A scintigraphic image is presented that shows the typical characteristics of psoriatic arthritis as a teaching aid.
Se presenta una imagen gammagráfica que muestra en forma didáctica características típicas de la artritis psoriásica.
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It is considered part of the group of spondyloarthritis. Psoriasis occurs in approximately 2% of the general population, and up to 40% of these patients may suffer from PsA, with a broad clinical spectrum.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a></p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Clinical summary</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 45-year-old woman with a clinical picture of asymmetric polyarthritis of 3 years of evolution reported a history of multiple unsuccessful diagnostic and therapeutic interventions. At her first consultation with rheumatology she arrived without a diagnosis, despite bringing many exams that included, among others, a bone scintigraphy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient herself made emphasis on the peculiar asymmetry of her condition, because she had affected a wrist, a finger of the other hand, a shoulder of one side and the contralateral knee. Her illness began 3 years before with painful edema of the third and fourth toes of the right foot. She had suffered from psoriasis since she was 15 years old. During the physical examination we found a small psoriatic plaque in the occipital region, evident arthritis in the right wrist and in the metacarpophalangeal, proximal and distal interphalangeal joints of the fifth finger of the left hand, as well as pain in the right shoulder and enthesitis in the knees. Methotrexate-based treatment was initiated with complete improvement of her cutaneous and articular symptoms.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">PsA can be a diagnostic challenge if a systematic approach is not made at the time of carrying out the anamnesis and documenting the findings on the physical examination. This arthropathy has several patterns of clinical presentation that include the involvement of the distal interphalangeal joints with concomitant nail involvement, asymmetric oligoarthritis, and polyarthritis that can be asymmetric in 50% of patients,<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">3,4</span></a> in addition, there may be axial compromise with sacroiliitis, usually bilateral asymmetric. Another equally characteristic articular presentation is the ray distribution pattern, i.e., the involvement of the distal and proximal interphalangeal joints, as well as of the metacarpophalangeal joint of the same finger.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Radiologically, PsA is characterized by erosions and loss of joint space with preservation of bone mineralization; it is also common to observe bone neoformation, periostitis and ankylosis. The erosions can configure a typical pattern known as “pencil-in-cup” and there may also be acro-osteolysis or resorption of the distal phalanges (arthritis mutilans).</p><p id="par0025" class="elsevierStylePara elsevierViewall">The main differential diagnoses are osteoarthritis of the hands due to the involvement of the distal interphalangeal joints, as well as the other diseases of the spondyloarthritis group, including reactive arthritis, due to the frequent association with dactylitis, enthesitis, cutaneous and ocular lesions.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusion</span><p id="par0030" class="elsevierStylePara elsevierViewall">For the approach of the joint disease, anamnesis and physical examination are of utmost importance, which can be complemented in selected cases with some imaging modalities such as simple X-rays, ultrasound and magnetic resonance. The bone scintigraphy requested previously was totally unnecessary, but it allowed us to observe and demonstrate in a didactic way a characteristic articular pattern of the PsA evident with a good clinical approach.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Conflict of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they do not have any conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:9 [ 0 => array:3 [ "identificador" => "xres1271845" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1176811" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1271844" "titulo" => "Resumen" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1176812" "titulo" => "Palabras clave" ] 4 => array:3 [ "identificador" => "sec0005" "titulo" => "Introduction" "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Clinical summary" ] ] ] 5 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 6 => array:2 [ "identificador" => "sec0020" "titulo" => "Conclusion" ] 7 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflict of interest" ] 8 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-05-21" "fechaAceptado" => "2018-09-18" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1176811" "palabras" => array:4 [ 0 => "Arthritis" 1 => "Psoriatic arthritis" 2 => "Radionuclide imaging" 3 => "Scintigraphy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1176812" "palabras" => array:4 [ 0 => "Artritis" 1 => "Artritis psoriásica" 2 => "Gammagrafía" 3 => "Cintigrafía" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A scintigraphic image is presented that shows the typical characteristics of psoriatic arthritis as a teaching aid.</p></span>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presenta una imagen gammagráfica que muestra en forma didáctica características típicas de la artritis psoriásica.</p></span>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Restrepo-Escobar M, Hernández-Zapata J. Poliartritis asimétrica con distribución en rayo. Rev Colomb Reumatol. 2019;26:214–215.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 677 "Ancho" => 905 "Tamanyo" => 66570 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Bone scintigraphy of the hands with characteristic findings of psoriatic arthropathy<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a>: asymmetric involvement, affection of distal interphalangeal joints and ray distribution (fifth finger of the left hand and third and fourth fingers of the right hand.).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Capítulo 49" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Candia" 1 => "J. Márquez" 2 => "L. Espinoza" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Tratado hispanoamericano de reumatología" "fecha" => "2006" "editorial" => "Editorial Nomos S.A." "editorialLocalizacion" => "Bogotá" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriatic arthritis of hand joints" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V. Aggarwal" 1 => "A. Wakhlu" 2 => "A. Aggarwal" 3 => "R. 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Gladman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Semin Arthritis Rheum" "fecha" => "2018" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriatic arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.D. 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The Colombian Journal of Rheumatology (Revista Colombiana de Reumatología) is the official organ of the Colombian Association of Rheumatology (Asociación Colombiana de Reumatología) and the Central American, Caribbean and Andean Association of Rheumatology (Asociación Centroamericana Caribe Andina de Reumatología) - ACCAR. It was created in December 1993 with the purpose of disseminating scientific information derived from primary and secondary research and presenting cases coming from the practice of Rheumatology in Latin America. Since its foundation, the Journal has been characterized by its plurality with subjects of all rheumatic and osteomuscular pathologies, in the form of original articles, historical articles, economic evaluations, and articles of reflection and education in Medicine. It covers an extensive area of topics ranging from the broad spectrum of the clinical aspects of rheumatology and related areas in autoimmunity (both in pediatric and adult pathologies), to aspects of basic sciences. It is an academic tool for the different members of the academic and scientific community at their different levels of training, from undergraduate to post-doctoral degrees, managing to integrate all actors inter-and transdisciplinarily. It is intended for rheumatologists, general internists, specialists in related areas, and general practitioners in the country and abroad. It has become an important space in the work of all rheumatologists from Central and South America.
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See moreSRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.
See moreSNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
See moreA scintigraphic image is presented that shows the typical characteristics of psoriatic arthritis as a teaching aid.
Se presenta una imagen gammagráfica que muestra en forma didáctica características típicas de la artritis psoriásica.