Rheumatoid Arthritis Onset from Shoulder Monoarthritis

Koji Ishida,1 Keita Nagira,1 Hiroshi Hagino,2 Makoto Enokida,1 Ikuta Hayashi,1 Masako Hayashibara,1 Chikako Takeda,1 Hideki Nagashima1 1Department of Orhopedic Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan; 2School of Health Science, Faculty of Medicine, Tottori University...

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Autores principales:	Ishida K, Nagira K, Hagino H, Enokida M, Hayashi I, Hayashibara M, Takeda C, Nagashima H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	rheumatoid arthritis monoarthritis shoulder rotator cuff tear Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/7066ebf1d8f54dc1974ecb083a60e0ee
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spelling	oai:doaj.org-article:7066ebf1d8f54dc1974ecb083a60e0ee2021-12-02T14:41:57ZRheumatoid Arthritis Onset from Shoulder Monoarthritis1179-156Xhttps://doaj.org/article/7066ebf1d8f54dc1974ecb083a60e0ee2021-05-01T00:00:00Zhttps://www.dovepress.com/rheumatoid-arthritis-onset-from-shoulder-monoarthritis-peer-reviewed-fulltext-article-OARRRhttps://doaj.org/toc/1179-156XKoji Ishida,1 Keita Nagira,1 Hiroshi Hagino,2 Makoto Enokida,1 Ikuta Hayashi,1 Masako Hayashibara,1 Chikako Takeda,1 Hideki Nagashima1 1Department of Orhopedic Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan; 2School of Health Science, Faculty of Medicine, Tottori University, Yonago, Tottori, JapanCorrespondence: Keita NagiraDepartment of Orhopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, JapanTel +81-859-38-6587Fax +81-859-38-6589Email nagira@tottori-u.ac.jpPurpose: To investigate the incidence and clinical characteristics of rheumatoid arthritis (RA) presenting with shoulder monoarthritis.Patients and Methods: Our study included 113 patients (77 females; mean age, 63.0 ± 13.1 years) whom we newly diagnosed with RA in 2012– 2016. We investigated cases with onset from shoulder monoarthritis. Specifically, we examined physical findings, blood test results, radiographic findings, magnetic resonance imaging (MRI) findings, and duration from initial visit to diagnosis. RA was diagnosed based on the 2010 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria.Results: Overall, mean 2010 ACR/EULAR criteria score was 6.8 ± 1.8, and median duration to diagnosis was 3 days (interquartile range: 0– 14). Two patients (1.8%) were identified as having RA with onset from shoulder monoarthritis. Both were late middle-aged women with MRI findings of rotator cuff tear and remarkable synovial proliferation. However, neither patient fulfilled the 2010 ACR/EULAR criteria. It took 85 and 98 days to make a definitive diagnosis, respectively.Conclusion: Early diagnosis is difficult when RA synovitis develops from shoulder monoarthritis, especially, in elderly patients who have a rotator cuff tear. In addition to MRI, culture-based and pathological examinations may be helpful for early diagnosis of RA.Keywords: rheumatoid arthritis, monoarthritis, shoulder, rotator cuff tearIshida KNagira KHagino HEnokida MHayashi IHayashibara MTakeda CNagashima HDove Medical Pressarticlerheumatoid arthritismonoarthritisshoulderrotator cuff tearDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol Volume 13, Pp 103-109 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	rheumatoid arthritis monoarthritis shoulder rotator cuff tear Diseases of the musculoskeletal system RC925-935
spellingShingle	rheumatoid arthritis monoarthritis shoulder rotator cuff tear Diseases of the musculoskeletal system RC925-935 Ishida K Nagira K Hagino H Enokida M Hayashi I Hayashibara M Takeda C Nagashima H Rheumatoid Arthritis Onset from Shoulder Monoarthritis
description	Koji Ishida,1 Keita Nagira,1 Hiroshi Hagino,2 Makoto Enokida,1 Ikuta Hayashi,1 Masako Hayashibara,1 Chikako Takeda,1 Hideki Nagashima1 1Department of Orhopedic Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan; 2School of Health Science, Faculty of Medicine, Tottori University, Yonago, Tottori, JapanCorrespondence: Keita NagiraDepartment of Orhopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, JapanTel +81-859-38-6587Fax +81-859-38-6589Email nagira@tottori-u.ac.jpPurpose: To investigate the incidence and clinical characteristics of rheumatoid arthritis (RA) presenting with shoulder monoarthritis.Patients and Methods: Our study included 113 patients (77 females; mean age, 63.0 ± 13.1 years) whom we newly diagnosed with RA in 2012– 2016. We investigated cases with onset from shoulder monoarthritis. Specifically, we examined physical findings, blood test results, radiographic findings, magnetic resonance imaging (MRI) findings, and duration from initial visit to diagnosis. RA was diagnosed based on the 2010 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria.Results: Overall, mean 2010 ACR/EULAR criteria score was 6.8 ± 1.8, and median duration to diagnosis was 3 days (interquartile range: 0– 14). Two patients (1.8%) were identified as having RA with onset from shoulder monoarthritis. Both were late middle-aged women with MRI findings of rotator cuff tear and remarkable synovial proliferation. However, neither patient fulfilled the 2010 ACR/EULAR criteria. It took 85 and 98 days to make a definitive diagnosis, respectively.Conclusion: Early diagnosis is difficult when RA synovitis develops from shoulder monoarthritis, especially, in elderly patients who have a rotator cuff tear. In addition to MRI, culture-based and pathological examinations may be helpful for early diagnosis of RA.Keywords: rheumatoid arthritis, monoarthritis, shoulder, rotator cuff tear
format	article
author	Ishida K Nagira K Hagino H Enokida M Hayashi I Hayashibara M Takeda C Nagashima H
author_facet	Ishida K Nagira K Hagino H Enokida M Hayashi I Hayashibara M Takeda C Nagashima H
author_sort	Ishida K
title	Rheumatoid Arthritis Onset from Shoulder Monoarthritis
title_short	Rheumatoid Arthritis Onset from Shoulder Monoarthritis
title_full	Rheumatoid Arthritis Onset from Shoulder Monoarthritis
title_fullStr	Rheumatoid Arthritis Onset from Shoulder Monoarthritis
title_full_unstemmed	Rheumatoid Arthritis Onset from Shoulder Monoarthritis
title_sort	rheumatoid arthritis onset from shoulder monoarthritis
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/7066ebf1d8f54dc1974ecb083a60e0ee
work_keys_str_mv	AT ishidak rheumatoidarthritisonsetfromshouldermonoarthritis AT nagirak rheumatoidarthritisonsetfromshouldermonoarthritis AT haginoh rheumatoidarthritisonsetfromshouldermonoarthritis AT enokidam rheumatoidarthritisonsetfromshouldermonoarthritis AT hayashii rheumatoidarthritisonsetfromshouldermonoarthritis AT hayashibaram rheumatoidarthritisonsetfromshouldermonoarthritis AT takedac rheumatoidarthritisonsetfromshouldermonoarthritis AT nagashimah rheumatoidarthritisonsetfromshouldermonoarthritis
_version_	1718389813743190016

Rheumatoid Arthritis Onset from Shoulder Monoarthritis

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