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Detection of asymptomatic enthesopathy ‎by ultrasonography in psoriatic patient

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Document Type : Research Paper

Abstract

Background: The psoriatic arthritis considered a commonest related systemic ‎symptom of psoriasis and asymmetric oligoarthritis of the smaller joints of the feet ‎and hands being the major presentation. ‎
Aim of the study: to study value of musculoskeletal (MSK) ultrasonography of ‎small enthesis of the hands in detection of asymptomatic enthesopathies in patient ‎with psoriasis. ‎
Patients and Methods: This is a cross-sectional analytic study included 35patients ‎of either gender (16 Male, 19 Female) with confirmed diagnosis of psoriasis. The high-‎resolution MSK ultrasound assessment was performed and three entheses of hand ‎‎(EDP, FDS, and EPB) were scanned in longitudinal and axial planes‎
Results: MSK ultrasonography of hand entheses shows enthesitis in 68.5% of ‎psoriatic patients and 43.8% of total entheses sites.‎
The most frequently involved enthesis site was proximal insertion of Extensor ‎digitorum communis tendon (EDC) followed by proximal insertion of FDS and EPB ‎tendons. The ultrasound element of hypoechogenicity was the most frequently ‎noticed followed by enthesophytes, calcification, entheseal thickening, least likely ‎seen parameter was bony erosion. No power Doppler vascularity was seen in all ‎examined enthesis sites.‎

Conclusions: Ultrasound examination of functional entheses at hand level is a ‎useful tool in detection of subclinical abnormalities of psoriatic arthropathy. ‎Ultrasound images can clearly documented elementary component of ‎enthesopathy inform of hypoechogenicity, calcification, tendon thickening ‎enthesophyte, and bony entheseal erosions.‎

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References
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Iraqi Postgraduate Medical Journal
Volume 23, Issue 4
October 2024
Page 450-455
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