- Foot involvement in RA is strongly associated with inflammatory biomarkers.
- Management of inflammatory activity may be crucial for improving foot health in RA patients.
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