Ultrasound imaging for the rheumatologist XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis

Andrea Delle Sedie, L. Riente, E. Filippucci, C. A. Scirè, A. Iagnocco, G. Meenagh, M. Gutierrez, G. Valesini, C. Montecucco, W. Grassi, S. Bombardieri

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Psoriatic arthritis (PsA) is an arthropathy associated with psoriasis, which is part of the spondyloarthropathy family, and which may present with various forms, from mono-oligoarthritis to symmetric polyarthritis mimicking rheumatoid arthritis. In longstanding disease, the symmetric polyarthritis is the most common pattern of PsA, involving the small joints of hands, feet (the involvement of which seems to be very common, ranging from 50 to 100% of patients), wrists, ankles and knees. Other common features are represented by the inflammation of enthesis and tendons. Its exact prevalence, in Italy, should be about 30% in psoriatic subjects or 0.42% when considering the general population. The aims of our study were to investigate, by US examination, the prevalence and the features of foot involvement in PsA and to describe their correlations with clinical findings. Ultrasound (US) examinations were performed using a Logiq 9 (General Electric Medical Systems, Milwaukee, WI) equipped with a multifrequency linear probe, working at 14 MHz. One hundred and eighty feet were investigated in a total of 101 patients. Prior to US assessment, all patients underwent a clinical examination by an expert rheumatologist who recorded the presence/absence of pain, tenderness (detected by palpation and/or active or passive mobilisation of the feet) and swelling. US finding indicative of metatarsophalangeal joint inflammation were obtained in 77 (76.2%) patients, while only 34 (33.7%) patients were positive to the clinical examination. This study demonstrates that US detected a higher number of inflamed joints with respect to clinical assessment in PsA patients.

Original languageEnglish
Pages (from-to)217-222
Number of pages6
JournalClinical and Experimental Rheumatology
Volume29
Issue number2
Publication statusPublished - 2011

Fingerprint

Psoriatic Arthritis
Foot
Ultrasonography
Arthritis
Foot Joints
Hand Joints
Metatarsophalangeal Joint
Inflammation
Spondylarthropathies
Joint Diseases
Palpation
Wrist
Psoriasis
Ankle
Tendons
Italy
Rheumatologists
Rheumatoid Arthritis
Knee
Joints

Keywords

  • Arthritis
  • Foot
  • Psoriatic arthritis
  • Synovitis
  • Ultrasound

ASJC Scopus subject areas

  • Rheumatology
  • Immunology
  • Immunology and Allergy

Cite this

Delle Sedie, A., Riente, L., Filippucci, E., Scirè, C. A., Iagnocco, A., Meenagh, G., ... Bombardieri, S. (2011). Ultrasound imaging for the rheumatologist XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis. Clinical and Experimental Rheumatology, 29(2), 217-222.

Ultrasound imaging for the rheumatologist XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis. / Delle Sedie, Andrea; Riente, L.; Filippucci, E.; Scirè, C. A.; Iagnocco, A.; Meenagh, G.; Gutierrez, M.; Valesini, G.; Montecucco, C.; Grassi, W.; Bombardieri, S.

In: Clinical and Experimental Rheumatology, Vol. 29, No. 2, 2011, p. 217-222.

Research output: Contribution to journalArticle

Delle Sedie, A, Riente, L, Filippucci, E, Scirè, CA, Iagnocco, A, Meenagh, G, Gutierrez, M, Valesini, G, Montecucco, C, Grassi, W & Bombardieri, S 2011, 'Ultrasound imaging for the rheumatologist XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis', Clinical and Experimental Rheumatology, vol. 29, no. 2, pp. 217-222.
Delle Sedie, Andrea ; Riente, L. ; Filippucci, E. ; Scirè, C. A. ; Iagnocco, A. ; Meenagh, G. ; Gutierrez, M. ; Valesini, G. ; Montecucco, C. ; Grassi, W. ; Bombardieri, S. / Ultrasound imaging for the rheumatologist XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis. In: Clinical and Experimental Rheumatology. 2011 ; Vol. 29, No. 2. pp. 217-222.
@article{9be9cd67c42b41a385deffb8e3265c90,
title = "Ultrasound imaging for the rheumatologist XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis",
abstract = "Psoriatic arthritis (PsA) is an arthropathy associated with psoriasis, which is part of the spondyloarthropathy family, and which may present with various forms, from mono-oligoarthritis to symmetric polyarthritis mimicking rheumatoid arthritis. In longstanding disease, the symmetric polyarthritis is the most common pattern of PsA, involving the small joints of hands, feet (the involvement of which seems to be very common, ranging from 50 to 100{\%} of patients), wrists, ankles and knees. Other common features are represented by the inflammation of enthesis and tendons. Its exact prevalence, in Italy, should be about 30{\%} in psoriatic subjects or 0.42{\%} when considering the general population. The aims of our study were to investigate, by US examination, the prevalence and the features of foot involvement in PsA and to describe their correlations with clinical findings. Ultrasound (US) examinations were performed using a Logiq 9 (General Electric Medical Systems, Milwaukee, WI) equipped with a multifrequency linear probe, working at 14 MHz. One hundred and eighty feet were investigated in a total of 101 patients. Prior to US assessment, all patients underwent a clinical examination by an expert rheumatologist who recorded the presence/absence of pain, tenderness (detected by palpation and/or active or passive mobilisation of the feet) and swelling. US finding indicative of metatarsophalangeal joint inflammation were obtained in 77 (76.2{\%}) patients, while only 34 (33.7{\%}) patients were positive to the clinical examination. This study demonstrates that US detected a higher number of inflamed joints with respect to clinical assessment in PsA patients.",
keywords = "Arthritis, Foot, Psoriatic arthritis, Synovitis, Ultrasound",
author = "{Delle Sedie}, Andrea and L. Riente and E. Filippucci and Scir{\`e}, {C. A.} and A. Iagnocco and G. Meenagh and M. Gutierrez and G. Valesini and C. Montecucco and W. Grassi and S. Bombardieri",
year = "2011",
language = "English",
volume = "29",
pages = "217--222",
journal = "Clinical and Experimental Rheumatology",
issn = "0392-856X",
publisher = "Clinical and Experimental Rheumatology S.A.S.",
number = "2",

