Musculoskeletal Ultrasound in Monitoring Clinical Response to Treatment in Acute Symptomatic Psoriatic Dactylitis: Results from a Multicentre Prospective Observational Study.

dactylitis flexor tenosynovitis psoriatic arthritis soft tissue odema ultrasound

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
27 Sep 2020
Historique:
received: 22 09 2020
accepted: 25 09 2020
entrez: 30 9 2020
pubmed: 1 10 2020
medline: 1 10 2020
Statut: epublish

Résumé

This observational and prospective study evaluated the clinical correlations of sonographic lesions in consecutive psoriatic arthritis (PsA) dactylitis cases. Eighty-three dactylitic digits were evaluated clinically and sonographically before treatment and at one-month (T1) and three-month (T3) follow-up. Clinical evaluation included the Leeds Dactylitis Index-basic (LDI-b) score and the visual analogue scales for pain (VAS-p) and functional impairment (VAS-FI). High-frequency ultrasound with grey scale (GS) and power Doppler (PD) assessed flexor tenosynovitis (FT), soft tissue oedema (STO), extensor tendon paratenonitis, and joint synovitis. There was a statistically significant correlation between the clinical parameters (VAS-p, VAS-FI, and LDI-b) and FT and STO at T1 and T3. We found statistically significant improvement in FT and STO for the cases with clinically meaningful treatment responses (

Identifiants

pubmed: 32992634
pii: jcm9103127
doi: 10.3390/jcm9103127
pmc: PMC7601129
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Nicolò Girolimetto (N)

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, 80138 Naples, Italy.
Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.

Pierluigi Macchioni (P)

Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.

Niccolò Possemato (N)

Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.

Ilaria Tinazzi (I)

Unit of Rheumatology, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Negrar, Italy.

Vittoria Bascherini (V)

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, 80138 Naples, Italy.

Giorgia Citriniti (G)

Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.

Rebecca McConnell (R)

Neurosciences Center, Bronson Health Group, Kalamazoo, MI 49007, USA.

Antonio Marchetta (A)

Unit of Rheumatology, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Negrar, Italy.

Rosario Peluso (R)

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, 80138 Naples, Italy.

Vincenzo Sabbatino (V)

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, 80138 Naples, Italy.

Carlo Salvarani (C)

Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.
Rheumatology Unit, University of Modena and Reggio Emilia, 41121 Modena, Italy.

Raffaele Scarpa (R)

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, 80138 Naples, Italy.

Luisa Costa (L)

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, 80138 Naples, Italy.

Francesco Caso (F)

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, 80138 Naples, Italy.

Classifications MeSH