EURORAD ESR

Case 14662

A classic case of psoriatic arthropathy

Author(s)
Dr. Jyoti Gupta1, Dr Bhanu Pratap Singh Chauhan2, Dr I. D. Desai3

(1) Third year resident doctor, Civil Hospital Ahmedabad
(2) Second year resident doctor, V S Hospital Ahmedabad
(3) Professor, Civil Hospital, Ahmedabad
 
Patient
male, 53 year(s)
 
 
  • Figure 1
    Clinical picture of hands

    Fixed flexion deformity with onycholysis.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
  • Figure 2
    X-ray both hands AP

    Marginal erosion with fluffy periostitis seen predominantly involving various DIP joints and few PIP joint. Ray sign in second digit of right hand. Bony ankylosis also seen at various interphalangeal joints.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
  • Figure 3
    X-ray both wrist joints - AP

    Bony ankylosis with minimal joint deformity seen at wrist joints.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
  • Figure 4
    X-ray both feet AP

    Psoriatic enthesopathy with 'pencil in cup' deformity.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
  • Figure 5
    X-ray pelvis with both hip joint AP

    Bilateral asymmetrical sacroiliitis with bagpipe type of syndesmophytes.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
  • Figure 6
    X-ray cervical spine lateral

    Non-marginal syndesmophytes.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
  • Figure 7
    X-ray lumbosacral and dorsolumbar spine - lateral

    Non-marginal syndesmophytes.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
Fixed flexion deformity with onycholysis.
 
Marginal erosion with fluffy periostitis seen predominantly involving various DIP joints and few PIP joint. Ray sign in second digit of right hand. Bony ankylosis also seen at various interphalangeal joints.
 
Bony ankylosis with minimal joint deformity seen at wrist joints.
 
Psoriatic enthesopathy with 'pencil in cup' deformity.
 
Bilateral asymmetrical sacroiliitis with bagpipe type of syndesmophytes.
 
Non-marginal syndesmophytes.
 
Non-marginal syndesmophytes.
 
 
 
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