期刊
JOURNAL OF CLINICAL MEDICINE
卷 10, 期 12, 页码 -出版社
MDPI
DOI: 10.3390/jcm10122604
关键词
dactylitis; psoriatic arthritis; ultrasound; imaging; score
Dactylitis, a common feature of PsA, is characterized by swelling of the digits and involvement of various anatomical structures. Imaging plays an important role in managing dactylitis in PsA patients and uncovering underlying mechanisms of its onset and chronicity.
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.
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