Psoriasis X-ray: Difference between revisions
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==Overview== | ==Overview== | ||
There are no X-ray findings associated with psoriasis. However, X-ray can be used to diagnose [[psoriatic arthritis]], which may lead to | There are no X-ray findings associated with psoriasis. However, X-ray can be used to diagnose [[psoriatic arthritis]], which may lead to [[bone]] erosion and characteristic "pencil in cup" deformities. It may also lead to [[periostitis]], [[dactylitis]], or arthritis mutilans. | ||
==X-Ray== | ==X-Ray== | ||
There are no X-ray findings associated with psoriasis. However, it can be used to diagnose [[psoriatic arthritis]], which may lead to | There are no X-ray findings associated with psoriasis. However, it can be used to diagnose [[psoriatic arthritis]], which may lead to [[bone]] erosion and characteristic "pencil in cup" deformities. | ||
*Key X-ray findings in [[psoriatic arthritis]] 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> | *Key X-ray findings in [[psoriatic arthritis]] 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> | ||
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**[[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: It may lead to "telescoping of fingers" caused by marked bony resorption and the subsequent collapse of soft tissue | **[[Arthritis]] mutilans: It may lead to "telescoping of fingers" caused by marked bony resorption and the subsequent collapse of soft tissue | ||
**Asymmetrical | **Asymmetrical [[sacroiliitis]] | ||
**[[Spondylitis]]: Asymmetric paravertebral ossifications and relative sparing of the facet joints | **[[Spondylitis]]: Asymmetric paravertebral ossifications and relative sparing of the facet joints | ||
Revision as of 17:52, 7 August 2017
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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
There are no X-ray findings associated with psoriasis. However, X-ray can be used to diagnose psoriatic arthritis, which may lead to bone erosion and characteristic "pencil in cup" deformities. It may also lead to periostitis, dactylitis, or arthritis mutilans.
X-Ray
There are no X-ray findings associated with psoriasis. However, it can be used to diagnose psoriatic arthritis, which may lead to bone erosion and characteristic "pencil in cup" deformities.
- Key X-ray findings in psoriatic arthritis include:[1][2][3]
- Enthesitis and marginal bone erosions
- "Pencil-in-cup" deformities
- Interphalangeal ankylosis may be found
- Bone proliferation leads to inflammatory bone spur formation around the affected joints
- Periostitis: Appears 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: It may lead to "telescoping of fingers" caused by marked bony resorption and the subsequent collapse of soft tissue
- Asymmetrical sacroiliitis
- 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.