Table 1

Disease activity, imaging and histopathology baseline and 6 months

ERA groupControl group*
Visit
Baseline
Visit
3months
Visit
6months
P value†BaselineP value‡
N 20 19 2016
DAS28CRP, mean (SD) 5.2 (1.0) 2.9 (1.2) 2.7 (1.1)<0.001
CRP, mean (SD)20.4 (19.8)12.0 (13.7)8.7 (12.8)0.011.8 (2.3)<0.001
Wrist Larsen score, mean (SD)0.3 (0.7)0.3 (0.8)0.910.0 (0.0)0.09
US EULAR-OMERACT score
Radiocarpal intercarpal joints combined score (0–3)2.1 (0.8)1.9 (0.7)1.6 (0.6)0.07
 SH score (0–3)1.9 (0.8)1.9 (0.7)1.6 (0.6)0.17
 CD score (0–3)1.7 (1.0)1.2 (0.9)1.0 (0.7)0.001
MRI RAMRIS score
Radiocarpal joint
 Synovitis (0–3)§1.1 (0.9)0.8 (0.5)0.020.3 (0.5)0.003
 Bone erosions (0–10)0.2 (0.4)0.1 (0.4)1.000.0 (0.0)0.08
 Bone oedema (0–3)0.1 (0.3)0.1 (0.2)0.310.00 (0.00)0.16
Synovial biopsy
Krenn score
 Lining cell layer, mean (SD)2.1 (0.8)1.8 (0.7)0.191.6 (0.9)0.09
 Stromal activation, mean (SD)2.1 (0.6)1.6 (0.6)0.021.4 (0.6)0.002
 Infiltrates, mean (SD)1.9 (0.7)1.6 (0.8)0.271.3 (0.6)0.02
 Total score, mean (SD)6.0 (1.5)5.0 (1.5)0.014.2 (1.7)0.002
Specific markers
 CD20, mean (SD)1.2 (1.1)0.8 (09)0.060.3 (0.5)0.001
 CD3, mean (SD)2.0 (1.2)1.9 (0.9)0.700.7 (0.7)<0.001
 CD68, mean (SD)2.8 (0.9)2.4 (0.8)0.191.6 (0.8)<0.001
 CD138, mean (SD)1.3 (1.2)1.1 (0.9)0.450.3 (0.6)0.002
LRA group
DAS28CRP, mean (SD) 4.3 (0.6)3.2 (1.0) 2.6 (1.1)<0.001
CRP, mean (SD)15.6 (18.9)10.3 (11.4)10.3 (16.3)0.081.8 (2.2)0.002
Wrist Larsen score, mean (SD)3.7 (5.5)3.7 (5.6)0.490.0 (0.0)0.006
US EULAR-OMERACT score
Radiocarpal intercarpal joints combined score (0–3)2.3 (0.8)2.1 (0.9)1.9 (0.8)0.17
 SH (0–3)2.1 (0.8)2.0 (0.9)1.9 (0.8)0.24
 CD (0–3)2.0 (1.0)1.6 (1.0)1.3 (1.1)0.02
MRI RAMRIS score
Radiocarpal joint
 Synovitis (0–3)2.0 (1.2)0.3 (0.5)<0.001
 Bone erosions (0–10)1.2 (1.3)0.0 (0.0)<0.001
 Bone oedema (0–3)0.3 (0.7)0.0 (0.0)0.08
Synovial biopsy
Krenn score
 Lining cell layer, mean (SD)2.3 (0.8)2.1 (0.8)0.241.6 (0.9)0.01
 Stromal activation, mean (SD)2.2 (0.8)1.9 (0.7)0.271.4 (0.6)0.003
 Infiltrates, mean (SD)2.2 (0.7)2.2 (0.5)0.771.3 (0.6)<0.001
 Total score, mean (SD)6.8 (1.9)6.1 (1.6)0.174.2 (1.7)<0.001
Specific markers
 CD20, mean (SD)1.8 (1.5)1.5 (1.2)0.400.3 (0.5)<0.001
 CD3, mean (SD)2.5 (1.2)2.2 (1.0)0.480.8 (0.7)<0.001
 CD68, mean (SD)3.0 (0.7)2.8 (0.8)0.391.6 (0.8)<0.001
 CD138, mean (SD)2.1 (1.2)2.0 (1.3)0.740.3 (0.6)<0.001
  • Significant p values in bold.

  • *Six patients in control group had MRI without contrast.

  • †Test for trend.

  • ‡P value. The same control group values versus, respectively, ERA and LRA baseline.

  • §One in ERA group, no MRI due to claustrophobia.

  • CD, colour Doppler; CRP, C-reactive protein; DAS28CRP, disease activity score in 28 joints with CRP level included; ERA, early rheumatoid arthritis; LRA, long-standing rheumatoid arthritis; SH, synovial hypertrophy.