Psoriatic Arthritis and Rheumatoid Arthritis: Findings in Contrast-Enhanced MRI

Our objective was to define typical MRI findings of the wrist and the hand in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA). Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced ra...

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Veröffentlicht in:American journal of roentgenology (1976) 2006-08, Vol.187 (2), p.351-357
Hauptverfasser: Schoellnast, Helmut, Deutschmann, Hannes A, Hermann, Josef, Schaffler, Gottfried J, Reittner, Pia, Kammerhuber, Fritz, Szolar, Dieter H, Preidler, Klaus W
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container_issue 2
container_start_page 351
container_title American journal of roentgenology (1976)
container_volume 187
creator Schoellnast, Helmut
Deutschmann, Hannes A
Hermann, Josef
Schaffler, Gottfried J
Reittner, Pia
Kammerhuber, Fritz
Szolar, Dieter H
Preidler, Klaus W
description Our objective was to define typical MRI findings of the wrist and the hand in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA). Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced radiologists interpreted abnormalities in consensus with respect to periarticular soft-tissue swelling, synovitis with or without effusion, periostitis, bone edema, bone erosions, bone cysts, and tenosynovitis. The distribution of the abnormalities also was evaluated. Erosions were statistically more frequent in patients with RA (p < 0.05). Periostitis was statistically seen more frequently in patients with PsA (p < 0.05). No statistically significant difference was found in the frequency of synovitis, bone marrow edema, bone cysts, and tenosynovitis between the two groups (p > 0.05). The radiocarpal joint, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints were significantly affected more frequently in patients with RA than in patients with PsA (p < 0.05), whereas the proximal interphalangeal joints were significantly more frequently affected in patients with PsA (p < 0.05). Periostitis and synovitis of the proximal interphalangeal joints are typical MRI findings in patients with PsA, whereas synovitis with erosions of the wrist, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints are typical findings in patients with RA.
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The radiocarpal joint, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints were significantly affected more frequently in patients with RA than in patients with PsA (p &lt; 0.05), whereas the proximal interphalangeal joints were significantly more frequently affected in patients with PsA (p &lt; 0.05). 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The radiocarpal joint, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints were significantly affected more frequently in patients with RA than in patients with PsA (p &lt; 0.05), whereas the proximal interphalangeal joints were significantly more frequently affected in patients with PsA (p &lt; 0.05). Periostitis and synovitis of the proximal interphalangeal joints are typical MRI findings in patients with PsA, whereas synovitis with erosions of the wrist, the midcarpal joints, the carpometacarpal joints, and the metacarpophalangeal joints are typical findings in patients with RA.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Psoriatic - diagnosis</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Biological and medical sciences</subject><subject>Contrast Media</subject><subject>Dermatology</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hand Joints - pathology</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Psoriasis. Parapsoriasis. 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source American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection
subjects Adult
Aged
Aged, 80 and over
Arthritis, Psoriatic - diagnosis
Arthritis, Rheumatoid - diagnosis
Biological and medical sciences
Contrast Media
Dermatology
Diseases of the osteoarticular system
Female
Hand Joints - pathology
Humans
Inflammatory joint diseases
Magnetic Resonance Imaging - methods
Male
Medical sciences
Middle Aged
Psoriasis. Parapsoriasis. Lichen
Retrospective Studies
title Psoriatic Arthritis and Rheumatoid Arthritis: Findings in Contrast-Enhanced MRI
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