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[Psoriatic osteoarthropathy from the current viewpoint].

H Holzmann

    Zeitschrift Fur Hautkrankheiten
    |December 15, 1985
    PubMed
    Summary

    Bone scintigraphy significantly enhances detection of psoriatic osteoarthropathy in patients, revealing early and extra-articular manifestations missed by traditional methods.

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    Area of Science:

    • Nuclear Medicine
    • Rheumatology
    • Dermatology

    Background:

    • Psoriatic patients often experience osteoarthropathy, a condition affecting joints and bones.
    • Clinical and radiological methods have limitations in fully assessing the extent of psoriatic bone involvement.

    Purpose of the Study:

    • To evaluate the efficacy of scintigraphic techniques, particularly bone scintigraphy, in diagnosing psoriatic osteoarthropathy.
    • To determine the frequency, dimension, and valence of bone changes in psoriatic patients.

    Main Methods:

    • Bone scintigraphy was applied to a group of unselected psoriatic patients.
    • Findings were compared with clinical and radiological investigations.

    Main Results:

    • Bone scintigraphy detected psoriatic osteoarthropathy in up to 90% of cases.
    • Clinical and radiological methods identified only 7% of incidences.
    • Scintigraphy revealed early and extra-articular manifestations, including in the skull, long bones, ribs, and phalanges.

    Conclusions:

    • Bone scintigraphy is a highly sensitive tool for detecting psoriatic osteoarthropathy.
    • Scintigraphy offers superior detection of polytopical and early-stage bone involvement compared to conventional methods.
    • The technique aids in identifying extra-articular manifestations of psoriatic bone disease.

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