 - US SH or PD synovitis scores 1 for at least 2 joints MCP:2-5 or PIP:2-5 or CMC:2-5 or wrist joints or MTP:2-5 or ankle joints and US SH or PD synovitis scores 1 for at least 1 other joint MCP:2-5 or PIP:2-5 or or CMC:2-5 or wrist joints 