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616.72-002:616.517]:616-091.8 (1) |
Нервная система. Невропатология. Неврология (469) |
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SM ISO690:2012 DUTCA, Lucia, GROPPA, Liliana, ROTARU, Larisa, NISTOR, Alesea, BEŢIU, Mircea. Osteoarticular comorbidity in patients with psoriasic arthritis. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 178. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.72-002:616.517]:616-091.8 | ||||||
Pag. 178-178 | ||||||
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Introduction. More than half of patients with APs have at least one comorbidity, up to 40% of patients with more than three comorbidities. Objective of the study was to evaluate the relationship of comorbid pathology with the clinical and ultrasound characteristics of the evolution of psoriatic arthritis to optimize patient management tactics. Material and methods. A batch of 92 patients with psoriatic arthritis, selected according to the CASPAR (2006) diagnostic criteria, was selected. The patients were treated in the rheumatology and arthrology departments of the Republican Clinical Hospital „Timofei Moșneaga” and Municipal Clinical Hospital „St Trinity”. Result. During the clinical examination, it was found that the JPC (joints pain counts) of the upper (74/736, 10.1%) and lower (71/552, 12.9%) limbs did not differ significantly (χ 2 = 2.489, p = 0.115). At the same time, the JSC (joints swollen counts) of the lower limbs (43/552, 7.8%) was significantly higher than the upper one (15/736, 2.04%) (χ 2 = 24.267, p < 0.001). According to ultrasound data, the number of joints examined was 228/1288 (17.7%), the number of swollen joints – 90/1288 (6.9%), which was 39.5% among the detected synovitis (90 / 228). The number of enthesitis was 661/4968 (13.3%), of which 19.4% (128/661) of the entheses were vascularized. The number of confirmed enthesitis was 876/4968 (17.6%). Conclusions. Joint ultrasound showed the frequency of vascularized synovitis of large joints (52.6% compared to 44.4%, p > 0.05); when evaluating the enthesal vascularization, the frequency of SMI + vascularized entheses was significantly higher than Power-Doppler + (33.3% compared to 17.1%, p < 0.001). |
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Cuvinte-cheie psoriatic arthritis, joint ultrasonography, artrita psoriazică, ultrasonografia articulară |
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