Sarbu Mihaela Ionela, Sarbu Nicolae, Cristea Ene Doriana, Corche Daniela, Baz Radu, Negru Dragos, Nechita Aurel, Fotea Silvia, Anghel Lucretia, Tatu Alin Laurentiu
Faculty of Medicine and Pharmacy, "Dunarea de Jos" University, Galati, Romania.
Faculty of Medicine and Pharmacy, "Dunarea de Jos" University, Al. I. Cuza No 35, Galati, Romania.
Open Access Rheumatol. 2021 Dec 22;13:343-352. doi: 10.2147/OARRR.S331859. eCollection 2021.
Psoriatic arthritis is a chronic inflammatory condition that can lead to severe functional impairment and irreversible damage. The diagnosis can be difficult in early cases where the clinical exam is often scarce. The lack of a serological biomarker can lead to a considerable delay in diagnosis. In this review, we discuss the existent imaging methods that have improved the diagnosis of psoriatic arthritis (PsA). The degree and type of musculoskeletal involvement cannot be assessed by only one imaging method. We think that a combination of methods is the best approach to evaluate both structural damage and inflammatory lesions and that ultrasound (US) could be the best tool to screen a patient when considering the diagnosis of PsA. US is an accessible, non-ionizing technique that offers information regarding active inflammation in joints, entheses, and soft tissues.
银屑病关节炎是一种慢性炎症性疾病，可导致严重的功能障碍和不可逆损伤。在早期病例中，由于临床检查往往不足，诊断可能会很困难。缺乏血清学生物标志物可能导致诊断出现相当大的延迟。在本综述中，我们讨论了已改善银屑病关节炎（PsA）诊断的现有成像方法。肌肉骨骼受累的程度和类型不能仅通过一种成像方法来评估。我们认为，联合使用多种方法是评估结构损伤和炎症性病变的最佳途径，并且在考虑诊断PsA时，超声（US）可能是筛查患者的最佳工具。超声是一种可及的、非电离技术，可提供有关关节、附着点和软组织中活动性炎症的信息。
