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MRI in psoriatic arthritis with hand and foot involvement

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Abstract

Evaluation of MRI-findings in patients with involvement of psoriatic arthritis (PsA) in small joints in hands and feet. Twenty-five patients with symptomatic joint involvement were studied by MRI. All patients were found to be positive for one or more imaging criteria. Soft tissue oedema was identified in 22/25 (88%) patients. Joint effusion was observed in 23/25 (92%) patients, whereas bone erosion was seen in 20/25 (80%) patients. Bone marrow oedema was evident in 21/25 (84%) cases. In 12/25 (48%) cases, bone proliferation was noted. Tendon sheath effusion was present in 17/25 (68%) patients. Contrast enhancement of the synovia was detected in all patients (n = 25) (100%), whereas adjacent periost was enhanced in 22/25 (88%) and epiphysial bone marrow in 18/25 (72%) patients. MRI allows the assessment of PsA-alterations of soft tissue, cartilage, bone, bone marrow, and adjacent tendon sheath in patients with hand and foot involvement.

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References

  1. Wright V (1956) Psoriasis and arthritis. Ann Rheum Dis 15:348

    Article  PubMed  CAS  Google Scholar 

  2. Gladmann DD (1995) Criteria for psoariatic arthritis. Baillieres Clin Rheumatol 9:319

    Article  Google Scholar 

  3. Cats A (1990) Psoriasis and arthritis. Cutis 46:323

    PubMed  CAS  Google Scholar 

  4. Van Romunde LKJ, Cats A, Hermans J, Valkenberg HA, de Vries E (1984) Psoriasis and arthritis III A cross sectional comparative study of patients with psoriatic arthritis and seronegative and seropositive polyarthritis: radiological and HLA-aspects. Rheumatol Int 4:67

    Article  PubMed  Google Scholar 

  5. Gladmann DD (1997) Psoraitic arthritis. In: Kelly WN, Ruddy S, Harris ED, Sledge C (eds) Textbook of rheumatology 5th edn. WB-Saunders, Philadelphia, pp 999–1005

    Google Scholar 

  6. Scarpa R, Mathieu A (2000) Psoriatic arthritis: evolving concepts. Curr Opin Rheumatol 12:274–280

    Article  PubMed  CAS  Google Scholar 

  7. Wright V (1987) Skin and arthritis. Clin Exp Rheumatol 5(Suppl 1):75–79

    Google Scholar 

  8. Block SR (1979) Psoriatic arthritis. J Maine Med Assoc 70:326–329

    PubMed  CAS  Google Scholar 

  9. Dihlmann W (1987) Topographische Röntgendiagnostik des Gleitgewebes-Gelenke der Hand In: Gelenk-Wirbelverbindungen Dihlmann W 3. Auflage Thieme Stuttgart, pp 95–190

  10. Freyschmidt J (1993) Erkrankungen der Gelenke: Seronegative Spondarthriden. In: Freyschmidt. J Skeletterkrankungen. Springer, Berlin Heidelberg New York, pp 590–618

  11. Freyschmidt J, Freyschmidt G (1996) Rheumatische Erkrankungen: Psoriasis-pondarthritis und Psoriasisarthritis In: Freyschmidt J, Freyschmidt G Haut-, Schleimhaut-und Skeletterkrankungen SKIBO-diseases Springer, Berlin Heidelberg New York, pp 93–100

  12. McGonagle D (2005) Imaging the joint and enthesis: insights into pathogenes of psoriatic arthritis. Ann Rheum Dis 64:58–60

    Article  Google Scholar 

  13. Resnick D, YU JS, Sartoris D (1997) Imaging. In: Kelly WN, Ruddy S, Harris ED, Sledge C (eds) Textbook of rheumatology 5th edn WB-Saunders, Philadelphia, pp 626–686

    Google Scholar 

  14. Resnick D, Niwayama G (1981) Psoriatic arthritis. In: Resnick D, Niwayama G (eds) Diagnosis of bone and joint disorders. WB-Saunders, Philadelphia pp 1103–1117

