Rheumatoid arthritis

Pain sensitisation and joint inflammation in patients with active rheumatoid arthritis

RMD OpenPublished Cross-sectional study

Authors' conclusion

The unexpected group -FM-PD group may have peripheral nociplastic pain, not commonly recognised in rheumatology. Only 46% of patients demonstrated PDUS+ inflammation. However clinical examination and PROMs did not reliably differentiate groups

Study context

Population
Sequential rheumatoid arthritis (RA) patients with at least moderate DAS28-ESR disease activity
Participants
158 patients
Exposure
Fibromyalgia (FM) criteria and PDUS+ joint inflammation categories
  • -FM-PDn = 43
  • -FM+PDn = 43
  • +FM-PDn = 42
  • +FM+PDn = 30
Outcome
FM criteria (ACR 2010) and PDUS+ joint inflammation
Methodological detailssequential patients, logistic regression, regularised (lasso) logistic regression
  • Sequential patients
  • Logistic regression
  • Regularised (lasso) logistic regression

Main finding

As reported in the abstract

Met FM criteria
72 (46%)

Observational data: associations, not effects.

Original publication

Pain sensitisation and joint inflammation in patients with active rheumatoid arthritis. RMD Open. Published 19 March 2024. doi:10.1136/rmdopen-2023-003784

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