Skip to main content

Main menu

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Author Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • GDPR Policy
    • Accessibility
  • Contact Us
  • JRheum Supplements
  • Services

User menu

  • My Cart
  • Log In

Search

  • Advanced search
The Journal of Rheumatology
  • JRheum Supplements
  • Services
  • My Cart
  • Log In
The Journal of Rheumatology

Advanced Search

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Author Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • GDPR Policy
    • Accessibility
  • Contact Us
  • Follow jrheum on Twitter
  • Visit jrheum on Facebook
  • Follow jrheum on LinkedIn
  • Follow jrheum on RSS
Research ArticleArticle

Characterization of Cumulative Joint Damage Patterns in Patients with Rheumatoid Arthritis: A Clinical, Serological, and Gene Polymorphism Perspective

Renata Trigueirinho Alarcon, Artur da Rocha Corrêa Fernandes, Ieda Maria Laurindo, Manoel Barros Bértolo, Geraldo Castelar Pinheiro and Luís Eduardo Andrade
The Journal of Rheumatology March 2015, 42 (3) 405-412; DOI: https://doi.org/10.3899/jrheum.131177
Renata Trigueirinho Alarcon
From the Rheumatology Division, Universidade Federal de São Paulo (UNIFESP), São Paulo; Rheumatology Division, Universidade Estadual do Rio de Janeiro (UERJ), Rio de Janeiro; Rheumatology Division, Universidade de São Paulo (USP); Rheumatology Division, Universidade Estadual de Campinas (UNICAMP), São Paulo, Brazil.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Artur da Rocha Corrêa Fernandes
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ieda Maria Laurindo
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Manoel Barros Bértolo
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Geraldo Castelar Pinheiro
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Luís Eduardo Andrade
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: luis.andrade@unifesp.br
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
  • eLetters
PreviousNext
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1.

    Patterns of cumulative joint damage (CJD). Panels A and B: sets of radiographs from distinct patients with hand-dominant (A) and foot-dominant (B) CJD pattern. Panel C: radiographs from distinct patients with wrist-dominant (left) and finger-dominant (right) CJD patterns. Panel D: erosion-dominant (left) and space narrowing–dominant (right) CJD pattern. Filled single arrows: erosion sites; double arrows: space-narrowing sites; unfilled single arrows: preserved sites.

  • Figure 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2.

    Distribution of patients with rheumatoid arthritis (RA) according to total Sharp-van der Heijde (SvdH) score and disease duration. The thin line represents the central trend of SvdH score progress over the years based on the total cohort of patients, and the thick continuous and dashed lines represent the upper and lower interval boundaries, respectively. This interval corresponds to 95% probability for the distribution of the central trend line in this cohort of patients. Dots scattered above the thick continuous line represent patients who were considered to have severe RA and those scattered below the thick dashed line represent patients who were considered to have mild RA.

  • Figure 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 3.

    Distribution of rheumatoid arthritis patients according to (A) hand/foot score, (B) finger/wrist score, and (C) erosion/space-narrowing score. Imbalanced patterns of cumulative joint damage were defined as those areas below the 30th and above the 70th percentile distribution of derivative Sharp-van der Heijde scores, respectively. *Intervals between dashed vertical lines correspond to balanced patterns of cumulative joint damage (≥ 30th and ≤ 70th percentile).

Tables

  • Figures
    • View popup
    Table 1.

    Demographic, clinical, and laboratory characteristics of rheumatoid arthritis patients. Unless otherwise stated, the number of patients analyzed was 404.

    Characteristics
    Female sex367 (90.8%)
    Age, yrs, median ± SD53.18 ± 11.59; range 18–89
    Ethnicity, n = 393, n (%)
       European-derived174 (44.3)
       Mulatto167 (42.5)
       African-derived48 (12.2)
       Asian-derived4 (1.0)
    Disease duration, yrs, median ± SD11.16 ± 7.78; range 2–48
       Functional class, n = 377, n (%)
       Functional class I,164 (43.5)
       Functional class II138 (36.6)
       Functional class III60 (15.9)
       Functional class IV15 (4.0 )
    Health Assessment Questionnaire score, n = 396, median ± SD0.65 ± 0.59; range 0–2.38
    Presence of extraarticular manifestations, n = 363115 (31.7%)
    Drugs
       Methotrexate295 (73.0%)
       Prednisone244 (60.4%)
       Antimalarials128 (31.7%)
       Leflunomide119 (29.5%)
       Sulfasalazine38 (9.4%)
       Immunobiologicals21 (5.2%)
    RF-positive ≥ 20 IU/ml, n = 390248 (61.4%)
    ACPA-positive > 20 U/ml, n = 390307 (76.0%)
    Height, meters, median ± SD1.58 ± 0.07; range 1.34–1.83
    Body mass index, n = 272, mean ± SD26.70 ± 4.60; range 16.65–41.66
    Total Sharp score, mean ± SD109.7 ± 74.8; range 0–379
    • RF: rheumatoid factor; ACPA: anticitrullinated peptide antibody.

    • View popup
    Table 2.

    Frequency of HLA-DRB1 shared epitope (SE) alleles in the total number of patients (291) with mild and severe rheumatoid arthritis (RA).

