Table 2

Tender joint count at inclusion in rheumatoid arthritis patients with and without anti-cyclic-citrullinated peptide (anti-CCP) antibodies

Anti-CCP-negative (n = 228)

Anti-CCP-positive (n = 226)


Temporomandibular joints

0.01 ± 0.41

0.08 ± 0.36

Sternoclavicular joints

0.23 ± 0.76

0.12 ± 0.47

Acromioclavicular joints

0.31 ± 0.63

0.55 ± 0.79

Shoulder joints

0.85 ± 1.5

0.86 ± 1.4

Elbow joints

0.42 ± 0.99

0.35 ± 0.81

Wrist joints

0.94 ± 0.94

0.80 ± 0.93

Metacarpophalangeal joints

4.3 ± 4.3

3.5 ± 3.4

Proximal interphalangeal joints of the hands

3.2 ± 3.6

3.3 ± 3.4

Distal interphalangeal joints of the hands

1.3 ± 2.4

1.2 ± 2.2

Hip joints

0.18 ± 0.73

0.11 ± 0.54

Knee joints

0.54 ± 0.88

0.59 ± 0.90

Ankle joints

0.41 ± 0.92

0.53 ± 1.1

Subtalar joints

0.31 ± 0.72

0.52 ± 0.76

Midtarsal joints

0.21 ± 0.40

0.18 ± 0.58

Metatarsophalangeal joints

4.2 ± 3.4

4.1 ± 3.7

Interphalangeal joints of the feet

0.91 ± 1.8

1.4 ± 3.2

Total Ritchie articular index score

10.4 ± 8.2

10.2 ± 8.0


Tenderness was scored per joint on a 0–3 scale: 0 = no tenderness, 1 = pain at pressure, 2 = pain and winced, and 3 = winced and withdrew. The scores for the metacarpophalangeal joints were summed, as were the scores for the metatarsophalangeal joints and the interphalangeal joints of the hands and feet. The scores for the left joints and the right joints were summed. The summed scores were divided by the total numbers of patients; the resulting mean ± standard deviation is presented. There were no statistical differences between patients with and without anti-CCP antibodies.

van der Helm-van Mil et al. Arthritis Research & Therapy 2005 7:R949-R958   doi:10.1186/ar1767

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