Application of MRI for Musculoskeletal Involvement in SLE (RMNLES)
Hand Rheumatism, Systemic Lupus Erythematosus Arthritis
About this trial
This is an interventional diagnostic trial for Hand Rheumatism
Eligibility Criteria
Inclusion Criteria:
Patients affected by SLE (1982 revised criteria) with scheduled visits to the SLE specialized medical office at Hospital del Mar:
- (pain+ / synovitis +): SLE patients with inflammatory pain and synovitis determined by the practitioner during physical examination of radius and ulna carpal joint and/or carpus and/or metacarpophalangeal joint and/or IP . Defining synovitis as pain and inflammation and/or deformity (present or existing over the past year) included in the clinical history
- (pain + / synovitis -) SLE patients with inflammatory pain without determined synovitis . Current (or over the past year) pain in radius and ulna carpal joint and/or carpus and/or metacarpophalangeal joint and/or IP, with no synovitis
- (pain - / synovitis -) SLE patients without inflammatory pain with normal physical examination currently or over the past year
- Control patients, without SLE nor immediate relatives affected by systemic inflammatory diseases, who lack articular pain and have blood test with no elevation APR or autoimmunity +)
Exclusion Criteria:
- Jaccoud's arthropaty
- RF + and/or ACPA +
- Incomplete SLE, MCTD, overlap syndromes
- Hand surgery
- Current neoplasia
- Non-rheumatoid systemic autoimmune diseases
- Contraindication for MRI
Sites / Locations
- Hospital del MarRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Active Comparator
Active Comparator
Placebo Comparator
pain+ / synovitis +
pain + / synovitis -
pain - / synovitis -
healthy
SLE patients with inflammatory pain and synovitis determined by the practitioner during physical examination of radius and ulna carpal joint and/or carpus and/or metacarpophalangeal joint and/or IP. Defining synovitis as pain and inflammation and/or deformity (present or existing over the past year) included in the clinical history
SLE patients with inflammatory pain without determined synovitis. Current (or over the past year) pain in radius and ulna carpal joint and/or carpus and/or metacarpophalangeal joint and/or IP, with no synovitis
SLE patients without inflammatory pain with normal physical examination currently or over the past year
control patients (healthy participants: no pain, no SLE, no family affected by systemic inflammatory disease, a blood test with no elevation APR or autoimmunity +)