Diagnostic imaging of psoriatic arthritis

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Presentation transcript:

Diagnostic imaging of psoriatic arthritis Diagnostic imaging of psoriatic arthritis. Part I: etiopathogenesis, classifications and radiographic features DOI: 10.15557/JoU.2016.0007 Polyarticular PsA in 32 y.o. female, X-rays, A. DIP joints of the 2–4 fingers of the left hand: bony ankylosis of the DIP joint of the 4th finger; B. the left wrist region: soft tissue swelling, radiocarpal, midcarpal and carpometacarpal joint space narrowing, osteolysis (fluffy apperacance, arrow) of the first metacarpal's base, indistinct outline of the ulnar styloid; C. right forefoot, AP at the top, oblique at the bottom: MTP 5 joint space narrowing, erosions of the medial part of the great toe's proximal phalanx and lateral aspect of the 5th metatarsal's head, osteolysis and erosion in a few interphalangeal joint with concomitant ankylosis of the DIP 2 and 3 joints, degenerative changes in the 1st MCP joint; D. AP of the pelvis: ill-defined articular surface in the anterior part of the right sacroiliac joint with marked subchondral bone osteosclerosis, within the left joint partial and simultaneous widening and narrowing of the joint space (erosions and early ankylosis), image indicative of bilateral sacroiliitis, grade 2 on the right side, grade 3 on the left side