Psoriasis X-ray: Difference between revisions
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(Created page with "__NOTOC__ {{Psoriasis}} {{CMG}} {{AE}}{{HK}} ==Overview== ==X-Ray== Key X-ray findings in psoriatic arthriris include: **Enthesitis and marginal bone erosions **"Pencil-in-...") |
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==X-Ray== | ==X-Ray== | ||
Key X-ray findings in psoriatic arthriris include: | *Key X-ray findings in psoriatic arthriris include:<ref name="pmid23493653">{{cite journal |vauthors=Sankowski AJ, Lebkowska UM, Cwikła J, Walecka I, Walecki J |title=Psoriatic arthritis |journal=Pol J Radiol |volume=78 |issue=1 |pages=7–17 |year=2013 |pmid=23493653 |pmc=3596149 |doi=10.12659/PJR.883763 |url=}}</ref><ref name="pmid24566842">{{cite journal |vauthors=Mease PJ, Armstrong AW |title=Managing patients with psoriatic disease: the diagnosis and pharmacologic treatment of psoriatic arthritis in patients with psoriasis |journal=Drugs |volume=74 |issue=4 |pages=423–41 |year=2014 |pmid=24566842 |pmc=3958815 |doi=10.1007/s40265-014-0191-y |url=}}</ref><ref name="pmid23430715">{{cite journal |vauthors=Haddad A, Chandran V |title=Arthritis mutilans |journal=Curr Rheumatol Rep |volume=15 |issue=4 |pages=321 |year=2013 |pmid=23430715 |doi=10.1007/s11926-013-0321-7 |url=}}</ref> | ||
**Enthesitis and marginal bone erosions | **Enthesitis and marginal bone erosions | ||
**"Pencil-in-cup" deformities | **"Pencil-in-cup" deformities | ||
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**Periostitis: may appear as a periosteal layer of new bone, or as irregular thickening of the cortex itself | **Periostitis: may appear as a periosteal layer of new bone, or as irregular thickening of the cortex itself | ||
**Dactylitis: which can present as a “sausage digit” which refers to soft tissue swelling of a whole digit | **Dactylitis: which can present as a “sausage digit” which refers to soft tissue swelling of a whole digit | ||
**Arthritis mutilans: a severe form of either | **Arthritis mutilans: a severe form of either psoriatic arthritis caused by marked bony resorption and the consequent collapse of soft tissue; when this affects the hands, it can cause a phenomenon sometimes referred to as "telescoping fingers" | ||
**Ivory phalanx: classically involving the distal phalanx of the great toe | **Ivory phalanx: classically involving the distal phalanx of the great toe | ||
**Sacroiliitis: often asymmetrical | **Sacroiliitis: often asymmetrical |
Revision as of 20:09, 16 June 2017
Psoriasis Microchapters |
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Psoriasis X-ray On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
X-Ray
- Key X-ray findings in psoriatic arthriris include:[1][2][3]
- Enthesitis and marginal bone erosions
- "Pencil-in-cup" deformities
- Interphalangeal ankylosis may be present.
- Bone proliferation results in an irregular, “fuzzy” appearance to the bone around the affected joint
- Periostitis: may appear as a periosteal layer of new bone, or as irregular thickening of the cortex itself
- Dactylitis: which can present as a “sausage digit” which refers to soft tissue swelling of a whole digit
- Arthritis mutilans: a severe form of either psoriatic arthritis caused by marked bony resorption and the consequent collapse of soft tissue; when this affects the hands, it can cause a phenomenon sometimes referred to as "telescoping fingers"
- Ivory phalanx: classically involving the distal phalanx of the great toe
- Sacroiliitis: often asymmetrical
- Spondylitis: asymmetric paravertebral ossifications and relative sparing of the facet joints
References
- ↑ Sankowski AJ, Lebkowska UM, Cwikła J, Walecka I, Walecki J (2013). "Psoriatic arthritis". Pol J Radiol. 78 (1): 7–17. doi:10.12659/PJR.883763. PMC 3596149. PMID 23493653.
- ↑ Mease PJ, Armstrong AW (2014). "Managing patients with psoriatic disease: the diagnosis and pharmacologic treatment of psoriatic arthritis in patients with psoriasis". Drugs. 74 (4): 423–41. doi:10.1007/s40265-014-0191-y. PMC 3958815. PMID 24566842.
- ↑ Haddad A, Chandran V (2013). "Arthritis mutilans". Curr Rheumatol Rep. 15 (4): 321. doi:10.1007/s11926-013-0321-7. PMID 23430715.