Seminars in Arthritis and Rheumatism
Volume 40, Issue 5 , Pages 407-412 , April 2011

Subclinical Entheseal Involvement in Patients with Psoriasis: An Ultrasound Study

  • Marwin Gutierrez, MD

      Affiliations

    • Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona, Italy
    • Corresponding Author InformationAddress reprint requests to Marwin Gutierrez, MD, Clinica Reumatologica, Università Politecnica delle Marche, Ospedale “A. Murri”, Via dei Colli, 52, 60035, Jesi, Ancona, Italy
    • ,
  • Emilio Filippucci, MD

      Affiliations

    • Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona, Italy
    • ,
  • Rossella De Angelis, MD

      Affiliations

    • Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona, Italy
    • ,
  • Fausto Salaffi, MD

      Affiliations

    • Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona, Italy
    • ,
  • Giorgio Filosa, MD

      Affiliations

    • Unità di Dermatologia, “A. Murri” Hospital, Jesi, Ancona, Italy
    • ,
  • Santiago Ruta, MD

      Affiliations

    • Servicio de Reumatología, Hospital “Gral. San Martín” de La Plata, Buenos Aires, Argentina
    • ,
  • Chiara Bertolazzi, MD

      Affiliations

    • Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona, Italy
    • ,
  • Walter Grassi, MD

      Affiliations

    • Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona, Italy

References 

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  3. Filippis LG, Caliri A, Lo Gullo R, Bartolone S, Miceli G, Cannavò SP, et al. Ultrasonography in the early diagnosis of psoriasis-associated enthesopathy. Int J Tissue React. 2005;27:159–162
  4. McGonagle D, Khan MA, Marzo-Ortega H, O'Connor P, Gibbon W, Emery P. Enthesitis in spondyloarthropathy. Curr Opin Rheumatol. 1999;11:244–250
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  8. Calin A, Mackay K, Santos H, Brophy S. A new dimension to outcome: application of the Bath Ankylosing Spondylitis Radiology Index. J Rheumatol. 1999;26:988–992
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  12. De Miguel E, Cobo T, Muñoz-Fernández S, Naredo E, Uson J, Acbes JC, et al. Validity of enthesis ultrasound assessment in spondylarthropathy. Ann Rheum Dis. 2009;68:169–174
  13. Alcalde M, Acebes JC, Cruz M, González-Hombrado L, Herrero-Beaumont G, Sánchez-Pernaute O. A sonographic enthesitic index of lower limbs is a valuable tool in the assessment of ankylosing spondylitis. Ann Rheum Dis. 2007;66:1015–1019
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  15. Lehtinen A, Taavitsainen M, Leirisalo-Repo M. Sonographic analysis of enthesopathy in the lower extremities of patients with spondylarthropathy. Clin Exp Rheumatol. 1994;12:143–148
  16. Borman P, Koparal S, Babaoğlu S, Bodur H. Ultrasound detection of entheseal insertions in the foot of patients with spondyloarthropathy. Clin Rheumatol. 2006;25:373–377
  17. Backhaus M, Burmester GR, Gerber T, Grassi W, Maschold KP, Swen WA, et al. Group for Musculoskeletal Ultrasound in the EULAR Standing Committee on International Clinical Studies including Therapeutic Trials (Guidelines for musculoskeletal ultrasound in rheumatology). Ann Rheum Dis. 2001;60:641–649
  18. Van Holsbeeck M, Introcaso J. Sonography of bursae (Musculoskeletal ultrasound). In: St. Louis (MO): Mosby Year Book; 1991;p. 91–121
  19. Joshua F, de Carle R, Rayment M, Bryant C, Shnier R, Edmonds J, et al. Power Doppler ‘blanching’ after the application of transducer pressure. Australas Radiol. 2005;49:218–221
  20. McGonagle D, Conaghan PG, Emery P. Psoriatic arthritis: A unified concept twenty years on. Arthritis Rheum. 1999;42:1080–1086
  21. Evangelisto A, Wakefield R, Emery P. Imaging in early arthritis. Best Pract Res Clin Rheumatol. 2004;18:927–943
  22. Kane D, Pathare S. Early psoriatic arthritis. Rheum Dis Clin North Am. 2005;31:641–657
  23. Tan AL, McGonagle D. Imaging of seronegative spondyloarthritis. Best Pract Res Clin Rheumatol. 2008;22:1045–1059
  24. Wakefield RJ, Green MJ, Marzo-Ortega H, Conaghan PG, Gibbon WW, McGonagle D, et al. Should oligoarthritis be reclassified? (Ultrasound reveals a high prevalence of subclinical disease). Ann Rheum Dis. 2004;63:382–385
  25. Kane D, Balint PV, Sturrock RD. Ultrasonography is superior to clinical examination in the detection and localization of knee joint effusion in rheumatoid arthritis. J Rheumatol. 2003;30:966–971
  26. Gisondi P, Tinazzi I, El-Dalati G, Gallo M, Biasi D, Barbara SM, et al. Lower limb enthesopathy in patients with psoriasis without clinical signs of arthropathy: A hospital-based case-control study. Ann Rheum Dis. 2008;67:26–30
  27. Kiris A, Kaya A, Ozgocmen S, Kocakoc E. Assessment of enthesitis in ankylosing spondylitis by power Doppler ultrasonography. Skeletal Radiol. 2006;35:522–528
  28. Kane D. The role of ultrasound in the diagnosis and management of psoriatic arthritis. Curr Rheumatol Rep. 2005;7:319–324
  29. Ozcakar L, Cetin A, Inanici F, Kaymak B, Gurer CK, Kolemen F. Ultrasonographical evaluation of the Achilles' tendon in psoriasis patients. Int J Dermatol. 2005;44:930–932
  30. De Simone C, Guerriero C, Giampetruzzi AR, Costantini M, Di Gregorio F, Amerio P. Achilles tendinitis in psoriasis: Clinical and sonographic findings. J Am Acad Dermatol. 2003;49:217–222

 The authors have no conflicts of interest to disclose.

PII: S0049-0172(10)00085-5

doi: 10.1016/j.semarthrit.2010.05.009

Seminars in Arthritis and Rheumatism
Volume 40, Issue 5 , Pages 407-412 , April 2011

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