    Patients with Mild RA, n = 146Patients with Severe RA, n = 145p
    Allele Frequency
    SE Alleles
      DRB1*01010.0820.0590.275
      DRB1*01020.0620.041
      DRB1*04010.0410.045
      DRB1*04040.0510.048
      DRB1*04050.0510.079
      DRB1*04080.010.031
      DRB1*04100.010
      DRB1*10010.0340.024
      DRB1*14020.0170.024
    Frequency of patients carrying SE alleles
      Any SE58.9%60.7%0.756
      Single SE45.9%51.0%0.555
      Double SE13.0%9.7%
    • View popup
    Table 3.

    Association between patterns of cumulative joint damage (CJD) and the presence of DRB1 shared epitope (SE) alleles in patients with rheumatoid arthritis.

    Hand/foot Imbalance, n = 138pFinger/wrist Imbalance, n = 145pErosion/space-narrowing Imbalance, n = 140p
    HLA-DRB1Hands, n = 68, n (%)Feet, n = 70, n (%)Fingers, n = 72, n (%)Wrists, n = 73, n (%)Erosion, n = 70, n (%)Space narrowing, n = 70, n (%)
    SE
       Positive43 (46.2)50 (53.8)0.30549 (51.0)47 (49.0)0.64052 (57.1)39 (42.9)0.021
       Negative25 (55.6)20 (44.4)23 (46.9)26 (53.1)18 (36.7)31 (63.3)
    SE dose
       Single37 (47.4)41 (52.6)0.59740 (50.0)40 (50.0)0.64842 (56.8)32 (43.2)0.877
       Double6 (40.0)9 (60.0)9 (56.3)7 (46.8)10 (58.8)7 (41.2)
    • Significant p value is given in bold face. Hand-dominant (h/f score > 3.74); foot-dominant (h/f score < 1.69); finger-dominant (f/w score > 1.92); wrist-dominant (f/w score < 0.93); erosion-dominant (e/sn score > 2.38); space narrowing–dominant (e/sn score < 1.58).

PreviousNext
Back to top

In this issue

The Journal of Rheumatology
Vol. 42, Issue 3
1 Mar 2015
  • Table of Contents
  • Table of Contents (PDF)
  • Index by Author
  • Editorial Board (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about The Journal of Rheumatology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Characterization of Cumulative Joint Damage Patterns in Patients with Rheumatoid Arthritis: A Clinical, Serological, and Gene Polymorphism Perspective
(Your Name) has forwarded a page to you from The Journal of Rheumatology
(Your Name) thought you would like to see this page from the The Journal of Rheumatology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Characterization of Cumulative Joint Damage Patterns in Patients with Rheumatoid Arthritis: A Clinical, Serological, and Gene Polymorphism Perspective
Renata Trigueirinho Alarcon, Artur da Rocha Corrêa Fernandes, Ieda Maria Laurindo, Manoel Barros Bértolo, Geraldo Castelar Pinheiro, Luís Eduardo Andrade
The Journal of Rheumatology Mar 2015, 42 (3) 405-412; DOI: 10.3899/jrheum.131177

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

 Request Permissions

Share
Characterization of Cumulative Joint Damage Patterns in Patients with Rheumatoid Arthritis: A Clinical, Serological, and Gene Polymorphism Perspective
Renata Trigueirinho Alarcon, Artur da Rocha Corrêa Fernandes, Ieda Maria Laurindo, Manoel Barros Bértolo, Geraldo Castelar Pinheiro, Luís Eduardo Andrade
The Journal of Rheumatology Mar 2015, 42 (3) 405-412; DOI: 10.3899/jrheum.131177
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Save to my folders

Jump to section

  • Article
    • Abstract
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • Acknowledgment
    • REFERENCES
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
  • eLetters

Keywords

RHEUMATOID ARTHRITIS
DIAGNOSTIC IMAGING
JOINT EROSIONS
RHEUMATOID FACTOR
ANTICITRULLINATED PROTEIN ANTIBODIES

Related Articles

Cited By...

More in this TOC Section

  • Composite Measures for Clinical Trials in Psoriatic Arthritis: Testing Pain and Fatigue Modifications in a UK Multicenter Study
  • GRAPPA Patient Research Partner Network: Update to the GRAPPA 2020 Annual Meeting
  • The Role of Ultrasound in Research and Clinical Practice in Psoriatic Arthritis: Highlights From the GRAPPA Ultrasound Workshop
Show more Article

Similar Articles

Keywords

  • rheumatoid arthritis
  • diagnostic imaging
  • joint erosions
  • RHEUMATOID FACTOR
  • ANTICITRULLINATED PROTEIN ANTIBODIES

Content

  • First Release
  • Current
  • Archives
  • Collections
  • Audiovisual Rheum
  • COVID-19 and Rheumatology

Resources

  • Guide for Authors
  • Submit Manuscript
  • Author Payment
  • Reviewers
  • Advertisers
  • Classified Ads
  • Reprints and Translations
  • Permissions
  • Meetings
  • FAQ
  • Policies

Subscribers

  • Subscription Information
  • Purchase Subscription
  • Your Account
  • Terms and Conditions

More

  • About Us
  • Contact Us
  • My Alerts
  • My Folders
  • RSS Feeds
The Journal of Rheumatology
The content of this site is intended for health care professionals.
Copyright © 2016 by The Journal of Rheumatology Publishing Co. Ltd.
Print ISSN: 0315-162X; Online ISSN: 1499-2752
Powered by HighWire