https://doi.org/10.4081/reumatismo.2019.1146
Occult axial involvement in patients with psoriatic arthritis mutilans: a case report
Accepted: 6 September 2018
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
How to Cite
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- G. Besutti, C. Marvisi, F. Muratore, L. Spaggiari, The role of sacro-iliac joint magnetic resonance imaging in the diagnosis of axial spondyloarthritis: focus on differential diagnosis in women , Reumatismo: Vol. 76 No. 3 (2024)
- S. Loffredo, F. Ayala, G.C. Marone, A. Genovese, G. Marone, IMMUNOPATHOGENESIS OF PSORIASIS AND PSORIATIC ARTHRITIS AND PHARMACOLOGICAL PERSPECTIVES , Reumatismo: Vol. 59 No. s1 (2007)
- M.A. Cimmino, Magnetic resonance imaging of the joints: a revolution for the practicing rheumatologist , Reumatismo: Vol. 60 No. 4 (2008)
- C. Cervini, G. Leardini, A. Mathieu, L. Punzi, R. Scarpa, Psoriatic arthritis: epidemiological and clinical aspects in a cohort of 1.306 italian patients , Reumatismo: Vol. 57 No. 4 (2005)
- C. Bruni, S. Bellando-Randone, L. Gargani, E. Picano, A. Pingitore, M. Matucci-Cerinic, S. Guiducci, Critical finger ischemia and myocardial fibrosis development after sudden interruption of sildenafil treatment in a systemic sclerosis patient , Reumatismo: Vol. 68 No. 2 (2016)
- L. Di Lorenzo, Gait analysis in hip viscosupplementation for osteoarthritis: a case report , Reumatismo: Vol. 65 No. 4 (2013)
- G. Lapadula, G. Ferraccioli, C. Ferri, L. Punzi, F. Trotta, GISEA: an Italian biological agents registry in rheumatology , Reumatismo: Vol. 63 No. 3 (2011)
- A. Notarnicola, F. Iannone, G. Lopalco, M. Covelli, G. Lapadula, A false occult hepatitis B virus infection developed in a patient with psoriatic arthritis under infliximab and methotrexate therapy , Reumatismo: Vol. 65 No. 6 (2013)
- D.D. Gladman, BIOLOGIC THERAPY OF PSORIATIC ARTHRITIS , Reumatismo: Vol. 59 No. s1 (2007)
- F. Cacciapaglia, M.G. Anelli, D. Rizzo, E. Morelli, C. Scioscia, D. Mazzotta, F. Iannone, G. Lapadula, Influence of TNF-α inhibition on oxidative stress of rheumatoid arthritis patients , Reumatismo: Vol. 67 No. 3 (2015)
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
