Document Detail

Ultrasound and power Doppler evaluation of the hand and wrist in patients with psoriatic arthritis.
MedLine Citation:
PMID:  16134314     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the ability of high-resolution and power Doppler sonography in detecting joint and tendon abnormalities in patients with psoriatic arthritis (PsA) of the hands and wrists compared with clinical and radiological findings. MATERIAL AND METHODS: Thirty-six patients with psoriatic arthritis of the hands and wrists and 10 healthy controls were examined with ultrasound (US). The degree of synovial proliferation, tenosynovitis, presence of joint effusion as well as the vascularity of synovial tissue was estimated. US findings were scored using a newly devised scoring system. RESULTS: Thirty-two patients had articular synovial proliferation and/or tenosynovitis/ tendinitis or joint effusion in one or more joints according to US. Twenty-two patients had tendon changes; only five had joint effusion. The synovial, Doppler, and total articular-teno scores were all significantly correlated to the number of swollen joints. The scores, however, did not correlate to other clinical or laboratory measurements of disease activity. CONCLUSION: US proved effective in demonstrating PsA involvement of the hands and wrists and was more sensitive than clinical examination in detecting pathology. Long-term follow-up studies are needed to evaluate whether this can change the traditional approach for assessing involvement of joints and tendons in PsA.
J Milosavljevic; U Lindqvist; A Elvin
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Acta radiologica (Stockholm, Sweden : 1987)     Volume:  46     ISSN:  0284-1851     ISO Abbreviation:  Acta Radiol     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-09-01     Completed Date:  2005-10-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706123     Medline TA:  Acta Radiol     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  374-85     Citation Subset:  IM    
Department of Oncology, Radiology and Clinical Immunology, Uppsala University Hospital, Uppsala, Sweden.
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MeSH Terms
Arthritis, Psoriatic / diagnosis*
Finger Joint / ultrasonography
Hand / radiography,  ultrasonography*
Middle Aged
Reference Values
Sensitivity and Specificity
Tendons / ultrasonography
Tenosynovitis / diagnosis
Ultrasonography, Doppler / methods*
Wrist Joint / radiography,  ultrasonography*

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