Acta clinica Croatica, Vol. 62. No. 4, 2023.
Pregledni rad
https://doi.org/10.20471/acc.2023.62.04.18
Musculoskeletal Manifestations of Systemic Lupus Erythematosus
Ljiljana Smiljanić Tomičević
orcid.org/0000-0003-2807-7440
; Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Zagreb, School of Medicine, Zagreb University Hospital Center, Zagreb, Croatia
Marko Barešić
orcid.org/0000-0001-6281-5705
; Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Zagreb, School of Medicine, Zagreb University Hospital Center, Zagreb, Croatia
Miroslav Mayer
; Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Zagreb, School of Medicine, Zagreb University Hospital Center, Zagreb, Croatia
Branimir Anić
; Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Zagreb, School of Medicine, Zagreb University Hospital Center, Zagreb, Croatia
Sažetak
Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that
most commonly affects the young, working, female population. Musculoskeletal manifestations are
one of the most prevalent and presenting features in SLE. Arthralgia, myalgia, non-erosive arthritis,
myositis but also tenosynovitis and enthesitis are present in more than 90% of SLE patients. Although
not considered very severe SLE manifestations, they significantly affect the patient’s quality of life
and daily functioning. Clinical assessment of joints, tendons, entheses, and muscles is still the gold
diagnostic standard. There are many radiological imaging methods, i.e., classic radiograms, ultrasound,
bone scintigraphy, and magnetic resonance imaging that provide morphological information regarding
damage and activity of musculoskeletal diseases in SLE and other rheumatic diseases. Musculoskeletal
ultrasound stands out as an accessible and affordable method. Recognizing musculoskeletal
manifestations may help establish an early diagnosis of SLE and assess disease activity, thus leading
to early initiation of treatment and preventing chronic and irreversible changes with a beneficial effect
on the quality of life.
Ključne riječi
Systemic lupus erythematosus; Musculoskeletal; Arthritis; Myositis; Ultrasound
Hrčak ID:
320592
URI
Datum izdavanja:
31.12.2023.
Posjeta: 243 *