Department of Medical and Biological Sciences, Rheumatology Clinic, University of Udine, Italy.
Department of Rheumatology, Medical University of Vienna, Austria.
Clin Exp Rheumatol. 2018 Jul-Aug;36(4):519-525. Epub 2018 Jul 19.
Ultrasound is playing an increasingly important role in the differential diagnosis and monitoring of rheumatoid arthritis (RA) and psoriatic arthritis (PsA). This technique is more sensitive and specific than clinical examination to detect active synovitis, and the identification of specific synovitis patterns enable differentiation of PsA from RA and other entities. Ultrasound verified inflammation changes along with clinical improvement during therapy, and ultrasound was shown to predict future clinical and structural outcomes thus complementing the clinical risk assessment of patients. In the present review, we summarised the scientific evidence published in 2017 focussing on the use of ultrasonography for clinically relevant and pragmatic aspects of diagnosis and management of RA and PsA.
超声在类风湿关节炎（RA）和银屑病关节炎（PsA）的鉴别诊断和监测中发挥着越来越重要的作用。与临床检查相比，该技术对检测活动性滑膜炎更敏感、更特异，对特定滑膜炎模式的识别有助于区分 PsA 与 RA 和其他疾病。超声可验证治疗过程中炎症变化与临床改善情况，并且可预测未来的临床和结构结局，从而补充患者的临床风险评估。在本综述中，我们总结了 2017 年发表的关于超声在 RA 和 PsA 的诊断和管理的临床相关和实用方面的科学证据。
