Global ultrasound synovitis scores reflect symptom severity and patient outcomes in chronic chikungunya disease

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Global ultrasound scores for synovitis were found to be a relevant measure to support clinical observations in studies of chronic post-chikungunya joint disease.

Study context

Population
Patients with acute chikungunya virus infection (mean age 34 years, 67% female)
Participants
60 patients
Outcome
Correlation of global US synovitis and tenosynovitis scores and serum inflammatory markers with clinical symptoms and outcomes
Methodological detailsfollow-up at 3, 6 and 12 months, standardized US of 40 joints
  • Follow-up at 3, 6 and 12 months
  • Standardized US of 40 joints

Main finding

As reported in the abstract

Correlation of global US synovitis score with clinical measures · 3 months
Tender joint counts, r = 0.54
P < 0.0001
Pain severity, r = 0.59
P < 0.0001
Musculoskeletal stiffness, r = 0.42
P < 0.001
RAPID3 scores, r = 0.59
P < 0.0001

Observational data: associations, not effects.

Further findings

Persistent symptoms

Persistent symptoms at 3 months
57%
Persistent symptoms at 12 months
30%

Serum inflammatory markers vs persistent symptoms

Serum inflammatory markers were poorly associated with persistent symptoms during follow-up

Original publication

Global ultrasound synovitis scores reflect symptom severity and patient outcomes in chronic chikungunya disease. Rheumatology (Oxford). Published 10 February 2025. doi:10.1093/rheumatology/keaf087

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