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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.
Value of ultrasound-assessed dactylitis in the early diagnosis of psoriatic arthritis.
Semin Arthritis Rheum
February 2025
Department of Rheumatology and Joint and Bone Research Unit. Fundación Jiménez Díaz University Hospital and Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Autonomous University of Madrid, Madrid, Spain. Electronic address:
Purpose: The primary objective of this prospective, longitudinal, observational, single-centre study was to evaluate the association between ultrasound-assessed lesions of dactylitis and the diagnosis of psoriatic arthritis (PsA) in patients with psoriasis (PsO) and hand arthralgia.
Methods: We included adult patients diagnosed with PsO with hand arthralgia, with or without other musculoskeletal complaints. They were clinically assessed at baseline, 6 and 12 months by a rheumatologist blinded to the ultrasound findings.
Association of enthesitis with severity of psoriasis in psoriatic arthritis: an observational study.
Rheumatol Int
December 2024
Department of Dermatovenereology Sestre milosrdnice University Hospital Center, Vinogradska 29, Zagreb, HR-10 000, Croatia.
Article Synopsis
- The study investigates the relationship between psoriasis severity and clinical features of psoriatic arthritis (PsA) in a real-world clinical setting, as previous connections between the two have been unclear.
- Seventy-six adult patients with both psoriasis and PsA were assessed for various clinical measures, including joint tenderness, swelling, and enthesitis, using standard evaluation metrics.
- The results showed no significant link between psoriasis severity (PASI) and most PsA variables, except a moderate correlation with enthesitis, suggesting that higher psoriasis severity may indicate more enthesitis presence, especially in older patients.
Trigger finger - Poor outcome of surgery associated with younger age, pain, psoriatic arthritis and atopic disease.
Ups J Med Sci
October 2024
Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Article Synopsis
- Trigger finger, a common hand condition causing painful finger locking, is linked to factors like diabetes and rheumatoid diseases; this study aimed to evaluate 139 patients who had surgery for it and assess outcomes one year later.
- Findings revealed that a younger age, high preoperative pain, psoriatic arthritis, and atopic disease significantly correlated with poorer surgical outcomes; however, range of motion didn't impact results.
- Overall, better pre-surgery hand function and lower pain levels contributed to more favorable outcomes after surgery for trigger finger.
Disease disclosure in the workplace in people living with rheumatic diseases: an exploratory study.
Reumatismo
October 2024
Psychology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Pavia.
Article Synopsis
- - The study focused on the disclosure of rheumatic musculoskeletal diseases (RMDs) in the workplace, highlighting that these conditions can lead to frequent absenteeism and productivity loss, but not much is known about how patients choose to disclose their conditions.
- - Conducted through an online survey in Italy, the research found that 81.2% of working patients with RMDs disclosed their condition, and identified significant predictors of disclosure such as the visibility of the disease, type of work, general disclosure behaviors, and family support.
- - Results indicated that patients with psoriatic arthritis were more likely to disclose their condition, while those with fibromyalgia were less likely, and overall, shorter disease duration correlated with higher disclosure rates
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