Musculosceletal Ultrasonography in Patients with Psoriasis and Psoriatic Arthritis

Czech version

Authors: J. Hurňáková ^1,2,3; R. Horváth ³; S. Gkalpakiotis ⁴; K. Pavelka ^1,2
Authors‘ workplace: Revmatologický ústav, Praha , přednosta prof. MUDr. Karel Pavelka, DrSc. ¹; 1. lékařská fakulta Univerzity Karlovy v Praze, děkan prof. MUDr. Aleksi Šedo, DrSc. ²; Oddělení revmatologie dětí a dospělých, FN Motol, Praha, primář MUDr. Rudolf Horváth, Ph. D. ³; Dermatovenerologická klinika, Fakultní nemocnice Královské Vinohrady, Praha, přednosta prof. MUDr. Petr Arenberger, DrSc., MBA ⁴
Published in: Čes-slov Derm, 91, 2016, No. 4, p. 178-184
Category: New drugs, cosmetics, devices

Overview

Psoriasis may be complicated by inflammatory involvement of peripheral joints, tendons, their sheaths and also diffuse inflammatory swelling of the whole digit in 10–36% of cases. Therefore, considerable effort is taken to find a sensitive diagnostic tool facilitating an early diagnostics and treatment initiation of this progressive inflammatory disease. Musculoskeletal ultrasonography (MSUS) is a modern imaging method able to depict joint effusions, synovial hypertrophy, tendons inflammation or enthesitis, cartilage and bone surface defects with high sensitivity. Some of the ultrasound findings are characteristic for psoriatic arthritis and thus, MSUS aids to distinguish patients with psoriatic arthritis from other inflammatory rheumatic diseases. Beside effusion and synovial hypertrophy also tenosynovitis, paratenonitis along with diffuse inflammation of subsutaneous tissue might be detected by ultrasound. All these signs, when present, are very suspicious of psoriatic arthritis. Further, enthesitis, nail involvement, skin hypertrophy, erosions or bone irregularities along with reactive osteoproliferative changes also belong to structural signs of psoriatic arthritis. The authors aimed to present here advantages of ultrasonography in detecting subclinical joint involvement in patients with pure skin manifestation of psoriasis.

Key words:
ultrasonography – psoriasis – psoriatic arthritis – synovitis – enthesitis

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Labels

Dermatology & STDs Paediatric dermatology & STDs

Porokeratoses

Granuloma annulare at the Site of Healed Herpes Zoster: Wolf’s Isotopic Response

Article was published in

Czech-Slovak Dermatology

2016 Issue 4