https://doi.org/10.4081/reumatismo.2019.1146

Occult axial involvement in patients with psoriatic arthritis mutilans: a case report

Vol. 71 No. 2 (2019)
Submitted: 21 March 2018
Accepted: 6 September 2018
Published: 9 July 2019
Psoriatic arthritis, arthritis mutilans, axial involvement, magnetic resonance imaging.
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Authors

F.M. Perrotta
http://orcid.org/0000-0003-3771-5205
Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy.
S. Scriffignano
Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy.
A. De Socio
Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy.
E. Lubrano
enniolubrano@hotmail.com
http://orcid.org/0000-0001-6189-5328
Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy.

We present the case of a patient with psoriatic arthritis (PsA) mutilans and occult axial involvement. The patient had suffered from PsA mutilans for more than a decade, with severe residual articular damage, but had been in clinical remission for years. Clinical axial involvement was never reported; however, magnetic resonance imaging of the sacroiliac joints, performed for other reasons, documented active inflammation and damage even without clinical symptoms. These findings corroborated the hypothesis that axial involvement could be asymptomatic, subclinical and, furthermore, underdiagnosed or even occult in patients with PsA mutilans, in which cases it should be carefully evaluated.

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How to Cite

Perrotta, F., Scriffignano, S., De Socio, A., & Lubrano, E. (2019). Occult axial involvement in patients with psoriatic arthritis mutilans: a case report. Reumatismo, 71(2), 88–91. https://doi.org/10.4081/reumatismo.2019.1146

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