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The use of ultrasonography in the diagnosis of nail disease among patients with psoriasis and psoriatic arthritis: a systematic review
Mendonça, José Alexandre; Division of RheumatologyAydin, Sibel Zehra; D'Agostino, Maria-Antonietta.
Afiliación
  • Mendonça, José Alexandre; University of Campinas. Department of Rheumatology. Postgraduate Program of the Pontifical Catholic. São Paulo. BR
  • Division of RheumatologyAydin, Sibel Zehra; University of Ottawa. The Ottawa Hospital Research Institute. Division of RheumatologyAydin, Sibel Zehra. Ottawa. CA
  • D'Agostino, Maria-Antonietta; APHP. Hôpital Ambroise Paré. Rheumatology Department. Boulogne. FR
Adv Rheumatol ; 59: 41, 2019. tab, graf
Article en En | LILACS | ID: biblio-1088597
Biblioteca responsable: BR1.1
ABSTRACT
Abstract

Background:

Nail involvement has been described as a key clinical feature for both psoriasis (PsO) and psoriatic arthritis (PsA) and is an important risk factor in PsA. Thus, early diagnosis of nail involvement may be essential for better management of PsO and PsA. Ultrasonography is considered a highly promising method to visualize nail disease. The main aim of this review was to evaluate the use of ultrasonography for the diagnosis of nail disease in patients with PsO and PsA by reviewing ultrasound parameters with the best diagnostic accuracy. Main body of the abstract A systematic search was performed in MEDLINE via the PubMed and LILACS databases. Conference proceedings of relevant rheumatology scientific meetings were also screened.

Results:

After applying eligibility criteria, only 13 articles and 5 abstracts were included in this review. The selected studies showed a huge variability in evaluation methods (and therefore in the results) and were mainly focused on the assessment of nails ultrasound parameters that may differ among patients and healthy controls, especially the morphological aspects in B-mode ultrasonography and vascularization of the nail bed by Doppler ultrasonography. Our research indicated that the evaluation of nail disease in PsO and PsA is still underrepresented in the literature, probably reflecting a restricted use in clinical practice, despite the widespread use of ultrasonography in the management of chronic arthritis. Short

conclusions:

Despite the potential relevance of ultrasonography for the diagnosis of nail disease, additional studies are needed to determine which features are more reliable and clinically pertinent to ensure accuracy in the evaluation of nail involvement in PsO and PsA.
Asunto(s)
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Texto completo: 1 Índice: LILACS Asunto principal: Psoriasis / Enfermedades de la Uña Tipo de estudio: Diagnostic_studies / Risk_factors_studies / Screening_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Adv Rheumatol Asunto de la revista: Artrite / Reumatologia Año: 2019 Tipo del documento: Article

Texto completo: 1 Índice: LILACS Asunto principal: Psoriasis / Enfermedades de la Uña Tipo de estudio: Diagnostic_studies / Risk_factors_studies / Screening_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Adv Rheumatol Asunto de la revista: Artrite / Reumatologia Año: 2019 Tipo del documento: Article