• Hadi Karimzadeh, Mehdi Karami, Nasrin Bazgir, Mansour Karimifar, Ghasem Yadegarfar, and Zohrea Mohammadzadeh.
• Department of Internal Medicine, Isfahan Bone Metabolic Disorders Research Center, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran.
• J Res Med Sci. 2018 Jan 1; 23: 3838.

BackgroundThe aim of this study was to recognize the findings of ultrasonography (US) in remitted rheumatic arthritis (RA) patients for detection subclinical arthritis.Materials And MethodsThis descriptive study was conducted during 2016 in a rheumatology center. A total of 70 patients with remitted RA were included in the study. Sonography was performed on all 70 patients who did not show any clinical arthritis in clinical examination to find synovitis and effusion were evaluated with gray scale and hyperemia with power Doppler US.ResultsNearly 44.3% (n = 31) of our patients had positive sonography results including 20% synovitis, 21.4% hyperemia, and 18.6% (n = 13) effusion. A total of 1960 joints of 70 patients were evaluated, in which 3.2% (n = 63) of joints had positive sonography findings including 1.2% synovitis, 1.5% hyperemia, and 1.1 with effusion.ConclusionUS can diagnosis subclinical arthritis in patients with remitted RA who does not show any joint involvement in clinical examination.

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