Lihi Eder1, Vinod Chandran, Dafna D Gladman. 1. Centre for Prognosis Studies in the Rheumatic Diseases, 1E-410B, Toronto Western Hospital, 399 Bathurst Street, Toronto, Ontario M5T 2S8.
Abstract
OBJECTIVE: Psoriatic arthritis (PsA) is characterized by varied radiographic features. We describe a patient with PsA with severe radiographic damage that improved significantly following treatment with etanercept. The improvement was documented by several methods of radiographic assessment. METHODS: Etanercept was introduced in September 2005. Radiographs of the hands and feet were read using 3 methods: the modified Steinbrocker method, the van der Heijde (vdH) modification of the Sharp method, and the Ratingen scoring system. RESULTS: In July 2009, radiographs of the hands and feet showed improvement in erosion score and joint space narrowing, while bony proliferation remained the same [43 by modified Steinbrocker, 26 by the vdH Sharp score (12 for erosions and 14 for joint space narrowing), and 56 by the Ratingen (18 for erosion and 38 for proliferation]. CONCLUSION: The 3 radiographic methods were useful in demonstrating improvement in joint scores. The modified Steinbrocker method, which is the simplest, was able to reveal improvement in our patient.
OBJECTIVE:Psoriatic arthritis (PsA) is characterized by varied radiographic features. We describe a patient with PsA with severe radiographic damage that improved significantly following treatment with etanercept. The improvement was documented by several methods of radiographic assessment. METHODS: Etanercept was introduced in September 2005. Radiographs of the hands and feet were read using 3 methods: the modified Steinbrocker method, the van der Heijde (vdH) modification of the Sharp method, and the Ratingen scoring system. RESULTS: In July 2009, radiographs of the hands and feet showed improvement in erosion score and joint space narrowing, while bony proliferation remained the same [43 by modified Steinbrocker, 26 by the vdH Sharp score (12 for erosions and 14 for joint space narrowing), and 56 by the Ratingen (18 for erosion and 38 for proliferation]. CONCLUSION: The 3 radiographic methods were useful in demonstrating improvement in joint scores. The modified Steinbrocker method, which is the simplest, was able to reveal improvement in our patient.
Authors: Allison C Billi; Jessica E Ludwig; Yi Fritz; Richard Rozic; William R Swindell; Lam C Tsoi; Dennis Gruzska; Shahla Abdollahi-Roodsaz; Xianying Xing; Doina Diaconu; Ranjitha Uppala; Maya I Camhi; Philip A Klenotic; Mrinal K Sarkar; M Elaine Husni; Jose U Scher; Christine McDonald; J Michelle Kahlenberg; Ronald J Midura; Johann E Gudjonsson; Nicole L Ward Journal: J Clin Invest Date: 2020-06-01 Impact factor: 14.808
Authors: Leena Laasonen; Björn Gudbjornsson; Leif Ejstrup; Lars Iversen; Thomas Ternowitz; Mona Ståhle; Ulla Lindqvist Journal: Acta Radiol Open Date: 2015-07-06