Advances in imaging technologies for the assessment of peripheral neuropathies in rheumatoid arthritis.
Rheumatol Int
; 41(3): 519-528, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-33427917
ABSTRACT
Peripheral neuropathy in patients with rheumatoid arthritis is associated with a maladaptive autoimmune response that may cause chronic pain and disability. Nerve conduction studies are the routine method performed when rheumatologists presume its presence. However, this approach is invasive, may not reveal subtle malfunctions in the early stages of the disease, and does not expose abnormalities in structures surrounding the nerves and muscles, limiting the possibility of a timely diagnosis. This work aims to present a narrative review of new technologies for the clinical assessment of peripheral neuropathy in Rheumatoid Arthritis. Through a bibliographic search carried out in five repositories, from 1990 to 2020, we identified three technologies that could detect peripheral nerve lesions and perform quantitative evaluations (1) magnetic resonance neurography, (2) functional magnetic resonance imaging, and (3) high-resolution ultrasonography of peripheral nerves. We found these tools can overcome the main constraints imposed by the previous electrophysiologic methods, enabling early diagnosis.
Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Artrite Reumatoide
/
Doenças do Sistema Nervoso Periférico
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Screening_studies
Limite:
Humans
Idioma:
En
Revista:
Rheumatol Int
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
México