RELATIONSHIP BETWEEN THE PRESENCE OF ANTI-CITRULINATED PROTEIN ANTIBODIES (ACPA) AND ULTRASOUNDS OF THE RIGHT TEMPOROMANDIBULAR JOINT (TMJ) (#22205)
Objetivos
Describe the ultrasound information of the right temporomandibular joint (TMJ) in relation to the presence of ACPA antibodies
Materiales y Métodos
Observational, descriptive, and cross-sectional study. 72 patients from the Rheumatology Service of Hospital Córdoba were studied consecutively. According to ACR 2010 criteria. Ultrasounds of both TMJs and ACPA testing were performed
Resultados
A statistically significant difference was found in the median ACPA titers according to the presence of effusion in the right TMJ, of U=312.5 and p=.040). In patients with a mild joint effusion in the right TMJ, the median ACPA titer was 90 (interquartile range: 11-1001, range = 990). In contrast, those with moderate effusion showed a median of 74 (interquartile range: 14-1001, range = 987).
Conclusiones
No other works were found in which the information from TMJ ultrasounds is related to the positive presence of ACPA antibodies. But it does work on hands and feet.
It is concluded that ultrasound information about inflammation can be detected in ACPA-positive patients and identify preclinical synovitis, which would be a predictor of disease progression to develop clinical arthritis