Psoriatic Arthritis: Clinical Features with Particular Reference to Distal Interphalangeal Joint Involvement

Rheumatology ◽  
1992 ◽  
Vol 31 (9) ◽  
pp. 646-647 ◽  
Author(s):  
E. M. POTTER ◽  
C. MCEWEN
2017 ◽  
Vol 44 (5) ◽  
pp. 688-690 ◽  
Author(s):  
Joanne Szczygiel Cunha ◽  
Abrar A. Qureshi ◽  
Anthony M. Reginato

Musculoskeletal ultrasonography is gaining favor in the evaluation of enthesitis in patients with psoriasis and psoriatic arthritis (PsA). Imaging modalities have shown that the enthesis of the distal interphalangeal joint has a close relationship to the nail itself. Studies have focused on the structure and morphology of nails to determine an association between psoriasis nail changes and the presence or severity of PsA. With the use of higher frequency probes, power Doppler (PD) can determine subclinical inflammation of the area under ultrasound examination. At the 2016 meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), we proposed an ultrasonographic index for the assessment of the nail enthesis to identify the morphologic and PD findings of the nail, with the potential that both rheumatologists and dermatologists can use it to evaluate their patients.


1986 ◽  
Vol 29 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Janel Jacob ◽  
David Sartoris ◽  
Sevil Kursunoglu ◽  
Deborah Pate ◽  
Carlos J. Pineda ◽  
...  

2019 ◽  
Vol 39 (3) ◽  
pp. 196-203
Author(s):  
Rahardjo Darmanto Djojodibroto ◽  
Asri Said ◽  
Nurul Shahirah AS ◽  
Sim Chun Yang

Introduction: Digital clubbing can often be found as a clinical sign in patients with various underlying diseases. However, early signs of clubbing are often overlooked. To determine the Digital Index values from the fingers with clinical features of clubbing of varies conditions background. Method: This was a prospective, case-series, investigator-initiated observation by morphometry, conducted in Kuching, Malaysia along 6 months duration. Participants were 46 patients with varies stage of clubbing of varies conditions and diseases. We measured the finger at the circumference of the Nail Fold and Distal Interphalangeal joint which determined the value of the Digital Index of a population with finger clubbing. Results: The value of the Digital Index of finger clubbing in this study was 9.89±0.68 (Mean±SD) for male and 9.87±0.39 (Mean±SD) for female. The value of the Digital Index of finger clubbing for all subjects together was 9.88±0.56 (Mean±SD) with a range of 8.43 to 11.26. Conclusion: Early clubbing often be overlooked. To avoid such condition, the physician should examine the fingers as a routine procedure. Measurement of DI can be recommended to detect early clubbing. (J Respir Indo. 2019; 39(3):196-204)


2008 ◽  
Vol 232 (9) ◽  
pp. 1343-1343
Author(s):  
Frederik E. Pauwels ◽  
James Schumacher ◽  
Fernando A. Castro ◽  
Troy E. Holder ◽  
Roger C. Carroll ◽  
...  

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Emily J Reppert ◽  
Michael D Kleinhenz ◽  
Abbie Viscardi ◽  
Shawnee R Montgomery ◽  
Alison R Crane ◽  
...  

Abstract Lameness is a serious health concern for livestock species. Understanding individual animal response to pain and characterization of lameness are critical when developing appropriate treatments. The objectives of this pilot study was to evaluate two different lameness models and measures for determining response to induced lameness in meat goats. Lameness was induced by intraarticular injection into the left hind lateral claw distal interphalangeal joint with either amphotericin B (Amp-B) or kaolin-carrageenan (K-C). Response to lameness was characterized by behavior scoring, visual lameness scoring (VLS), infrared thermography (IRT) of the affected digit, pressure mat gait analysis (PMT), and plasma cortisol (CORT) analysis. Lame goats had higher VLS compared to controls (P = 0.003). Maximum temperatures measured in hooves from lame vs control goats were significantly higher (P = 0.003). Pressure mat analysis demonstrated, when compared to controls, lame goats had decreased force (P = 0.013), impulse (P = 0.007), contact pressure (P = 0.007), and contact area of the left hind limb (P = 0.009). Mean CORT levels 4 and 6 h after lameness induction were higher in lame goats (P = 0.005, P = 0.01). The two lameness methods reliably induced lameness of varying severity in healthy meat goats.


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