Ultrasound entheseal abnormalities at the distal interphalangeal joints and clinical nail involvement in patients with psoriasis and psoriatic arthritis, supporting the nail-enthesitis theory

Abstract Objective It has been shown that nail involvement in psoriasis is associated with systemic enthesopathy. Our objective was to evaluate the association of nail involvement and enthesopathy at distal interphalangeal joint (DIP) level in psoriasis (PsO) and psoriatic arthritis (PsA) patients....

Full description

Saved in:
Bibliographic Details
Published in:Seminars in arthritis and rheumatism 2017-12, Vol.47 (3), p.338-342
Main Authors: Acosta-Felquer, Maria Laura, Ruta, Santiago, Rosa, Javier, Marin, Josefina, Ferreyra-Garrot, Leandro, Galimberti, Maria Laura, Galimberti, Ricardo, Garcia-Monaco, Ricardo, Soriano, Enrique R
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis, Psoriatic - complications
Cross-Sectional Studies
Enthesopathy - complications
Enthesopathy - diagnostic imaging
Female
Finger Joint - diagnostic imaging
Finger Joint - pathology
Hand joint
Humans
Logistic Models
Male
Middle Aged
Nail abnormality
Nail Diseases - complications
Nail Diseases - diagnosis
Nails - pathology
Physical Examination
Psoriasis
Psoriasis - complications
Psoriatic arthritis
Rheumatology
Sensitivity and Specificity
Ultrasonography
Ultrasound
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective It has been shown that nail involvement in psoriasis is associated with systemic enthesopathy. Our objective was to evaluate the association of nail involvement and enthesopathy at distal interphalangeal joint (DIP) level in psoriasis (PsO) and psoriatic arthritis (PsA) patients. Methods consecutive patients (54 PsO and 56 PsA) seen at the outpatients clinic in this cross sectional study were included. All patients underwent both clinical and ultrasound (US) assessment on the same day. Results US revealed enthesopathy in at least one DIP joint in 9 patients with PsO (17%; 95% CI: 8–29%) and in 18 patients with PsA (32 %; 95%CI: 20–46%). US extensor tendon enthesopathy was detected in a higher proportion of fingers with clinical nail involvement compared with fingers without clinical nail involvement, both in PsO and PsA patients (61.2% vs 16.8%, p
ISSN:0049-0172
1532-866X
DOI:10.1016/j.semarthrit.2017.05.002