}

TY - JOUR

T1 - Ultrasound imaging for the rheumatologist XXXII. Sonographic assessment of the foot in patients with psoriatic arthritis

AU - Delle Sedie, Andrea

AU - Riente, L.

AU - Filippucci, E.

AU - Scirè, C. A.

AU - Iagnocco, A.

AU - Meenagh, G.

AU - Gutierrez, M.

AU - Valesini, G.

AU - Montecucco, C.

AU - Grassi, W.

AU - Bombardieri, S.

PY - 2011

Y1 - 2011

N2 - Psoriatic arthritis (PsA) is an arthropathy associated with psoriasis, which is part of the spondyloarthropathy family, and which may present with various forms, from mono-oligoarthritis to symmetric polyarthritis mimicking rheumatoid arthritis. In longstanding disease, the symmetric polyarthritis is the most common pattern of PsA, involving the small joints of hands, feet (the involvement of which seems to be very common, ranging from 50 to 100% of patients), wrists, ankles and knees. Other common features are represented by the inflammation of enthesis and tendons. Its exact prevalence, in Italy, should be about 30% in psoriatic subjects or 0.42% when considering the general population. The aims of our study were to investigate, by US examination, the prevalence and the features of foot involvement in PsA and to describe their correlations with clinical findings. Ultrasound (US) examinations were performed using a Logiq 9 (General Electric Medical Systems, Milwaukee, WI) equipped with a multifrequency linear probe, working at 14 MHz. One hundred and eighty feet were investigated in a total of 101 patients. Prior to US assessment, all patients underwent a clinical examination by an expert rheumatologist who recorded the presence/absence of pain, tenderness (detected by palpation and/or active or passive mobilisation of the feet) and swelling. US finding indicative of metatarsophalangeal joint inflammation were obtained in 77 (76.2%) patients, while only 34 (33.7%) patients were positive to the clinical examination. This study demonstrates that US detected a higher number of inflamed joints with respect to clinical assessment in PsA patients.

AB - Psoriatic arthritis (PsA) is an arthropathy associated with psoriasis, which is part of the spondyloarthropathy family, and which may present with various forms, from mono-oligoarthritis to symmetric polyarthritis mimicking rheumatoid arthritis. In longstanding disease, the symmetric polyarthritis is the most common pattern of PsA, involving the small joints of hands, feet (the involvement of which seems to be very common, ranging from 50 to 100% of patients), wrists, ankles and knees. Other common features are represented by the inflammation of enthesis and tendons. Its exact prevalence, in Italy, should be about 30% in psoriatic subjects or 0.42% when considering the general population. The aims of our study were to investigate, by US examination, the prevalence and the features of foot involvement in PsA and to describe their correlations with clinical findings. Ultrasound (US) examinations were performed using a Logiq 9 (General Electric Medical Systems, Milwaukee, WI) equipped with a multifrequency linear probe, working at 14 MHz. One hundred and eighty feet were investigated in a total of 101 patients. Prior to US assessment, all patients underwent a clinical examination by an expert rheumatologist who recorded the presence/absence of pain, tenderness (detected by palpation and/or active or passive mobilisation of the feet) and swelling. US finding indicative of metatarsophalangeal joint inflammation were obtained in 77 (76.2%) patients, while only 34 (33.7%) patients were positive to the clinical examination. This study demonstrates that US detected a higher number of inflamed joints with respect to clinical assessment in PsA patients.

KW - Arthritis

KW - Foot

KW - Psoriatic arthritis

KW - Synovitis

KW - Ultrasound

UR - http://www.scopus.com/inward/record.url?scp=79959531987&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79959531987&partnerID=8YFLogxK

M3 - Article

VL - 29

SP - 217

EP - 222

JO - Clinical and Experimental Rheumatology

JF - Clinical and Experimental Rheumatology

SN - 0392-856X

IS - 2

ER -