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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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High-Resolution Peripheral Quantitative Computed Tomography for Bone Evaluation in Inflammatory Rheumatic Disease.

Rasmus Klose-Jensen1,2, Justin J Tse3,4, Kresten Krarup Keller5

  • 1Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark.

Frontiers in Medicine
|August 9, 2020
PubMed
Summary

High-resolution peripheral quantitative computed tomography (HR-pQCT) offers sensitive bone assessment in inflammatory arthritis, aiding disease monitoring and treatment response evaluation. This advanced imaging technique helps detect subtle bone changes, improving patient management and outcomes.

Keywords:
HR-pQCT (high-resolution peripheral quantitative computed tomography)arthritisbone microstructurebone mineral densityerosionsjoint spaceosteophytes

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Area of Science:

  • Orthopedics and Rheumatology
  • Medical Imaging
  • Bone Biology

Background:

  • Inflammatory arthritis impacts bone health, necessitating sensitive monitoring tools.
  • High-resolution peripheral quantitative computed tomography (HR-pQCT) provides detailed 3D bone analysis.
  • HR-pQCT quantifies bone density, microstructure, and changes like erosions and osteophytes.

Approach:

  • A systematic review of 69 publications using HR-pQCT for metacarpophalangeal and wrist joints in arthritis.
  • Evaluation of techniques for identifying and quantifying bone erosions, a key marker of early inflammatory arthritis.
  • Analysis of HR-pQCT's utility in monitoring disease progression and treatment response over time.

Key Points:

  • HR-pQCT detects subtle bone changes, including early erosions, with high sensitivity and reliability.
  • Quantitative erosion volume changes can be monitored longitudinally, showing progression or repair.
  • HR-pQCT aids in differentiating inflammatory arthritis from healthy controls and may guide treatment decisions.

Conclusions:

  • HR-pQCT is a valuable research tool for assessing inflammatory arthritis, offering sensitive monitoring of bone changes.
  • Further development is needed to address challenges like motion artifacts and expand tissue analysis capabilities.
  • Dissemination of HR-pQCT analysis methods is crucial for broader clinical and research application.