作者: Lazaros I. Sakkas , Ioannis Alexiou , Theodora Simopoulou , Marianna Vlychou
DOI: 10.1016/J.SEMARTHRIT.2013.04.005
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摘要: Abstract Objectives It is increasingly recognized that enthesitis in patients with psoriatic arthritis (PsA) of clinical importance. We review data on the detection, assessment, and treatment its related dactylitis PsA. Methods searched Pubmed search terms or psoriasis combination enthesitis, enthesopathy, treatment, imaging. Results One hundred fifty-seven papers were selected. Enthesitis occurs frequently PsA may be asymptomatic painful. can also affect patient's function quality life. New imaging modalities, such as ultrasonography magnetic resonance imaging, have revealed initial osteoarticular inflammatory site indices been developed should incorporated trials. Dactylitis, a characteristic frequent manifestation tender not prognostic disease progression. Treatment includes non-steroidal anti-inflammatory drugs, classical DMARDs, adjunctive local steroid injections. In inadequate response, TNFα inhibitors are used. Conclusions important manifestations PsA, their evaluation used drug trials practice.