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Enthesitis and Dactylitis in Psoriatic Disease: A Guide for Dermatologists.
- Source :
-
American journal of clinical dermatology [Am J Clin Dermatol] 2018 Dec; Vol. 19 (6), pp. 839-852. - Publication Year :
- 2018
-
Abstract
- Psoriatic arthritis (PsA) is an inflammatory arthritis that is estimated to affect approximately 30% of patients with psoriasis. Enthesitis and dactylitis, two hallmarks of PsA, are associated with radiographic peripheral/axial joint damage and severe disease. Clinical symptoms of enthesitis include tenderness, soreness, and pain at entheses on palpation, whereas dactylitis is recognized by swelling of an entire digit that is different from adjacent digits. Both ultrasound and magnetic resonance imaging can be used to diagnose enthesitis and dactylitis, especially in patients in whom symptoms may be difficult to discern. Delayed treatment of PsA can result in irreversible joint damage and reduced quality of life. Thus, it is recommended that dermatologists monitor patients with psoriasis for these two early and important manifestations of PsA.
- Subjects :
- Antirheumatic Agents therapeutic use
Dermatology standards
Enthesopathy drug therapy
Enthesopathy etiology
Finger Joint pathology
Humans
Magnetic Resonance Imaging
Practice Guidelines as Topic
Quality of Life
Toe Joint pathology
Treatment Outcome
Ultrasonography
Arthritis, Psoriatic complications
Dermatology methods
Enthesopathy diagnostic imaging
Finger Joint diagnostic imaging
Toe Joint diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1179-1888
- Volume :
- 19
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- American journal of clinical dermatology
- Publication Type :
- Academic Journal
- Accession number :
- 30117018
- Full Text :
- https://doi.org/10.1007/s40257-018-0377-2