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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/24173
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dc.contributor.authorRussu, Eugeniu
dc.contributor.authorGroppa, Liliana
dc.contributor.authorChișlari, Lia
dc.contributor.authorDutca, Lucia
dc.date.accessioned2023-05-04T08:42:52Z
dc.date.available2023-05-04T08:42:52Z
dc.date.issued2022
dc.identifier.citationRUSSU, Eugeniu, GROPPA, Liliana, CHIȘLARI, Lia, DUTCA, Lucia. Expressions and difficulty of clinical manifestations in the early diagnosis of psoriatic arthritis. In: Revista de Științe ale Sănătății din Moldova = Moldovan Journal of Health Sciences. 2022, vol. 28(2), pp. 34-39. ISSN 2345-1467.https://doi.org/10.52645/MJHS.2022.2.05en_US
dc.identifier.issn2345-1467
dc.identifier.urihttps://cercetare.usmf.md/sites/default/files/inline-files/MJHS_28_2_2022.pdf
dc.identifier.urihttps://doi.org/10.52645/MJHS.2022.2.05
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/24173
dc.description.abstractAbstract Objectives. Study of clinical manifestations in psoriatic arthritis: enthesitis, dactylitis, peripheral arthritis, axial arthritis, skin manifestations, for early diagnosis, which would allow the establishment of an adjusted treatment and the elaboration of measures to prevent complications. Materials and methods. The performed clinical study has an analytical-observational retrospective and included the patients who were hospitalized in the Rheumatology and Arthrology departments of the “Timofei Moşneaga” Republican Clinical Hospital during 2015-2021. The study included 103 patients with psoriasis (47 men and 56 women) with various clinical forms of psoriasis and different ages. Results. The clinical examination of primary or referred patients with cutaneous manifestations, revealed peripheral arthritis in 15 patients (24.6%), dactylitis – in 37 (60.7%), heel pain was detected in 32 (52.5%), axial arthritis – in 30 (49.2%), enthesitis, distal interphalangeal arthritis and tendonitis were not detected. Those who primary or referred with joint manifestations, in 35 (57.4%) of patients was present peripheral arthritis, dactylitis in 40 (65.6%), enthesis of the elbow joints in 11 (18%), knee joints - in 8 (13.1%), the calcaneal region - to 25 (41%), arthritis of the distal interphalangeal joints was detected in 21 (34.4%), tendinitis - to 13 (21.3%). Discussions. The obtained results allow us to state that one of the directions in improving the diagnosis of PsA consists in the use of ultrasound examination and MRI imaging of the joints of the hands and feet. This makes it possible to effectively identify the characteristic of enthesopathy, edema of tissues, as well as destructive changes in the joints of the hands and feet. Conclusions. In the study group of patients with psoriasis, in 25 (24.2%) no joint damage was detected. The frequency of detection of psoriatic arthritis and other rheumatic diseases (rheumatoid arthritis, osteoarthritis, ankylosing spondylitis etc.) was 59.2% and 16.6%, respectively, 32 (52.5%) out of 61 (59.2%) patients with PsA were primarily diagnosed. The sensitivity and specificity of the mPEST (Psoriasis Epidemiology Screening Tool) questionnaire in relation to the CASPAR criteria were 77% and 69% respectively. The highest indicators of sensitivity, specificity and accuracy in the diagnosis of PsA has ultrasound and MRI: 88%, 92%, 89% and respectively, 89%, 94%, 91%en_US
dc.language.isoenen_US
dc.publisherInstituţia Publică Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” din Republica Moldovaen_US
dc.relation.ispartofRevista de Științe ale Sănătății din Moldova = Moldovan Journal of Health Sciencesen_US
dc.subjectpsoriatic arthritisen_US
dc.subjectearly clinical manifestationsen_US
dc.subject.ddcUDC: 616.72-002:616.517-07en_US
dc.titleExpressions and difficulty of clinical manifestations in the early diagnosis of psoriatic arthritisen_US
dc.typeArticleen_US
Appears in Collections:Revista de Științe ale Sănătății din Moldova : Moldovan Journal of Health Sciences 2022 nr. 2(28)



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