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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

Foot radiograph of the 42 y.o. male patient with PsA, AP on the left, oblique on the right: osteoporosis, well-difined area of the decreased bone density in the medial part of the big toe's proximal phalanx, uneven outline of the big toe's distal bony phalanx with inflammatory cysts and medial erosion, increased bone density of the distal phalanx of the big toe (ivory phalanx)
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Figure 0003: Foot radiograph of the 42 y.o. male patient with PsA, AP on the left, oblique on the right: osteoporosis, well-difined area of the decreased bone density in the medial part of the big toe's proximal phalanx, uneven outline of the big toe's distal bony phalanx with inflammatory cysts and medial erosion, increased bone density of the distal phalanx of the big toe (ivory phalanx)

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)

Foot radiograph of the 42 y.o. male patient with PsA, AP on the left, oblique on the right: osteoporosis, well-difined area of the decreased bone density in the medial part of the big toe's proximal phalanx, uneven outline of the big toe's distal bony phalanx with inflammatory cysts and medial erosion, increased bone density of the distal phalanx of the big toe (ivory phalanx)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Foot radiograph of the 42 y.o. male patient with PsA, AP on the left, oblique on the right: osteoporosis, well-difined area of the decreased bone density in the medial part of the big toe's proximal phalanx, uneven outline of the big toe's distal bony phalanx with inflammatory cysts and medial erosion, increased bone density of the distal phalanx of the big toe (ivory phalanx)
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