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Clin Exp Rheumatol. 2018 Jul-Aug;36(4):519-525. Epub 2018 Jul 19.

One year in review 2018: ultrasonography in rheumatoid arthritis and psoriatic arthritis.

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Department of Medical and Biological Sciences, Rheumatology Clinic, University of Udine, Italy.
Department of Rheumatology, Medical University of Vienna, Austria.
Department of Rheumatology, Hospital of Bruneck, Italy.
Department of Rheumatology, Hospital of Bruneck, Italy; and Department of Rheumatology and Immunology, Medical University Graz, Austria.
Academic Rheumatology Center, Università degli Studi di Torino, Italy.


Ultrasound is playing an increasingly important role in the differential diagnosis and monitoring of rheumatoid arthritis (RA) and psoriatic arthritis (PsA). This technique is more sensitive and specific than clinical examination to detect active synovitis, and the identification of specific synovitis patterns enable differentiation of PsA from RA and other entities. Ultrasound verified inflammation changes along with clinical improvement during therapy, and ultrasound was shown to predict future clinical and structural outcomes thus complementing the clinical risk assessment of patients. In the present review, we summarised the scientific evidence published in 2017 focussing on the use of ultrasonography for clinically relevant and pragmatic aspects of diagnosis and management of RA and PsA.

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