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Articolul urmator |
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Ultima descărcare din IBN: 2022-06-08 11:30 |
SM ISO690:2012 RUSSU, Eugen, CAZAC, Victor, CHIŞLARI, Lia, ROTARU, Larisa. Studiul spectrului clinic al artritei psoriazice precoce. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 258. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 258-258 | ||||||
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Background. Psoriatic arthritis (APs) occupies a special place in the range of severe diseases, because it significantly affects the quality of life and functional status. This is due to the fact that it is based on chronic inflammatory processes and is often manifested by erosiveness and marked disabilities. Objective of the study. To characterize the clinical pattern of early psoriatic arthritis (PsA). Material and Methods. We studied 47 consecutive patients: 29 had definite PsA and 18 had the "sine psoriasis" subset. All patients underwent clinical examination, blood tests, total-body bone scintigraphy, articular ultrasonography, and radiography of clinically involved joints and/or entheses. Results. On the basis of clinical examination, early PsA was an oligo-enthesoarthritis in over 75% of patients studied. In contrast, the number of joints and/or entheses showing increased tracer uptake on bone scintigraphy was 3 times greater, compared to the clinical evidence (p < 0.001). Articular ultrasonography confirmed the inflammatory involvement of synovium and/or entheses in all articular sites active at time of bone scintigraphy, but silent at clinical examination. In addition, 7 patients showed the occurrence of joint and/or entheseal erosions on standard radiography. Conclusion. Our results suggest that clinical oligo-enthesoarthritic presentation of early PsA might represent in most cases a polyarticular condition that is at increased risk for clinical progression. |
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Cuvinte-cheie early diagnosis, psoriatic arthritis, diagnostic precoce, artrita psoriazică |
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