Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging
Dactylitis, one of the most typical features of psoriatic arthritis (PsA), is the diffuse swelling of the digits and is determined by the involvement of different anatomic structures, including: the subcutaneous fibrous tissue “accessory pulley” system; flexor tendons, with their related structures;...
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MDPI AG
2021-06-01
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author | Nicolò Girolimetto Ivan Giovannini Gloria Crepaldi Gabriele De Marco Ilaria Tinazzi Niccolò Possemato Pierluigi Macchioni Rebecca McConnell Dennis McGonagle Annamaria Iagnocco Alen Zabotti |
author_facet | Nicolò Girolimetto Ivan Giovannini Gloria Crepaldi Gabriele De Marco Ilaria Tinazzi Niccolò Possemato Pierluigi Macchioni Rebecca McConnell Dennis McGonagle Annamaria Iagnocco Alen Zabotti |
author_sort | Nicolò Girolimetto |
collection | DOAJ |
description | Dactylitis, one of the most typical features of psoriatic arthritis (PsA), is the diffuse swelling of the digits and is determined by the involvement of different anatomic structures, including: the subcutaneous fibrous tissue “accessory pulley” system; flexor tendons, with their related structures; the articular synovium; the small enthesis of the hands. Dactylitis is currently considered both a marker of disease activity and severe prognosis and its importance in PsA is emphasized by the inclusion in the classification criteria of PsA. This review focuses on the role of imaging in the management of PsA patients with dactylitis in clinical practice and in a research setting. Furthermore, imaging could be a valuable tool to assist in unravelling some of the underlying mechanisms of the onset and chronicization of dactylitis in PsA patients. |
first_indexed | 2024-03-10T10:27:09Z |
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institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T10:27:09Z |
publishDate | 2021-06-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
spelling | doaj.art-3e595c95f6974464a928cce4269bf9902023-11-21T23:53:56ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011012260410.3390/jcm10122604Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance ImagingNicolò Girolimetto0Ivan Giovannini1Gloria Crepaldi2Gabriele De Marco3Ilaria Tinazzi4Niccolò Possemato5Pierluigi Macchioni6Rebecca McConnell7Dennis McGonagle8Annamaria Iagnocco9Alen Zabotti10Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyDepartment of Medical and Biological Sciences, Institute of Rheumatology, University Hospital ‘Santa Maria della Misericordia’, 33100 Udine, ItalySSD Reumatologia, AO Ordine Mauriziano di Torino, 10128 Turin, ItalyNIHR Leeds Biomedical Research Centre, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Chapel Allerton Hospital, Leeds LS7 4SA, UKUnit of Rheumatology, IRCSS Ospedale Sacro Cuore Don Calabria, 27024 Negrar di Valpolicella, ItalyDepartment of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyDepartment of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyDepartment of Surgical Sciences, Università degli Studi di Torino, 10124 Turin, ItalyNIHR Leeds Biomedical Research Centre, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Chapel Allerton Hospital, Leeds LS7 4SA, UKAcademic Rheumatology Centre, Dipartimento di Scienze Cliniche e Biologiche, Università degli Studi di Torino, 10043 Turin, ItalyDepartment of Medical and Biological Sciences, Institute of Rheumatology, University Hospital ‘Santa Maria della Misericordia’, 33100 Udine, ItalyDactylitis, one of the most typical features of psoriatic arthritis (PsA), is the diffuse swelling of the digits and is determined by the involvement of different anatomic structures, including: the subcutaneous fibrous tissue “accessory pulley” system; flexor tendons, with their related structures; the articular synovium; the small enthesis of the hands. Dactylitis is currently considered both a marker of disease activity and severe prognosis and its importance in PsA is emphasized by the inclusion in the classification criteria of PsA. This review focuses on the role of imaging in the management of PsA patients with dactylitis in clinical practice and in a research setting. Furthermore, imaging could be a valuable tool to assist in unravelling some of the underlying mechanisms of the onset and chronicization of dactylitis in PsA patients.https://www.mdpi.com/2077-0383/10/12/2604dactylitispsoriatic arthritisultrasoundimagingscore |
spellingShingle | Nicolò Girolimetto Ivan Giovannini Gloria Crepaldi Gabriele De Marco Ilaria Tinazzi Niccolò Possemato Pierluigi Macchioni Rebecca McConnell Dennis McGonagle Annamaria Iagnocco Alen Zabotti Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging Journal of Clinical Medicine dactylitis psoriatic arthritis ultrasound imaging score |
title | Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging |
title_full | Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging |
title_fullStr | Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging |
title_full_unstemmed | Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging |
title_short | Psoriatic Dactylitis: Current Perspectives and New Insights in Ultrasonography and Magnetic Resonance Imaging |
title_sort | psoriatic dactylitis current perspectives and new insights in ultrasonography and magnetic resonance imaging |
topic | dactylitis psoriatic arthritis ultrasound imaging score |
url | https://www.mdpi.com/2077-0383/10/12/2604 |
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