[Imaging of psoriatic arthritis and aspects of radiographic progression]. / Bildgebung bei der Psoriasisarthritis und Aspekte der röntgenologischen Progression.
Z Rheumatol
; 79(1): 40-52, 2020 Feb.
Article
em De
| MEDLINE
| ID: mdl-31822993
ABSTRACT
Psoriatic arthritis (PsA) is a heterogeneous multifactorial disease with musculoskeletal involvement, which can be manifested as monoarthritis, oligoarthritis or polyarthritis and in some patients can also affect the axial skeleton. The most frequent indications of inflammation are bone marrow edema and enthesitis. The early and differential diagnosis of PsA is a clinical challenge, particularly as a differential diagnosis from other inflammatory or degenerative diseases of joints. Inflammatory joint and tendon alterations in the region of the extremities and the spine can be visualized with high sensitivity by the use of magnetic resonance imaging (MRI), musculoskeletal sonography (US) and fluorescence optical imaging (FOI). The use of MRI has a prognostic value with respect to the further radiographic course of the disease, particularly in the initial stages of the disease. Structural damage can be specifically and also partially demonstrated 3dimensionally in peripheral joints and the spine by the use of computed tomography (CT) and conventional Xray imaging. High-resolution peripheral quantitative CT (HR-pQCT) in particular, can visualize pathophysiological processes and the morphological consequences even in early stages of the disease. The values of conventional Xray diagnostics, CT, MRI, musculoskeletal US and alternative imaging procedures are presented with respect to the diagnostics and prognosis of the progression of patients with PsA.
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MEDLINE
Assunto principal:
Artrite Psoriásica
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De
Ano de publicação:
2020
Tipo de documento:
Article