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牛皮和牛皮关节炎中的指甲超声波-一个叙述性评论

Mihaela Agache^1,2, Claudiu C Popescu^1,2, Luminița Enache^1,2

¹Department of Internal Medicine and Rheumatology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Diagnostics (Basel, Switzerland)

|July 14, 2023

概括

爪子超声波显示了牛皮性关节炎 (PsA) 评估的潜力,在PsA患者中观察到肌厚度增加和形态变化. 然而,其临床应用仍然具有挑战性.

科学领域:

类风湿病学类风湿病学
医疗成像医学成像

背景情况:

牛皮关节炎 (PsA) 评估从超声波评估关节,内,肌,皮肤和指甲的能力中受益.
指甲超声波虽然有望用于早期炎症检测,但由于需要高频探针,其临床应用有限.

研究的目的:

在过去五年 (2018-2023) 中,叙述性地评估指甲超声波在诊断和监测PsA中的价值.
评估指甲超声波在评估指甲形态,功率多普勒 (PD) 信号和相邻结构,特别是延伸器肠炎中的实用性.

主要方法:

2018年2月至2023年2月期间发表的研究的叙事综述.
在PubMed和Web of Science上进行了搜索,使用关键词:牛皮关节炎,牛皮,超声波和指甲.
纳入标准集中在报告指甲形态,PD评估,附近结构评估和指甲扩展器肠炎的研究上.

主要成果:

在患有牛皮或PsA的患者中,共同的形态参数升高,并且对药物反应良好.
在PsA和牛皮患者中,延伸肌的厚度更大,与结症等指甲变化相关.
在健康个体中注意到了动力多普勒信号的变化,肠炎和指甲参与之间的联系仍在争论中.

结论:

爪子超声波显示PsA患者的形态变化和肌厚度增加,这可以受到药物的影响.
指甲超声波在PsA的诊断和监测实用性,特别是指甲和DIP肠炎,需要进一步的研究.
尽管面临挑战,但指甲超声波具有非侵入性PsA评估的潜力,因此需要继续进行调查.

关键词:

爪子内膜炎爪子内膜炎是指指甲内膜炎.牛皮是一种牛皮.牛皮关节炎牛皮关节炎超声波超声波是指超声波的使用.

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