Foot involvement in psoriatic arthritis: Prevalence, clinical and radiological features.
| Title: | Foot involvement in psoriatic arthritis: Prevalence, clinical and radiological features. |
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| Authors: | Gassara Z; Rheumatology Department, Hedi Chaker Hospital, Sfax, Tunisia. Electronic address: gasszouhour@gmail.com.; Feki A; Rheumatology Department, Hedi Chaker Hospital, Sfax, Tunisia.; Hakim Z; Faculty of Medicine of Sfax, Sfax, Tunisia.; Ben Djmeaa S; Rheumatology Department, Hedi Chaker Hospital, Sfax, Tunisia.; Abid C; Rheumatology Department, Hedi Chaker Hospital, Sfax, Tunisia.; Kallel MH; Rheumatology Department, Hedi Chaker Hospital, Sfax, Tunisia.; Fourati H; Rheumatology Department, Hedi Chaker Hospital, Sfax, Tunisia.; Baklouti S; Rheumatology Department, Hedi Chaker Hospital, Sfax, Tunisia. |
| Source: | Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2024 Aug; Vol. 30 (6), pp. 465-470. Date of Electronic Publication: 2024 Mar 21. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier Ltd Country of Publication: France NLM ID: 9609647 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1460-9584 (Electronic) Linking ISSN: 12687731 NLM ISO Abbreviation: Foot Ankle Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: [London] : Elsevier Ltd.; Original Publication: Paris : Arnette Blackwell, c1996- |
| MeSH Terms: | Arthritis, Psoriatic*/diagnostic imaging ; Arthritis, Psoriatic*/complications ; Arthritis, Psoriatic*/epidemiology ; Radiography*; Foot Diseases/diagnostic imaging ; Foot Diseases/epidemiology ; Foot Joints/diagnostic imaging ; Foot/diagnostic imaging ; Humans ; Male ; Cross-Sectional Studies ; Female ; Middle Aged ; Adult ; Prevalence ; Aged |
| Abstract: | Background: The purpose of this study was to evaluate the prevalence of foot involvement in psoriatic arthritis and to describe its different clinical and radiological features.; Patients and Methods: We conducted a cross sectional study including 40 patients with psoriatic arthritis over a period of 12 months. Anamnesis, clinical examination of feet, podoscopic examination, X-rays of feet and heels, and ultrasound in B mode and power Doppler mode were done for each patient.; Results: Foot involvement was found in 95% of cases. It was symptomatic in 70% and inaugural of the disease in 20% of cases. The hindfoot and the forefoot were the sites most affected (77.5% and 47.5% respectively). The involvement of the midfoot was rarer (25%). Dactylitis was found in 17.5% and deformities of forefoot were found in 22.5% of cases. Antalgic gait was noted in 17.5% and static disorders of foot at podoscopic examination were identified in 35% of cases. Feet dermatological manifestations were found in 45% of cases. Diagnosis of different rheumatological manifestations was based on clinical findings and caracteristic radiological images on X-rays. We demonstrate he sensitivity of ultrasound in the detection and the diagnosis of different foot lesions including enthesitis, synovitis and tenosynovitis, dactylitis, bone erosions and psoriatic nail dystrophy.; (Copyright © 2024 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.) |
| Competing Interests: | Declaration of Competing Interest The authors whose names are listed certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. |
| Contributed Indexing: | Keywords: Dactylitis; Enthesitis; Foot; Psoriasis; Psoriatic arthritis; Ultrasound |
| Entry Date(s): | Date Created: 20240327 Date Completed: 20240815 Latest Revision: 20240815 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.fas.2024.03.006 |
| PMID: | 38538387 |
| Database: | MEDLINE |
Journal Article