The problem in differentiation between psoriatic-related polyenthesitis and fibromyalgia
@article{Marchesoni2018ThePI, title={The problem in differentiation between psoriatic-related polyenthesitis and fibromyalgia}, author={Antonio Marchesoni and Gabriele De Marco and Mira Merashli and Frank Mckenna and Ilaria Tinazzi and Helena Marzo-Ortega and Dennis G McGonagle}, journal={Rheumatology}, year={2018}, volume={57}, pages={32–40} }
The recognition of the primacy of enthesitis in animal models of spondyloarthritis and the prevalence of clinically occult enthesopathy in psoriatic subjects and of persistent joint pain in PsA subjects who have ostensibly good reduction of joint swelling under biological therapy has highlighted the potential impact of polyenthesitis in psoriatic disease. In daily practice, the formal demonstration of enthesitis is challenging for the following reasons: the relatively avascular nature of…
60 Citations
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In general, anti-TNF and anti-IL-17 agents, as well as Janus kinase inhibitors, show moderate responsiveness for enthesitis, while the data for IL-23 targeting is contradictory.
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US has been proven to be a valuable tool to assess entheseal involvement across the SpA spectrum, including PsA7,8,9 … Address correspondence to L.C. Coates, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, Windmill Road, Oxford OX3 7LD, UK.
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- Medicine, BiologyClinical Rheumatology
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The aim of this article was to review the available evidences on the presence of comorbidities in SpA, including PsA, focusing the attention on the cardiovascular, metabolic aspects, as well as other comorbbidities, and their possible management in an integrated manner.
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- MedicineClinical and experimental rheumatology
- 2020
The prevalence of clinical and particularly ultrasonographic signs of enthesitis in patients with psoriatic arthritis (PsA), fibromyalgia (FM), or both was compared to assess the impact of FM on disease activity and clinimetric scores.
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- MedicineJournal of clinical medicine
- 2021
US evaluation of the entheses may help differentiate chronic widespread pain from PsA versus FMS, and principal component analysis (B-mode) confirmed that PsA patients have a higher number of involved entheses and patterns of entheseal involvement than FMS patients.
Defining Pre-Clinical Psoriatic Arthritis in an Integrated Dermato-Rheumatology Environment
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This article explores how integration of rheumatological and dermatological assessment can be facilitated for the early recognition of potential PsA.
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