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Sonography of active rheumatoid arthritis during pregnancy: a case report and literature review

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Baffour FI1, McKenzie GA1, Bekele DI2, Glazebrook KN1. Radiol Case Rep. 2018 Sep 20;13(6):1233-1237. doi: 10.1016/j.radcr.2018.08.027. eCollection 2018 Dec.

Abstract

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1 Division of Musculoskeletal Radiology, Department of Radiology, 200 1st Street SW, Rochester, MN 55905.

2 Division of Rheumatology, Mayo Clinic, Rochester, MN 55905.

Abstract

Disease activity in rheumatoid arthritis usually subsides in pregnancy, however a subset of patients have worsened symptoms with joint pain and swelling. Monitoring and mitigating disease activity in pregnancy is important for preventing deforming structural changes which can affect the ability of the patient to care for themselves and the newborn. Ultrasound is a safe and low-cost imaging modality for detecting active changes from an inflammatory arthritis, which can help guide management. We describe a case of an acute disease flare during pregnancy, readily detected with ultrasound, and present a review of sonographic evaluation of rheumatoid arthritis in pregnancy.