Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 May;50(4):556-560.
doi: 10.1002/jcu.23170. Epub 2022 Mar 2.

Psoriatic arthritis: Ultrasound peculiarities with particular emphasis on enthesitis

Ferdinando Draghi  1   2 , Guia Ferrozzi  3   4 , Daniela Ballerini  5 , Chandra Bortolotto  5
Affiliations
Review

Psoriatic arthritis: Ultrasound peculiarities with particular emphasis on enthesitis

Ferdinando Draghi et al. J Clin Ultrasound. 2022 May.

Abstract

The prevalence of psoriatic arthritis among patients with psoriasis has a marked variability with ethnic and geographic variations. Inflammatory changes associated with psoriatic arthritis include bone erosion, tenosynovitis, and synovial hypertrophy, but enthesitis is considered the hallmark. Both X-ray and magnetic resonance imaging (MRI) are usefull in the diagnosis of psoriatic arthritis, but ultrasonography is the best imaging modality to assess entheses. Ultrasound findings of enthesitis include a loss of the regular fibrillar architecture, hypoechoic thickening, hypervascularization of tendons, ligaments, and joint capsules at their bony attachment, bony changes (including irregularities and erosions). Ultrasound has also proved the ability to detect inflammatory subclinical findings and to be useful in the follow-up of therapies.

Keywords: Enthesis; Enthesitis; calcification; psoriatic arthritis; ultrasound.

PubMed Disclaimer

References

REFERENCES

    1. Benedek TG. Psoriasis and psoriatic arthropathy, historical aspects: part I. J Clin Rheumatol. 2013;19:193-198.
    1. Vilanova X, Pinol J. Psoriasis arhtopathica. Rheumatism. 1951;7:197-208.
    1. Gladman DD, Shuckett R, Russell ML, Thorne JC, Schachter RK. Psoriatic arthritis - clinical and laboratory analysis of 220 patients. Quart J Med. 1987;62:127-141.
    1. Gladman DD, Thavaneswaran A, Chandran V, Cook RJ. Do patients with psoriatic arthritis who present early fare better than those presenting later in the disease? Ann Rheum Dis. 2011;70:2152-2154.
    1. Haroon M, Gallagher P, Fitzgerald O. Diagnostic delay of more than 6 months contributes to poor radiographic and functional outcome in psoriatic arthritis. Ann Rheum Dis. 2015;74:1045-1050.

MeSH terms

LinkOut - more resources