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Aims: ultrasound (US) diagnosis of enthesitis is burdened of low specificity, especially when it is performed in patients with psoriasis (PsO) but without clinical psoriatic arthritis (PsA), because of mechanical, dysmetabolic and age-related concurrent enthesopatic changes. We propose a novel US score to quantify the cortical-entheseal bone remodeling burden of several peripheral entheses, aiming to improve the specificity of US for PsA-related enthesitis, and to evaluate its diagnostic value in PsO patients with subsequent diagnosis of psoriatic arthritis (PsO/PsA).
Methods: clinical and US data of 119 consecutive patients with moderate/severe PsO and nonspecific musculoskeletal symptoms, were included in this retrospective study.
Ultrasonography for the assessment of enthesitis in psoriatic arthritis: systematic review with meta-analysis.
Rheumatology (Oxford)
December 2024
Rheumatology Unit, Pitié-Salpêtrière University Hospital, AP-HP, Paris, France.
Introduction: The specificity of ultrasonography (US) for enthesitis in psoriatic arthritis (PsA) is unclear. The objective was to analyze the specificity of US enthesitis in Mode B and using Power Doppler (PD), for the diagnosis of PsA through a systematic review with meta-analysis.
Methods: Systematic review in PubMed 2010-June 2023, of studies of adult patients with confirmed PsA with or without a control group of non-PsA patients, reporting information on US enthesitis.
Single-Centre Analysis of Magnetic Resonance Imaging of Sacroiliac Joints in a Paediatric Population.
J Clin Med
November 2024
Department of Pediatrics, Faculty of Medicine, Andrzej Frycz Modrzewski Krakow University, Gustawa Herlinga-Grudzińskiego 1, 30-705 Krakow, Poland.
Sacroiliitis in children is usually connected with one of the subtypes of juvenile idiopathic arthritis (JIA), such as enthesitis-related arthritis, psoriatic arthritis, or undifferentiated arthritis. The main diagnostic method is magnetic resonance imaging (MRI) of the sacroiliac joints, which can reveal bone marrow edema (BME) as a sign of an active inflammation process. This research aimed to retrospectively investigate the associations between the clinical presentation, laboratory test results, and MRI results of the sacroiliac joints of children.
View Article and Find Full Text PDFUltrasound of the Foot and Ankle in Peripheral Spondyloarthritis.
Semin Musculoskelet Radiol
December 2024
Department of Radiology, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
Article Synopsis
- Seronegative spondyloarthritis (SpA) encompasses various types of arthritis, including ankylosing spondylitis, psoriatic arthritis, and others, mainly affecting appendicular joints like the feet and ankles.
- Imaging, particularly magnetic resonance imaging (MRI) and ultrasound (US), is crucial for diagnosing peripheral seronegative SpA, revealing features like enthesitis and synovitis.
- US is not only cost-effective and easily applicable in outpatient settings but also helps in monitoring inflammation and guiding procedures like biopsies and steroid injections.
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