Enthesopathy as early manifestation in psoriatic arthritis

Background: Despite the progress made in the study of psoriasis and psoriatic arthritis, their early diagnosis and treatment for practicing physicians continue to be a difficult problem. Material and methods: 100 people were examined, including 70 patients with psoriatic arthritis aged between 18...

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主要な著者: Eugeniu Russu, Liliana Groppa, Lia Chislari, Victor Cazac, Svetlana Agachi
フォーマット: 論文
言語:English
出版事項: Scientific Medical Association of Moldova 2022-09-01
シリーズ:The Moldovan Medical Journal
主題:
オンライン・アクセス:https://moldmedjournal.md/wp-content/uploads/2022/08/moldovan-med-j-2022-65-1-russu-et-al-full-text.pdf
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author Eugeniu Russu
Liliana Groppa
Lia Chislari
Victor Cazac
Svetlana Agachi
author_facet Eugeniu Russu
Liliana Groppa
Lia Chislari
Victor Cazac
Svetlana Agachi
author_sort Eugeniu Russu
collection DOAJ
description Background: Despite the progress made in the study of psoriasis and psoriatic arthritis, their early diagnosis and treatment for practicing physicians continue to be a difficult problem. Material and methods: 100 people were examined, including 70 patients with psoriatic arthritis aged between 18 and 60 years (23 men and 47 women), admitted to the rheumatology and arthrology departments of the Timofei Mosneaga Republican Clinical Hospital 2019-2022 (Favorable opinion of the Committee for Research Ethics, No 21 of 21.12.2019). The control group included 30 people with rheumatoid arthritis. Results: Ultrasound signs of damage to the joint structures were detected, such as synovitis (p=0.26), cartilage changes (p=0.433), enthesopathy (p=0.980) and tenosynovitis, statistically significant differences (p=0.800). Magnetic resonance imaging determined that fluid was the predominant symptom in frequency (n=13, 92.86%), including in the small joints of the hands (n=1, 100%) and feet (n=2, 100%). Conclusions: In large joints, the proliferation of the synovial membrane was detected in 51.67% of the joints and had predominantly high echogenicity. At small joints, synovial proliferation with predominantly low echogenicity occurred only in 6.1% of the joints.
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spelling doaj.art-9827034b5dc14299a1e304a5beec5bda2022-12-22T02:18:49ZengScientific Medical Association of MoldovaThe Moldovan Medical Journal2537-63732537-63812022-09-016512430https://doi.org/10.52418/moldovan-med-j.65-1.22.04Enthesopathy as early manifestation in psoriatic arthritisEugeniu Russu0https://orcid.org/0000-0001-8957-8471Liliana Groppa1https://orcid.org/0000-0002-3097-6181Lia Chislari2https://orcid.org/0000-0002-7088-568XVictor Cazac3https://orcid.org/0000-0001-9293-4481Svetlana Agachi4https://orcid.org/0000-0002-2569-7188Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaNicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaNicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaNicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaNicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaBackground: Despite the progress made in the study of psoriasis and psoriatic arthritis, their early diagnosis and treatment for practicing physicians continue to be a difficult problem. Material and methods: 100 people were examined, including 70 patients with psoriatic arthritis aged between 18 and 60 years (23 men and 47 women), admitted to the rheumatology and arthrology departments of the Timofei Mosneaga Republican Clinical Hospital 2019-2022 (Favorable opinion of the Committee for Research Ethics, No 21 of 21.12.2019). The control group included 30 people with rheumatoid arthritis. Results: Ultrasound signs of damage to the joint structures were detected, such as synovitis (p=0.26), cartilage changes (p=0.433), enthesopathy (p=0.980) and tenosynovitis, statistically significant differences (p=0.800). Magnetic resonance imaging determined that fluid was the predominant symptom in frequency (n=13, 92.86%), including in the small joints of the hands (n=1, 100%) and feet (n=2, 100%). Conclusions: In large joints, the proliferation of the synovial membrane was detected in 51.67% of the joints and had predominantly high echogenicity. At small joints, synovial proliferation with predominantly low echogenicity occurred only in 6.1% of the joints.https://moldmedjournal.md/wp-content/uploads/2022/08/moldovan-med-j-2022-65-1-russu-et-al-full-text.pdfpsoriatic arthritisenthesopathyultrasound
spellingShingle Eugeniu Russu
Liliana Groppa
Lia Chislari
Victor Cazac
Svetlana Agachi
Enthesopathy as early manifestation in psoriatic arthritis
The Moldovan Medical Journal
psoriatic arthritis
enthesopathy
ultrasound
title Enthesopathy as early manifestation in psoriatic arthritis
title_full Enthesopathy as early manifestation in psoriatic arthritis
title_fullStr Enthesopathy as early manifestation in psoriatic arthritis
title_full_unstemmed Enthesopathy as early manifestation in psoriatic arthritis
title_short Enthesopathy as early manifestation in psoriatic arthritis
title_sort enthesopathy as early manifestation in psoriatic arthritis
topic psoriatic arthritis
enthesopathy
ultrasound
url https://moldmedjournal.md/wp-content/uploads/2022/08/moldovan-med-j-2022-65-1-russu-et-al-full-text.pdf
work_keys_str_mv AT eugeniurussu enthesopathyasearlymanifestationinpsoriaticarthritis
AT lilianagroppa enthesopathyasearlymanifestationinpsoriaticarthritis
AT liachislari enthesopathyasearlymanifestationinpsoriaticarthritis
AT victorcazac enthesopathyasearlymanifestationinpsoriaticarthritis
AT svetlanaagachi enthesopathyasearlymanifestationinpsoriaticarthritis