    Google Scholar 

  15. Ory RA, Gladman DD, Mease PJ (2005) Psoriatic arthritis and imaging. Ann Rheum Dis 64:55–57

    Article  Google Scholar 

  16. Weishaupt D, Schweitzer ME, Alam F, Karasick D, Wapner K (1999) MR imaging of inflammatory joint diseases of the foot and ankle. Skeletal Radiol 28:663–669

    Article  PubMed  CAS  Google Scholar 

  17. Offidani A, Cellini A, Valeri G, Giovagnoni A (1998) Subclinical joint involvement in psoriasis: magnetic resonance imaging and X-ray findings. Acta Derm Venereol 78:463–465

    Article  PubMed  CAS  Google Scholar 

  18. Coari G, Iagnocco A, Mastrantuono M, De Cata A, Persia S, Passariello R et al (1994) Sonographic and NMR imaging study of sausage digit. Acta Derm Venereol 186:33–34

    CAS  Google Scholar 

  19. Giovagnomi A, Grassi W, Terilli F, Blasetti P, Paci E, Ercolani P et al (1995) MRI of the hand in psoriatic and rheumatical arhritis. Eur Radiol 5:590–595

    Google Scholar 

  20. Ostergard M, Hansen M, Stoltenberg M, Gideon P, Klarlund M, Jensen KE, Lorenzen I (1999) Magnetic resonance imaging-determined synovial marker of disease activity and a predictor of progressive joint destruction in the wrists of patients with rheumatoid arthritis. Arthritis Rheum 42:918–929

    Article  Google Scholar 

  21. Mc Queen FM, Stewart N, Crabbe J, Robinson E, Yeoman S, Tan PL, McLean (1999) Magnetic resonance imaging of the wrist in early rheumatoid arthritis reveals progression of erosions despite clinical improvement. Ann Rheum Dis 58:156–163

    Article  CAS  Google Scholar 

  22. Yalcin B, Yalcin S (1999) Psoriatic arthritis and magnetic resonance imaging. Acta Derm Venereol 79:407

    Article  PubMed  CAS  Google Scholar 

  23. Wassenberg S, Fischer-Kahle V, Herborn G, Rau R (2001) A method to score radiographic change in psoriatic arthritis. Z Rheumatol 60:156–166

    Article  PubMed  CAS  Google Scholar 

  24. Olivieri I, Padula A, Favaro L, Pierro A, Oranges GS, Ferri S (1995) Dactylitis with pitting oedema of the hand in longstanding ankylosing spondylitis. Clin Rheumatol 14:701–704

    Article  PubMed  CAS  Google Scholar 

  25. Olivieri I, Barozzi L, Pierro A, De Matteis M, Padula A, Pavlica P (1997) Toe dactylitis in patients with spondylarthropathy: assessment by magnetic resonance imaging. J Rheumatol 24:926–930

    PubMed  CAS  Google Scholar 

  26. Olivieri I, Salvarani C, Cantini F et al (2002) Fast spin echo-T2-weighted se-quences with fat saturation in dactylitis of spondyloarthritis. No evidence of en-theseal involvement of the flexor digitorum tendons. Arthritis Rheum 46:2964–2967

    Article  PubMed  Google Scholar 

  27. Totterman SM (2004) Magnetic resonance imaging of psoriatic arthritis: insight from traditional and three-dimensional analysis. Curr Rheumatol Rep 6:317–321

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Radiology, University Hospital Freiburg, Hugstetter Strasse 55, Freiburg, 79106, Germany

    Nadir Ghanem, Markus Uhl, Gregor Pache, Thorsten Bley & Mathias Langer

  2. Department of Rheumatology and Immunology, University Hospital Freiburg, Hugstetter Strasse 55, Freiburg, 79106, Germany

    Ulrich A. Walker

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  1. Nadir Ghanem
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  2. Markus Uhl
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  3. Gregor Pache
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  4. Thorsten Bley
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  5. Ulrich A. Walker
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  6. Mathias Langer
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Correspondence to Nadir Ghanem.

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Ghanem, N., Uhl, M., Pache, G. et al. MRI in psoriatic arthritis with hand and foot involvement. Rheumatol Int 27, 387–393 (2007). https://doi.org/10.1007/s00296-006-0220-6

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  • DOI: https://doi.org/10.1007/s00296-006-0220-6

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