From Psoriasis to Psoriatic Arthritis: Ultrasound Insights Connecting Psoriasis with Subclinical Musculoskeletal Inflammation and the Path to Psoriatic Arthritis.

IF 5.7 2区 医学 Q1 RHEUMATOLOGY
Current Rheumatology Reports Pub Date : 2024-07-01 Epub Date: 2024-03-21 DOI:10.1007/s11926-024-01146-9
A L Ribeiro, L Eder
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引用次数: 0

Abstract

Purpose of review: This review summarizes the literature about the transition from psoriasis to psoriatic arthritis (PsA), focusing on musculoskeletal ultrasound (MSUS) for detecting subclinical inflammation and its role in diagnosis and triage of high-risk patients.

Recent findings: MSUS effectively detects subclinical musculoskeletal inflammation in patients with psoriasis; however, some of these lesions are non-specific and can be found in healthy individuals. Preliminary evidence suggest that subclinical sonographic findings may predict progression to PsA in psoriasis patients. MSUS can also improve referrals' accuracy and its integration in the PsA classification criteria may improve early PsA detection. MSUS is a valuable tool for detecting subclinical abnormalities in psoriasis patients, which indicate an increased likelihood of progressing to PsA. Its integration into referral protocols and clinical use could improve PsA diagnosis. We propose an MSUS-inclusive algorithm for PsA referrals and triage, which requires validation. The potential of early intervention in reducing PsA progression in psoriasis patients with subclinical inflammation remains to be established.

Abstract Image

从银屑病到银屑病关节炎:将银屑病与亚临床肌肉骨骼炎症和银屑病关节炎之路联系起来的超声波洞察力。
综述目的:本综述总结了有关银屑病向银屑病关节炎(PsA)过渡的文献,重点关注肌肉骨骼超声(MSUS)检测亚临床炎症及其在诊断和分流高危患者中的作用:最近的研究结果:MSUS 可有效检测银屑病患者的亚临床肌肉骨骼炎症;但其中一些病变是非特异性的,在健康人身上也能发现。初步证据表明,亚临床超声波检查结果可预测银屑病患者的病情发展为 PsA。MSUS 还能提高转诊的准确性,将其纳入 PsA 分类标准可提高早期 PsA 的发现率。MSUS 是检测银屑病患者亚临床异常的重要工具,亚临床异常表明进展为 PsA 的可能性增加。将其纳入转诊方案和临床使用可改善 PsA 的诊断。我们提出了一种包含 MSUS 的 PsA 转诊和分诊算法,该算法需要验证。早期干预在减少亚临床炎症银屑病患者 PsA 进展方面的潜力仍有待确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.20
自引率
0.00%
发文量
41
期刊介绍: This journal aims to review the most important, recently published research in the field of rheumatology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of rheumatologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas such as the many forms of arthritis, osteoporosis and metabolic bone disease, and systemic lupus erythematosus. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.
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