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Sonographic and electrodiagnostic evaluations in patients with aromatase inhibitor-related arthralgia
Journal of Clinical Oncology, 09/15/09
Dizdar O et al. – Patients with AI-related arthralgia often show tenosynovial changes suggesting tenosynovitis, exerting local problems but lacking a systemic inflammatory component. These findings of increased CTS frequency also support this hypothesis.
Methods- Postmenopausal patients with stage I to III breast cancer who were taking adjuvant AIs were enrolled (n = 92)
- Patients not receiving hormone treatment were included as a control group (n = 28)
- Musculoskeletal sonography and EMG applied to the patients and controls along with markers of autoimmunity.
- 30 (32.6%) reported to have AI-related new-onset or worsening arthralgia
- Most commonly affected joints were knee (70%), wrist (70%), and small joints of the hand (63%)
- Patients taking AIs showed increased tendon thicknesses compared with those who never received AIs
- AI-related arthralgia had higher rates of effusion in hand joints/tendons than those without arthralgia
- More AI-related arthralgia had EMG findings consistent with carpal tunnel syndrome (CTS) than without arthralgia
- No significant difference in ESR
- No significant difference in C-reactive protein
- No significant difference in antinuclear antibody, antidouble stranded DNA antibody, rheumatoid factor
- No significant difference in cyclic citrullinated peptide levels between patients and controls or between those with and without arthralgia
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Risk analysis of severe myelotoxicity with temozolomide: The effects of clinical and genetic factors
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