G. Hein et al., RF-ACTIVITY, AGE OF MANIFESTATION AND RAD IOLOGICAL PROGRESSION OF RHEUMATOID-ARTHRITIS - A RETROSPECTIVE STUDY, Zeitschrift fur Rheumatologie, 52(6), 1993, pp. 403-408
The outcome of RF-activity (measured by hemagglutination in the modifi
cation of Podliachouk-Harboe) was investigated in 95 patients with RA.
In 52 of these patients the radiological progression (modification of
Larsen index for hands and feet) in correlation to the outcome of RF
was assessed. The results can be summarized in the following way: 1. E
lderly RA patients show a significant elevation of RF titer. 2. There
is a statistically insignificant correlation between age of RA manifes
tation and RF level. 3. The investigation of individual RF outcome sho
ws that 54% of the patients have a relatively constant RF level, 15% t
end to a decrease of the level of RF activity. Increased RF activity c
ould only be demonstrated in 31% of the patients in the follow-up. 4.
We more often observed a decrease of RF activity in RA cases with a di
sease manifestation < 30 y. We found no significant decrease in the fo
llow-up in cases with manifestation > 60 y. 5. RA patients with a high
level of RF activity (HAR > 1 : 512) have a significantly higher radi
ological progression index than cases with a low RF activity (HAR < 1
: 512).