Distal extremity swelling with pitting edema in psoriatic arthritis: evidence of 2 pathological mechanisms.
Identifieur interne : 000157 ( Ncbi/Merge ); précédent : 000156; suivant : 000158Distal extremity swelling with pitting edema in psoriatic arthritis: evidence of 2 pathological mechanisms.
Auteurs : C. Salvarani [Italie] ; F. Cantini ; I. Olivieri ; L. Niccoli ; C. Senesi ; L. Macchioni ; L. Boiardi ; A. PadulaSource :
- The Journal of rheumatology [ 0315-162X ] ; 1999.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Arthrite psoriasique (diagnostic), Arthrite psoriasique (imagerie diagnostique), Arthrite psoriasique (physiopathologie), Femelle, Humains, Imagerie par résonance magnétique, Main (anatomopathologie), Main (imagerie diagnostique), Mâle, Oedème (diagnostic), Oedème (étiologie), Radiographie, Ténosynovite (diagnostic), Ténosynovite (imagerie diagnostique), Ténosynovite (étiologie).
- MESH :
- anatomopathologie : Main.
- diagnostic : Arthrite psoriasique, Oedème, Ténosynovite.
- imagerie diagnostique : Arthrite psoriasique, Main, Ténosynovite.
- physiopathologie : Arthrite psoriasique.
- étiologie : Oedème, Ténosynovite.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Imagerie par résonance magnétique, Mâle, Radiographie.
English descriptors
- KwdEn :
- Adult, Arthritis, Psoriatic (diagnosis), Arthritis, Psoriatic (diagnostic imaging), Arthritis, Psoriatic (physiopathology), Edema (diagnosis), Edema (etiology), Female, Hand (diagnostic imaging), Hand (pathology), Humans, Magnetic Resonance Imaging, Male, Middle Aged, Radiography, Tenosynovitis (diagnosis), Tenosynovitis (diagnostic imaging), Tenosynovitis (etiology).
- MESH :
- diagnosis : Arthritis, Psoriatic, Edema, Tenosynovitis.
- diagnostic imaging : Arthritis, Psoriatic, Hand, Tenosynovitis.
- etiology : Edema, Tenosynovitis.
- pathology : Hand.
- physiopathology : Arthritis, Psoriatic.
- Adult, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Radiography.
Abstract
Distal extremity swelling with pitting edema due to altered lymphatic drainage has been reported in some patients with psoriatic arthritis (PsA). The edema usually affected the upper limbs in an asymmetric pattern and was resistant to therapy. We describe 2 additional cases. The distal swelling and pitting edema responded promptly and completely to corticosteroids in the first patient but persisted in the second. Lymphoscintigraphy and magnetic resonance imaging (MRI) revealed a predominant tenosynovitis in the hand without lymphedema in the first patient, and impaired lymphatic drainage without tenosynovial sheath involvement in the second. We conclude that 2 different mechanisms, characterized by a different response to therapy, may be associated with the same clinical picture of distal swelling with pitting edema in patients with psoriatic arthritis. Lymphoscintigraphy and MRI are useful in defining the structures involved and in predicting the prognosis.
PubMed: 10451085
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Olivieri</name></author><author><name sortKey="Niccoli, L" sort="Niccoli, L" uniqKey="Niccoli L" first="L" last="Niccoli">L. Niccoli</name></author><author><name sortKey="Senesi, C" sort="Senesi, C" uniqKey="Senesi C" first="C" last="Senesi">C. Senesi</name></author><author><name sortKey="Macchioni, L" sort="Macchioni, L" uniqKey="Macchioni L" first="L" last="Macchioni">L. Macchioni</name></author><author><name sortKey="Boiardi, L" sort="Boiardi, L" uniqKey="Boiardi L" first="L" last="Boiardi">L. Boiardi</name></author><author><name sortKey="Padula, A" sort="Padula, A" uniqKey="Padula A" first="A" last="Padula">A. 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Salvarani</name><affiliation wicri:level="1"><nlm:affiliation>Servizio di Reumatologia, Arcispedale S. Maria Nuova, Reggio Emilia, Italy. salvarani.carlo@asmn.re.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Servizio di Reumatologia, Arcispedale S. Maria Nuova, Reggio Emilia</wicri:regionArea><wicri:noRegion>Reggio Emilia</wicri:noRegion></affiliation></author><author><name sortKey="Cantini, F" sort="Cantini, F" uniqKey="Cantini F" first="F" last="Cantini">F. Cantini</name></author><author><name sortKey="Olivieri, I" sort="Olivieri, I" uniqKey="Olivieri I" first="I" last="Olivieri">I. Olivieri</name></author><author><name sortKey="Niccoli, L" sort="Niccoli, L" uniqKey="Niccoli L" first="L" last="Niccoli">L. Niccoli</name></author><author><name sortKey="Senesi, C" sort="Senesi, C" uniqKey="Senesi C" first="C" last="Senesi">C. Senesi</name></author><author><name sortKey="Macchioni, L" sort="Macchioni, L" uniqKey="Macchioni L" first="L" last="Macchioni">L. Macchioni</name></author><author><name sortKey="Boiardi, L" sort="Boiardi, L" uniqKey="Boiardi L" first="L" last="Boiardi">L. Boiardi</name></author><author><name sortKey="Padula, A" sort="Padula, A" uniqKey="Padula A" first="A" last="Padula">A. Padula</name></author></analytic><series><title level="j">The Journal of rheumatology</title><idno type="ISSN">0315-162X</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Arthritis, Psoriatic (diagnosis)</term><term>Arthritis, Psoriatic (diagnostic imaging)</term><term>Arthritis, Psoriatic (physiopathology)</term><term>Edema (diagnosis)</term><term>Edema (etiology)</term><term>Female</term><term>Hand (diagnostic imaging)</term><term>Hand (pathology)</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Radiography</term><term>Tenosynovitis (diagnosis)</term><term>Tenosynovitis (diagnostic imaging)</term><term>Tenosynovitis (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Arthrite psoriasique (diagnostic)</term><term>Arthrite psoriasique (imagerie diagnostique)</term><term>Arthrite psoriasique (physiopathologie)</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Main (anatomopathologie)</term><term>Main (imagerie diagnostique)</term><term>Mâle</term><term>Oedème (diagnostic)</term><term>Oedème (étiologie)</term><term>Radiographie</term><term>Ténosynovite (diagnostic)</term><term>Ténosynovite (imagerie diagnostique)</term><term>Ténosynovite (étiologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Main</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Arthritis, Psoriatic</term><term>Edema</term><term>Tenosynovitis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Arthrite psoriasique</term><term>Oedème</term><term>Ténosynovite</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arthritis, Psoriatic</term><term>Hand</term><term>Tenosynovitis</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term><term>Tenosynovitis</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Arthrite psoriasique</term><term>Main</term><term>Ténosynovite</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Hand</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Arthrite psoriasique</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arthritis, Psoriatic</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Oedème</term><term>Ténosynovite</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Radiography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Mâle</term><term>Radiographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Distal extremity swelling with pitting edema due to altered lymphatic drainage has been reported in some patients with psoriatic arthritis (PsA). The edema usually affected the upper limbs in an asymmetric pattern and was resistant to therapy. We describe 2 additional cases. The distal swelling and pitting edema responded promptly and completely to corticosteroids in the first patient but persisted in the second. Lymphoscintigraphy and magnetic resonance imaging (MRI) revealed a predominant tenosynovitis in the hand without lymphedema in the first patient, and impaired lymphatic drainage without tenosynovial sheath involvement in the second. We conclude that 2 different mechanisms, characterized by a different response to therapy, may be associated with the same clinical picture of distal swelling with pitting edema in patients with psoriatic arthritis. Lymphoscintigraphy and MRI are useful in defining the structures involved and in predicting the prognosis.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10451085</PMID><DateCreated><Year>1999</Year><Month>09</Month><Day>23</Day></DateCreated><DateCompleted><Year>1999</Year><Month>09</Month><Day>23</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0315-162X</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><Issue>8</Issue><PubDate><Year>1999</Year><Month>Aug</Month></PubDate></JournalIssue><Title>The Journal of rheumatology</Title><ISOAbbreviation>J. Rheumatol.</ISOAbbreviation></Journal><ArticleTitle>Distal extremity swelling with pitting edema in psoriatic arthritis: evidence of 2 pathological mechanisms.</ArticleTitle><Pagination><MedlinePgn>1831-4</MedlinePgn></Pagination><Abstract><AbstractText>Distal extremity swelling with pitting edema due to altered lymphatic drainage has been reported in some patients with psoriatic arthritis (PsA). The edema usually affected the upper limbs in an asymmetric pattern and was resistant to therapy. We describe 2 additional cases. The distal swelling and pitting edema responded promptly and completely to corticosteroids in the first patient but persisted in the second. Lymphoscintigraphy and magnetic resonance imaging (MRI) revealed a predominant tenosynovitis in the hand without lymphedema in the first patient, and impaired lymphatic drainage without tenosynovial sheath involvement in the second. We conclude that 2 different mechanisms, characterized by a different response to therapy, may be associated with the same clinical picture of distal swelling with pitting edema in patients with psoriatic arthritis. Lymphoscintigraphy and MRI are useful in defining the structures involved and in predicting the prognosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Salvarani</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Servizio di Reumatologia, Arcispedale S. Maria Nuova, Reggio Emilia, Italy. salvarani.carlo@asmn.re.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cantini</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Olivieri</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Niccoli</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Senesi</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Macchioni</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Boiardi</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Padula</LastName><ForeName>A</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>J Rheumatol</MedlineTA><NlmUniqueID>7501984</NlmUniqueID><ISSNLinking>0315-162X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015535" MajorTopicYN="N">Arthritis, Psoriatic</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006225" MajorTopicYN="N">Hand</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013717" MajorTopicYN="N">Tenosynovitis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>8</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>8</Month><Day>18</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>8</Month><Day>18</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10451085</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Boiardi, L" sort="Boiardi, L" uniqKey="Boiardi L" first="L" last="Boiardi">L. Boiardi</name><name sortKey="Cantini, F" sort="Cantini, F" uniqKey="Cantini F" first="F" last="Cantini">F. Cantini</name><name sortKey="Macchioni, L" sort="Macchioni, L" uniqKey="Macchioni L" first="L" last="Macchioni">L. Macchioni</name><name sortKey="Niccoli, L" sort="Niccoli, L" uniqKey="Niccoli L" first="L" last="Niccoli">L. Niccoli</name><name sortKey="Olivieri, I" sort="Olivieri, I" uniqKey="Olivieri I" first="I" last="Olivieri">I. Olivieri</name><name sortKey="Padula, A" sort="Padula, A" uniqKey="Padula A" first="A" last="Padula">A. Padula</name><name sortKey="Senesi, C" sort="Senesi, C" uniqKey="Senesi C" first="C" last="Senesi">C. Senesi</name></noCountry><country name="Italie"><noRegion><name sortKey="Salvarani, C" sort="Salvarani, C" uniqKey="Salvarani C" first="C" last="Salvarani">C. Salvarani</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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