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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

Oblique X-ray shows a calcaneal spur (detailed evalutation on lateral radiograph), calcification adjacent to the outline of the navicular bone, degenerative changes of the forefoot
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Figure 0006: Oblique X-ray shows a calcaneal spur (detailed evalutation on lateral radiograph), calcification adjacent to the outline of the navicular bone, degenerative changes of the forefoot

Mentions: Entheses involvement is even regarded as the hallmark of peripheral spondyloarthritis, including PsA. Enthesopathic features include: mineralized scars and bony proliferative changes, erosions, cysts in enthesis bony part. Such changes are most frequently seen in the Achilles tendon and plantar aponeurosis entheses at the calcaneum as well as at sites of tendinous and ligamentous attachments around the pelvis(8, 16, 20–22). According to Tan and McGonagle enthesophytes in SpA are of greater size than those of mechanical origin (Fig. 6).


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

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

Oblique X-ray shows a calcaneal spur (detailed evalutation on lateral radiograph), calcification adjacent to the outline of the navicular bone, degenerative changes of the forefoot
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0006: Oblique X-ray shows a calcaneal spur (detailed evalutation on lateral radiograph), calcification adjacent to the outline of the navicular bone, degenerative changes of the forefoot
Mentions: Entheses involvement is even regarded as the hallmark of peripheral spondyloarthritis, including PsA. Enthesopathic features include: mineralized scars and bony proliferative changes, erosions, cysts in enthesis bony part. Such changes are most frequently seen in the Achilles tendon and plantar aponeurosis entheses at the calcaneum as well as at sites of tendinous and ligamentous attachments around the pelvis(8, 16, 20–22). According to Tan and McGonagle enthesophytes in SpA are of greater size than those of mechanical origin (Fig. 6).

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