Detection of asymptomatic enthesopathy ‎by ultrasonography in psoriatic patient

Abu-Alhail, Alaa Hasan; Kadhim, Mohammed Abd; Qasem, Ali Shaker

doi:10.52573/ipmj.2024.141055

	Detection of asymptomatic enthesopathy ‎by ultrasonography in psoriatic patient
Iraqi Postgraduate Medical Journal
Article 12, Volume 23, Issue 4, October 2024, Pages 450-455 PDF (296.6 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2024.141055
Authors
Alaa Hasan Abu-Alhail; Mohammed Abd kadhim^* ; Ali Shaker Qasem
Al-Imamian Al-Kadhimyian medical city - Baghdad- Iraq
Abstract
Background: The psoriatic arthritis considered a commonest related systemic ‎symptom of psoriasis and asymmetric oligoarthritis of the smaller joints of the feet ‎and hands being the major presentation. ‎ Aim of the study: to study value of musculoskeletal (MSK) ultrasonography of ‎small enthesis of the hands in detection of asymptomatic enthesopathies in patient ‎with psoriasis. ‎ Patients and Methods: This is a cross-sectional analytic study included 35patients ‎of either gender (16 Male, 19 Female) with confirmed diagnosis of psoriasis. The high-‎resolution MSK ultrasound assessment was performed and three entheses of hand ‎‎(EDP, FDS, and EPB) were scanned in longitudinal and axial planes‎ Results: MSK ultrasonography of hand entheses shows enthesitis in 68.5% of ‎psoriatic patients and 43.8% of total entheses sites.‎ The most frequently involved enthesis site was proximal insertion of Extensor ‎digitorum communis tendon (EDC) followed by proximal insertion of FDS and EPB ‎tendons. The ultrasound element of hypoechogenicity was the most frequently ‎noticed followed by enthesophytes, calcification, entheseal thickening, least likely ‎seen parameter was bony erosion. No power Doppler vascularity was seen in all ‎examined enthesis sites.‎ Conclusions: Ultrasound examination of functional entheses at hand level is a ‎useful tool in detection of subclinical abnormalities of psoriatic arthropathy. ‎Ultrasound images can clearly documented elementary component of ‎enthesopathy inform of hypoechogenicity, calcification, tendon thickening ‎enthesophyte, and bony entheseal erosions.‎
Keywords
enthesopathy,,; ,،ultrasonography,,; ,،psoriatic.‎

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