Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging

Journal of Clinical Medicine

卷:10

Annamaria Iagnocco¹  Alen Zabotti²  Ivan Giovannini²  Nicolò Girolimetto³  Niccolò Possemato³  Pierluigi Macchioni³  Rebecca McConnell⁴  Dennis McGonagle⁵  Gabriele De Marco⁵  Gloria Crepaldi⁶  Ilaria Tinazzi⁷ 

[1]Academic Rheumatology Centre, Dipartimento di Scienze Cliniche e Biologiche, Università degli Studi di Torino, 10043 Turin, Italy

[2]|Department of Medical and Biological Sciences, Institute of Rheumatology, University Hospital ‘Santa Maria della Misericordia’, 33100 Udine, Italy

[3]|Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy

[4]|Department of Surgical Sciences, Università degli Studi di Torino, 10124 Turin, Italy

[5]|NIHR Leeds Biomedical Research Centre, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Chapel Allerton Hospital, Leeds LS7 4SA, UK

[6]|SSD Reumatologia, AO Ordine Mauriziano di Torino, 10128 Turin, Italy

[7]|Unit of Rheumatology, IRCSS Ospedale Sacro Cuore Don Calabria, 27024 Negrar di Valpolicella, Italy

关键词: dactylitis;    psoriatic arthritis;    ultrasound;    imaging;    score;   

DOI  :  10.3390/jcm10122604

来源: DOAJ

【 摘 要 】

Dactylitis, one of the most typical features of psoriatic arthritis (PsA), is the diffuse swelling of the digits and is determined by the involvement of different anatomic structures, including: the subcutaneous fibrous tissue “accessory pulley” system; flexor tendons, with their related structures; the articular synovium; the small enthesis of the hands. Dactylitis is currently considered both a marker of disease activity and severe prognosis and its importance in PsA is emphasized by the inclusion in the classification criteria of PsA. This review focuses on the role of imaging in the management of PsA patients with dactylitis in clinical practice and in a research setting. Furthermore, imaging could be a valuable tool to assist in unravelling some of the underlying mechanisms of the onset and chronicization of dactylitis in PsA patients.

【 授权许可】

Unknown