The Role of Musculoskeletal Ultrasound in Psoriatic Arthritis: From Preclinical Detection to Treatment Monitoring - PubMed
4 hours ago
- #Musculoskeletal Ultrasound
- #Psoriatic Arthritis
- #Medical Imaging
- Psoriatic arthritis (PsA) is a chronic, immune-mediated inflammatory disease associated with psoriasis, with highly heterogeneous clinical manifestations.
- Ultrasound is valuable for early detection of musculoskeletal changes in patients with psoriasis at risk of progressing to PsA, aiding in disease interception.
- Ultrasound can detect subclinical synovitis, enthesitis, peritendonitis, tenosynovitis, bursitis, and structural damage in psoriatic disease.
- It assists in differential diagnosis, distinguishing between inflammatory and non-inflammatory disease, and monitoring therapeutic response, including refractory cases.
- Ultrasound has prognostic utility by detecting subclinical inflammation, predicting flares and future structural damage, and supporting personalized treatment strategies.
- Standardized ultrasound scoring systems and emerging methods for evaluating small hand entheses and dactylitis are discussed.
- Ultrasound is an important tool for early detection, prognostic assessment, and management guidance in PsA, with potential to prevent disease progression.