Spondyloarthritis & psoriatic arthritis

Peritenon extensor tendon inflammation at metacarpophalangeal joints level: a valuable ultrasound finding in the differential diagnosis between psoriatic arthritis and rheumatoid arthritis?

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

PTI was found more frequently in PsA rather than in RA patients. Nevertheless, since no statistically significant difference was found between RA and PsA patients with less than 1 year of disease duration, PTI may represent an inflammatory feature of the early phases of both the diseases.

Study context

Population
Consecutive rheumatoid arthritis (RA) and psoriatic arthritis (PsA) patients with clinical involvement of at least one metacarpophalangeal (MCP) joint
Participants
69 participants
Exposure
PsA vs RA
  • PsAn = 32
  • RAn = 37reference
Outcome
US peritenon extensor tendon inflammation (PTI) at MCP joint level
Methodological detailsconsecutive patients, ultrasound (US) of 2nd–5th MCP joints, B-mode and power Doppler
  • Consecutive patients
  • US of 2nd–5th MCP joints, B-mode and power Doppler

Main finding

As reported in the abstract

PTI prevalence
  • PTI found in a significantly higher number of patients with PsA than RA

Observational data: associations, not effects.

Further findings

PTI prevalence, early disease (<1 year) (subgroup)

No statistical difference between RA and PsA

Synovitis prevalence

No statistically significant difference between RA and PsA

Original publication

Peritenon extensor tendon inflammation at metacarpophalangeal joints level: a valuable ultrasound finding in the differential diagnosis between psoriatic arthritis and rheumatoid arthritis? Clin Exp Rheumatol. Published 19 December 2024. doi:10.55563/clinexprheumatol/b90gug

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