No-CSA (n=17) (%) | Unclassifiable (n=19) (%) | CSA (n=14) (%) | |
---|---|---|---|
History taking | |||
Joint symptoms of recent onset (duration <1 year) | 41 | 74 | 92 |
4–10 joints with symptoms | 47 | 57 | 21 |
Symptoms in MCP joints | 35 | 63 | 93 |
Symptoms in MTP joints | 35 | 53 | 57 |
Symptoms in several small joint regions (MCP, wrists, PIP, MTP joints) | 35 | 68 | 93 |
Symmetric symptoms or signs (bilateral in same joint region) | 77 | 58 | 100 |
Duration of morning stiffness ≥60 min | 6 | 37 | 71 |
Most severe symptoms in the early morning | 27 | 69 | 90 |
Improvement of symptoms during the day | 15 | 36 | 90 |
Increasing number of joints with symptoms over time | 70 | 71 | 90 |
Patient experience of swelling of small hand joints | 31 | 47 | 77 |
Presence of a first-degree relative with RA | 7 | 33 | 36 |
Physical examination | |||
Difficulty with making a fist | 8 | 31 | 43 |
Local tenderness involved joints at physical examination | 63 | 84 | 86 |
Positive squeeze test of MCP joints | 14 | 26 | 69 |
Positive squeeze test of MTP joints | 22 | 21 | 39 |
Data on symptoms of recent onset was missing in 1 patient, on most severe symptoms in early morning in 6 patients, on improvement of symptoms during the day in 8 patients, on increasing number of joints with symptoms over time in 11 patients, on patient experience of swelling in 2 patients, on difficulty with making a fist, presence of a first-degree relative with RA, local tenderness of joints, squeeze test of MCP and MTP joints in 4 patients.
CSA, clinically suspect arthralgia; MCP, metacarpophalangeal; MTP, metatarsophalangeal; PIP, proximal interphalangeal; RA, rheumatoid arthritis.