Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic study
Abstract Background We aimed at screening for subclinical psoriatic arthritis (PsA) among psoriatic patients without musculoskeletal complaints using ultrasonography of the lower limbs and finding the best predictor for its development. Results Subclinical inflammatory articular affection was found...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-11-01
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| Series: | Egyptian Rheumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43166-022-00158-6 |
| _version_ | 1811329079139368960 |
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| author | Sherine Mahmoud El-Sherif Tamer Gaweesh Rasha Mahmoud Genedy |
| author_facet | Sherine Mahmoud El-Sherif Tamer Gaweesh Rasha Mahmoud Genedy |
| author_sort | Sherine Mahmoud El-Sherif |
| collection | DOAJ |
| description | Abstract Background We aimed at screening for subclinical psoriatic arthritis (PsA) among psoriatic patients without musculoskeletal complaints using ultrasonography of the lower limbs and finding the best predictor for its development. Results Subclinical inflammatory articular affection was found by ultrasound in 33 patients, among whom 26 had psoriatic nail affection. According to CASPAR criteria, those 26 patients could be diagnosed as PsA (subclinical). The only statistically significant difference between psoriatic patients with PsA and those without was the mean quadriceps tendon thickness as well as the presence of enthesophytes and bilateral quadriceps thickening. The best and only predictor for subclinical PsA was the presence of enthesophytes. Conclusion Ultrasound was more sensitive than clinical examination in detecting subclinical psoriatic arthritis which is highly prevalent in patients with psoriasis even in the absence of manifest arthritic complaints. The best and only predictor for subclinical PsA was the presence of enthesophytes. |
| first_indexed | 2024-04-13T15:37:29Z |
| format | Article |
| id | doaj.art-57d66f93e4bb4b3ea20ec6df29d7cae1 |
| institution | Directory Open Access Journal |
| issn | 1110-161X 2090-3235 |
| language | English |
| last_indexed | 2024-04-13T15:37:29Z |
| publishDate | 2022-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Rheumatology and Rehabilitation |
| spelling | doaj.art-57d66f93e4bb4b3ea20ec6df29d7cae12022-12-22T02:41:14ZengSpringerOpenEgyptian Rheumatology and Rehabilitation1110-161X2090-32352022-11-014911910.1186/s43166-022-00158-6Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic studySherine Mahmoud El-Sherif0Tamer Gaweesh1Rasha Mahmoud Genedy2Department of Physical Medicine, Rheumatology, and Rehabilitation, Faculty of Medicine, Alexandria UniversityDepartment of Diagnostic Radiology, Faculty of Medicine, Alexandria UniversityDepartment of Dermatology, Faculty of Medicine, Alexandria UniversityAbstract Background We aimed at screening for subclinical psoriatic arthritis (PsA) among psoriatic patients without musculoskeletal complaints using ultrasonography of the lower limbs and finding the best predictor for its development. Results Subclinical inflammatory articular affection was found by ultrasound in 33 patients, among whom 26 had psoriatic nail affection. According to CASPAR criteria, those 26 patients could be diagnosed as PsA (subclinical). The only statistically significant difference between psoriatic patients with PsA and those without was the mean quadriceps tendon thickness as well as the presence of enthesophytes and bilateral quadriceps thickening. The best and only predictor for subclinical PsA was the presence of enthesophytes. Conclusion Ultrasound was more sensitive than clinical examination in detecting subclinical psoriatic arthritis which is highly prevalent in patients with psoriasis even in the absence of manifest arthritic complaints. The best and only predictor for subclinical PsA was the presence of enthesophytes.https://doi.org/10.1186/s43166-022-00158-6Subclinical psoriatic arthritisPsoriasisMusculoskeletal ultrasoundEnthesitisGlasgow Ultrasound Enthesitis Scoring System |
| spellingShingle | Sherine Mahmoud El-Sherif Tamer Gaweesh Rasha Mahmoud Genedy Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic study Egyptian Rheumatology and Rehabilitation Subclinical psoriatic arthritis Psoriasis Musculoskeletal ultrasound Enthesitis Glasgow Ultrasound Enthesitis Scoring System |
| title | Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic study |
| title_full | Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic study |
| title_fullStr | Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic study |
| title_full_unstemmed | Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic study |
| title_short | Diagnosis of subclinical psoriatic arthritis in patients with psoriasis using CASPAR criteria: a sonographic study |
| title_sort | diagnosis of subclinical psoriatic arthritis in patients with psoriasis using caspar criteria a sonographic study |
| topic | Subclinical psoriatic arthritis Psoriasis Musculoskeletal ultrasound Enthesitis Glasgow Ultrasound Enthesitis Scoring System |
| url | https://doi.org/10.1186/s43166-022-00158-6 |
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