Radiographic assessment of psoriatic arthritis (PsA)

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Tipo de produção
bookPart
Data de publicação
2016
DOI
Scopus
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Editora
SPRINGER INTERNATIONAL PUBLISHING
Autores
ROSA, J.
SORIANO, E. R.
Citação
Rosa, J.; Sampaio-Barros, P. D.; Soriano, E. R.. Radiographic assessment of psoriatic arthritis (PsA). In: . PSORIATIC ARTHRITIS AND PSORIASIS: PATHOLOGY AND CLINICAL ASPECTS, v.217: SPRINGER INTERNATIONAL PUBLISHING, 2016. p.173-187.
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Resumo
Radiographs are accessible, inexpensive and safe, and therefore remain the generally accepted means for imaging assessment of joint disease in PsA. Radiographs can help in making a diagnosis of PsA, are useful in differentiating PsA from other diseases, and have been used as an outcome measure in the clinical trials and observational studies in PsA. Although there are not specifi c radiographic features in PsA, there are some typical characteristics that are very useful, and should prompt the physician to think about PsA. These are discussed and described in this chapter, and include: predilection for the distal interphalangeal (DIP) joints of the hands and interphalangeal joint of the great toe, the absence of juxtaarticular osteopenia, the presence of large erosions with bony proliferation (pencil-in-cup image), the presence of osteolysis and ankylosis (sometimes in the same hand or fi nger), periostitis, and the presence of enthesal erosions and calcifi cations. We also discuss the importance of baseline radiographs in disease prognosis, and the different radiographs scoring methods that have been validated for use in PsA clinical trials and observational studies. © Springer International Publishing Switzerland 2016.
Palavras-chave
Psoriatic arthritis, Radiographic assessment, X-Rays
URI
https://observatorio.fm.usp.br/handle/OPI/51251
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Coleções
Livros e Capítulos de Livros - HC/ICHC
Livros e Capítulos de Livros - LIM/17