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Diagnostic imaging of psoriatic arthritis. Part I: etiopathogenesis, classifications and radiographic features.

Sudoł-Szopińska I, Matuszewska G, Kwiatkowska B, Pracoń G - J Ultrason (2016)

Bottom Line: In this part of the paper we discuss radiographic features of the disease.The next one will address magnetic resonance imaging and ultrasonography.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Radiology Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland; Department of Diagnostic Imaging, Second Faculty, Warsaw Medical University, Warsaw, Poland.

ABSTRACT
Psoriatic arthritis is one of the spondyloarthritis. It is a disease of clinical heterogenicity, which may affect peripheral joints, as well as axial spine, with presence of inflammatory lesions in soft tissue, in a form of dactylitis and enthesopathy. Plain radiography remains the basic imaging modality for PsA diagnosis, although early inflammatory changes affecting soft tissue and bone marrow cannot be detected with its use, or the image is indistinctive. Typical radiographic features of PsA occur in an advanced disease, mainly within the synovial joints, but also in fibrocartilaginous joints, such as sacroiliac joints, and additionally in entheses of tendons and ligaments. Moll and Wright classified PsA into 5 subtypes: asymmetric oligoarthritis, symmetric polyarthritis, arthritis mutilans, distal interphalangeal arthritis of the hands and feet and spinal column involvement. In this part of the paper we discuss radiographic features of the disease. The next one will address magnetic resonance imaging and ultrasonography.

No MeSH data available.


Related in: MedlinePlus

X-ray of the hands of the 53 y.o. female patient with PsA and erosive osteoarthritis, on the left – AP, on the right – PIP joint of the 5th left finger and IP joint of the left thumb enlarged: soft tissue swelling of the ulnar side of the left wrist, malalignment of the DIP joint of the 2nd finger of the right and 3rd finger of the left hand, subluxation of the IP joint of the right thumb and left hand's PIP 4 joint, joint space narrowing in a few interphalangeal joints and in both wrist regions, with concomitant destructive changes and decreased distance between articular surface of the distal radius and the base of the 3rd metacarpal on the right side, gross and juxtaarticular osteoporosis, destructive changes in a few PIP and DIP joints (gull-wing appearance, erosive osteoarthritis), osteolytic and erosive lesions (fluffy appearance in the course of PsA) in PIP joint of the 5th left finger and IP joint of the left thumb, with proximal phalangeal shortening (telescoping of finger), degenerative cyst in the head of the proximal phalanx of the 4th left finger, erosion on the lateral side of the base of the proximal phalanx of the 2nd right finger
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Figure 0002: X-ray of the hands of the 53 y.o. female patient with PsA and erosive osteoarthritis, on the left – AP, on the right – PIP joint of the 5th left finger and IP joint of the left thumb enlarged: soft tissue swelling of the ulnar side of the left wrist, malalignment of the DIP joint of the 2nd finger of the right and 3rd finger of the left hand, subluxation of the IP joint of the right thumb and left hand's PIP 4 joint, joint space narrowing in a few interphalangeal joints and in both wrist regions, with concomitant destructive changes and decreased distance between articular surface of the distal radius and the base of the 3rd metacarpal on the right side, gross and juxtaarticular osteoporosis, destructive changes in a few PIP and DIP joints (gull-wing appearance, erosive osteoarthritis), osteolytic and erosive lesions (fluffy appearance in the course of PsA) in PIP joint of the 5th left finger and IP joint of the left thumb, with proximal phalangeal shortening (telescoping of finger), degenerative cyst in the head of the proximal phalanx of the 4th left finger, erosion on the lateral side of the base of the proximal phalanx of the 2nd right finger

Mentions: Typical inflammatory destructive lesions in hand and foot in PsA are as follows (Fig. 2 and 3):


Diagnostic imaging of psoriatic arthritis. Part I: etiopathogenesis, classifications and radiographic features.

Sudoł-Szopińska I, Matuszewska G, Kwiatkowska B, Pracoń G - J Ultrason (2016)

X-ray of the hands of the 53 y.o. female patient with PsA and erosive osteoarthritis, on the left – AP, on the right – PIP joint of the 5th left finger and IP joint of the left thumb enlarged: soft tissue swelling of the ulnar side of the left wrist, malalignment of the DIP joint of the 2nd finger of the right and 3rd finger of the left hand, subluxation of the IP joint of the right thumb and left hand's PIP 4 joint, joint space narrowing in a few interphalangeal joints and in both wrist regions, with concomitant destructive changes and decreased distance between articular surface of the distal radius and the base of the 3rd metacarpal on the right side, gross and juxtaarticular osteoporosis, destructive changes in a few PIP and DIP joints (gull-wing appearance, erosive osteoarthritis), osteolytic and erosive lesions (fluffy appearance in the course of PsA) in PIP joint of the 5th left finger and IP joint of the left thumb, with proximal phalangeal shortening (telescoping of finger), degenerative cyst in the head of the proximal phalanx of the 4th left finger, erosion on the lateral side of the base of the proximal phalanx of the 2nd right finger
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4834372&req=5

Figure 0002: X-ray of the hands of the 53 y.o. female patient with PsA and erosive osteoarthritis, on the left – AP, on the right – PIP joint of the 5th left finger and IP joint of the left thumb enlarged: soft tissue swelling of the ulnar side of the left wrist, malalignment of the DIP joint of the 2nd finger of the right and 3rd finger of the left hand, subluxation of the IP joint of the right thumb and left hand's PIP 4 joint, joint space narrowing in a few interphalangeal joints and in both wrist regions, with concomitant destructive changes and decreased distance between articular surface of the distal radius and the base of the 3rd metacarpal on the right side, gross and juxtaarticular osteoporosis, destructive changes in a few PIP and DIP joints (gull-wing appearance, erosive osteoarthritis), osteolytic and erosive lesions (fluffy appearance in the course of PsA) in PIP joint of the 5th left finger and IP joint of the left thumb, with proximal phalangeal shortening (telescoping of finger), degenerative cyst in the head of the proximal phalanx of the 4th left finger, erosion on the lateral side of the base of the proximal phalanx of the 2nd right finger
Mentions: Typical inflammatory destructive lesions in hand and foot in PsA are as follows (Fig. 2 and 3):

Bottom Line: In this part of the paper we discuss radiographic features of the disease.The next one will address magnetic resonance imaging and ultrasonography.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Radiology Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland; Department of Diagnostic Imaging, Second Faculty, Warsaw Medical University, Warsaw, Poland.

ABSTRACT
Psoriatic arthritis is one of the spondyloarthritis. It is a disease of clinical heterogenicity, which may affect peripheral joints, as well as axial spine, with presence of inflammatory lesions in soft tissue, in a form of dactylitis and enthesopathy. Plain radiography remains the basic imaging modality for PsA diagnosis, although early inflammatory changes affecting soft tissue and bone marrow cannot be detected with its use, or the image is indistinctive. Typical radiographic features of PsA occur in an advanced disease, mainly within the synovial joints, but also in fibrocartilaginous joints, such as sacroiliac joints, and additionally in entheses of tendons and ligaments. Moll and Wright classified PsA into 5 subtypes: asymmetric oligoarthritis, symmetric polyarthritis, arthritis mutilans, distal interphalangeal arthritis of the hands and feet and spinal column involvement. In this part of the paper we discuss radiographic features of the disease. The next one will address magnetic resonance imaging and ultrasonography.

No MeSH data available.


Related in: MedlinePlus