TY - JOUR T1 - Ultrasound tenosynovitis: A differential feature of patients with seronegative rheumatoid arthritis JO - Reumatología Clínica (English Edition) T2 - AU - Ruta,Santiago AU - Sanchez Prado,Einer AU - Salvatori,Facundo AU - Arguello,Juan AU - Aguerre,Darío AU - Magri,Sebastián AU - García Salinas,Rodrigo SN - 1699258X M3 - 10.1016/j.reuma.2022.04.003 DO - 10.1016/j.reuma.2022.04.003 UR - https://www.reumatologiaclinica.org/es-ultrasound-tenosynovitis-a-differential-feature-articulo-S1699258X22001231 AB - ObjectiveTo identify differential features between patients with seropositive and seronegative rheumatoid arthritis (RA). MethodProspective cohort study, including patients who were admitted for polyarthralgia. At baseline was performed: laboratory studies, X-rays of hands and feet, ultrasound of both hands with power Doppler technique, clinical data and clinimetry. In subsequent visits the definitive diagnosis of RA was established or not. It was considered as seronegative RA when patients were negative for both RF and ACPAs. Results746 patients were included, of which 128 (17.1%) ended with a final diagnosis of RA. Of these 128 patients, 87 (67.9%) were seropositive RA, while 41 (32%) were seronegative RA.The only feature that showed significant differences was the presence of tenosynovitis detected by ultrasound with a positive power Doppler signal, 13.7% of the patients with seropositive RA vs 41.6% of the patients with seronegative RA (p=0.0028). ConclusionThe only differential feature of patients with seronegative RA was the higher proportion of tenosynovitis detected by ultrasound. ER -