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Logo of annrheumdAnnals of the Rheumatic DiseasesCurrent TOCInstructions for authors
Ann Rheum Dis. Feb 1977; 36(1): 71–73.
PMCID: PMC1006633

Radiographic changes in early rheumatoid disease.


We have studied the radiological features in 94 patients with early rheumatoid disease followed prospectively for 5 years. The changes appeared very early and occurred in up to 71-3% of patients. Erosive changes occurred in the feet much more commonly than in the hands and considerably earlier. Erosive changes were present before there was joint-space loss. Frequent x-ray examination of feet and hands in the first 2 years after presentation is required if we are to identify patients at risk for serious joint damage.

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Selected References

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  • Fleming A, Crown JM, Corbett M. Early rheumatoid disease. I. Onset. Ann Rheum Dis. 1976 Aug;35(4):357–360. [PMC free article] [PubMed]
  • Fleming A, Dodman S, Crown JM, Corbett M. Extra-articular features in early rheumatoid disease. Br Med J. 1976 May 22;1(6020):1241–1243. [PMC free article] [PubMed]
  • FLETCHER DE, ROWLEY KA. The radiological features of rheumatoid arthritis. Br J Radiol. 1952 Jun;25(294):282–295. [PubMed]
  • KELLGREN JH. Radiological signs of rheumatoid arthritis; a study of observer differences in the reading of hand films. Ann Rheum Dis. 1956 Mar;15(1):55–60. [PMC free article] [PubMed]
  • SOILA P. Roentgen manifestations of adult rheumatoid arthritis, with special regard to the early changes. Acta Rheumatol Scand Suppl. 1958;4(1):1–144. [PubMed]

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