Pathotype | All patients with RA | Control group | ||||||||||
Baseline biopsy (n=40) | 6-month biopsy (n=40) | Baseline (n=16) | ||||||||||
Lymphoid | Myeloid | Fibroid | P value | Lymphoid | Myeloid | Fibroid | P value | Lymphoid | Myeloid | Fibroid | P value | |
n (%) | 23 (57.5) | 12 (30.0) | 5 (12.5) | 16 (40.0) | 22 (55.0) | 2 (5.0) | 1 (6.3) | 6 (37.5) | 9 (56.3) | |||
C-reactive protein, mean (SD) | 20.9 (22.3) | 17.5 (14.0) | 6.4 (7.0) | 0.02 | 11.6 (18.5) | 8.3 (11.4) | 2.3 (0.4) | 0.01 | 1.0 (.) | 2.8 (3.5) | 1.1 (0.6) | 0.39 |
DAS28CRP, mean (SD) | 4.9 (0.9) | 4.6 (1.0) | 4.5 (1.2) | 0.63 | 2.9 (1.1) | 2.5 (1.1) | 1.6 (0.0) | <0.01 | ||||
ACPA and/or RF positive, n (%) | 17 (74) | 7 (58) | 4 (80) | 0.57 | 12 (75) | 16 (73) | 0 (0) | <0.01 | 0 (0) | 0 (0) | 0 (0) | |
Wrist Imaging Scores | ||||||||||||
X-ray Larsen, mean (SD) | 2.8 (4.6) | 1.5 (4.3) | 0.0 (0.0) | 0.02 | 4.8 (6.3) | 0.4 (0.7) | 1.0 (1.4) | 0.04 | 0.0 (0.0) | 0.0 (0.0) | 0.0 (0.0) | |
US EULAR-OMERACT score | ||||||||||||
Combined score, mean (SD) | 2.5 (0.7) | 1.9 (0.7) | 1.2 (0.4) | <0.01 | 2.0 (0.7) | 1.6 (0.7) | 2.0 (0.0) | 0.08 | ||||
Grey scale, mean (SD) | 2.4 (0.7) | 1.8 (0.6) | 1.0 (0.0) | <0.01 | 1.9 (0.7) | 1.6 (0.7) | 2.0 (0.0) | 0.08 | ||||
Colour Doppler, mean (SD) | 2.3 (0.8) | 1.4 (0.9) | 1.0 (0.7) | <0.01 | 1.7 (1.0) | 0.9 (0.8) | 1.0 (1.4) | 0.07 | ||||
RAMRIS score in wrist radiocarpal joint* | ||||||||||||
Synovitis (0–3), mean (SD) | 2.1 (1.0) | 1.1 (1.0) | 0.2 (0.4) | <0.01 | 1.2 (0.4) | 0.7 (0.5) | 0.03 | 1.0 (.) | 0.0 (0.0) | 0.3 (0.5) | <0.01 | |
Bone erosion (0–10), mean (SD) | 0.9 (1.2) | 0.5 (1.0) | 0.2 (0.4) | 0.12 | 0.2 (0.4) | 0.1 (0.3) | 0.75 | 0.0 (.) | 0.0 (0.0) | 0.0 (0.0) | ||
Bone oedema (0–3), mean (SD) | 0.3 (0.7) | 0.0 (0.0) | 0.0 (0.0) | 0.03 | 0.0 (0.0) | 0.1 (0.3) | 0.34 | 0.0 (.) | 0.0 (0.0) | 0.0 (0.0) | ||
Synovial tissue inflammation | ||||||||||||
Krenn score, mean (SD) | 7.1 (1.6) | 5.9 (1.5) | 4.2 (0.4) | <0.01 | 6.2 (1.7) | 5.0 (1.4) | 6.0 (0.0) | <0.01 | 7.0 (.) | 4.8 (0.7) | 3.4 (1.7) | <0.01 |
Specific markers (0–4) | ||||||||||||
CD20, mean (SD) | 2.3 (1.2) | 0.7 (0.5) | 0.0 (0.0) | <0.01 | 2.1 (1.1) | 0.5 (0.5) | 0.0 (0.0) | <0.01 | 1.0 (.) | 0.5 (0.5) | 0.0 (0.0) | 0.05 |
CD3, mean (SD) | 2.8 (1.0) | 1.7 (0.6) | 0.4 (0.5) | <0.01 | 2.5 (1.0) | 1.8 (0.7) | 1.0 (0.0) | <0.01 | 2.0 (.) | 1.0 (0.6) | 0.4 (0.5) | <0.01 |
CD68, mean (SD) | 3.3 (0.8) | 2.5 (0.5) | 2.0 (0.0) | <0.01 | 3.0 (0.8) | 2.4 (0.7) | 2.0 (1.4) | 0.08 | 3.0 (.) | 2.0 (0.6) | 1.1 (0.6) | <0.01 |
CD138, mean (SD) | 2.5 (1.1) | 0.6 (0.5) | 0.0 (0.0) | <0.01 | 2.6 (0.6) | 0.9 (0.6) | 0.0 (0.0) | <0.01 | 2.0 (.) | 0.3 (0.5) | 0.1 (0.3) | <0.01 |
*LRA not MRI at 6 months, one patient with ERA did not undergo MRI due to claustrophobia, six control MRI without use of contrast agent. Seven controls without wrist X-ray before biopsy. Significant p values in bold. Comparison by unadjusted linear regression with cluster robust standard errors.
ACPA, anti-citrullinated proteins antibody; DAS28CRP, disease activity score in 28 joints with CRP level included; ERA, early RA; LRA, long-standing RA; RA, rheumatoid arthrits; RF, rheumatoid factor.