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X-ray diagnosis of mutilating arthritis in patients with psoriatic arthritis Smirnov A.V.

https://doi.org/10.14412/1996-7012-2014-2-90-94

Abstract

The typical X-ray symptoms of psoriatic arthritis (PsA) in joints of hands and distal sections of feet (asymmetric lesions; isolated lesion of distal interphalangeal joints (DIJ) of hands with no changes in other small joints of hands; axial lesion of three joints in a single finger; transverse lesion of joints of the hand at the same level; destruction of distal phalanges; narrowing of the distal epiphysis of hand finger phalanges and metacarpal bones; cup-shaped deformity of the proximal portion of hand finger phalanges and narrowing of distal epiphysis; osseous ankyloses; multiple osteolytic lesions and destruction of bone epiphysis and joint deformities; inflammatory changes in the sacroiliac joints; and typical degenerative changes in the spine) are described. It is especially important to know X-ray manifestations of PsA when there are no typical cutaneous manifestations of psoriasis. 

About the Author

A.V. Smirnov
ФГБУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой» РАМН, Москва, Россия
Russian Federation


References

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2. Resnick D, Niwayama G. Diagnosis of Bone and Joint Disorders. Philadelphia: W.B. Saunders Company; 1981; 906 p.

3. Taylor W, Gladman D, Helliwell P, et al. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006;54(8):2665–73. DOI: http://dx.doi.org/10.1002/art.21972.

4. Смирнов АВ. Дифференциальная рентгенологическая диагностика поражения суставов кисти при ревматических заболеваниях. Consilium medicum. 2005;7(2):76–83. [Smirnov AV. Differential radiological diagnostics of damage of joints of a brush at rheumatic diseases. Consilium medicum. 2005;7(2):76–83. (In Russ.)]

5. Смирнов АВ. Рентгенологическая диагностика изменений в костях и суставах стоп при ревматических заболеваниях. Consilium medicum. 2005;7(8):608–13. [Smirnov AV. Radiological diagnostics of changes in bones and joints of feet at rheumatic diseases. Consilium medicum. 2005;7(8):608–13. (In Russ.)]

6. Смирнов АВ. Рентгенологическая диагностика ревматических заболеваний. В кн.: Ревматология. Национальное руководство. Под ред. В.А. Насоновой, Е.Л. Насонова. Москва: ГЭОТАР-Медиа; 2008; 714 с. [Smirnov AV. Radiological diagnostics of rheumatic diseases. In: Revmatologiya. Natsional'noe rukovodstvo [Rheumatology. National Guide]. Ed by Nasonova VA, Nasonov EL. Moscow: GEOTAR-Media; 2008; 714 p.]


Review

For citations:


Smirnov A. X-ray diagnosis of mutilating arthritis in patients with psoriatic arthritis Smirnov A.V. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2014;8(2):90-94. (In Russ.) https://doi.org/10.14412/1996-7012-2014-2-90-94

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ISSN 1996-7012 (Print)
ISSN 2310-158X (Online)