Clinical and Radiological Assessment of Disease Activity in Rheumatoid Arthritis

Dr. Chaya A. Kumar; Dr. Suwarna Pawar; Dr. Sujata Baveja

Volume : V, Issue : VIII, August - 2016

Clinical and Radiological Assessment of Disease Activity in Rheumatoid Arthritis

Dr. Chaya A. Kumar, Dr. Suwarna Pawar, Dr. Sujata Baveja

Abstract :

Objective: To assess disease activity clinically by Modified Disease Activity Score (MDAS) of 28 and radiologically by Larsen score in patients of Rheumatoid arthritis (RA). Methods: A prospective study at a tertiary care hospital over one year duration. RA was diagnosed as per 2010 American College of Rheumatology Criteria (ACR). Disease activity of joints was clinically and radiologically assessed by Modified disease score and Larsen score respectively and results analyzed statistically. Results: 106 of 180 (58.9%) patients had RA. Mean age of RA patients was 42.76 years. Female to male ratio was 2.7:1. Disease activity in low (10.4%), moderate (35.8%) and high (13.2%) were significantly more in RA patients as also radiological changes by Larsen score (38.7%). Conclusion: Rheumatoid arthritis is 2.7 times more common in women. MDAS of 28 joints for clinical assessment and Larsen score for radiological assessment are good predictors to monitor the course of the disease in RA.