Achilles tendinitis in psoriasis: clinical and sonographic findings - 29/08/11
, Cristina Guerriero, MD a, Anna Rita Giampietruzzi, MD a, Melania Costantini, MD b, Flavio Di Gregorio, MD b, Pierluigi Amerio, MD a
Ag, Cattolica del Sacro Cuore Rome, Italy Abstract |
Background |
Involvement of the Achilles tendon is frequent in psoriatic arthritis, but it is easily missed at clinical examination.
Objective |
To seek evidence of Achilles tendon abnormalities by means of sonography in psoriatic patients and to correlate sonographic findings with clinical symptoms (tendon and soft-tissue swelling, pain, and difficulty in walking).
Methods |
Fifty-nine patients with plaque-type psoriasis (Psoriasis Area and Severity Index score, 3.7-34.7) and 50 healthy, aged-matched volunteers underwent clinical and sonographic evaluation of Achilles tendons and peritendinous structures.
Results |
Eighteen (30.5%) of the 59 patients had clinical symptoms of Achilles tendinitis. Thirty-five (59.3%) of the patients had sonographic abnormalities. Of these, 13 patients had clinically symptomatic abnormalities, and 11 had psoriatic arthritis. Degenerative tendinitis was the most frequent sonographic finding (76.9%) among patients with symptomatic conditions. Five patients with symptoms did not have sonographic alterations. None of the controls had clinical or sonographic changes.
Conclusions |
In psoriatic patients Achilles tendon abnormalities cannot be excluded even when they are clinically absent.
Le texte complet de cet article est disponible en PDF.Plan
 | Funding sources: None. Conflict of interest: None identified. |
Vol 49 - N° 2
P. 217-222 - août 2003 Retour au numéro
Article précédent
- Pharmacologic denervation of frown muscles enhances baseline expression of happiness and decreases baseline expression of anger, sadness, and fear
- Marc Heckmann, Bianca Teichmann, Ulrike Schröder, Reiner Sprengelmeyer, Andrés O Ceballos-Baumann
- Receive tables of contents by e-mail
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?