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"titulo" => "Active Tenosynovitis of the Palmar Flexor Tendon in Psoriatic Arthritis in Clinical Remission" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "230" "paginaFinal" => "232" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Vicenç Torrente-Segarra, Gisela Hebe Petiti, Alberto González, Hèctor Corominas" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Vicenç" "apellidos" => "Torrente-Segarra" "email" => array:2 [ 0 => "vtorrente@hsjdbcn.org" 1 => "vicente.torrentesegarra@sanitatintegral.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Gisela Hebe" "apellidos" => "Petiti" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Alberto" "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Hèctor" "apellidos" => "Corominas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Reumatología, Hospital Moisès Broggi-General, Hospitalet del Llobregat, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Moisès Broggi-General, Hospitalet del Llobregat, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tenosinovitis aguda persistente del tendón flexor palmar en artropatía psoriásica en remisión" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1872 "Ancho" => 1406 "Tamanyo" => 272534 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ultrasound images of the 4th finger of the patient's right hand. (A) Long-axis view of middle-distal phalanges, with grade 1 power Doppler signal. (B) Long-axis view of proximal phalanx-metacarpus, with grade 2 power Doppler signal. (C) Cross-sectional view of proximal phalanx-metacarpus, with grade 2 power Doppler signal.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The manifestations of psoriatic arthropathy (PsA) in joints have been extensively described.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> The use of high-resolution ultrasound in this disease is more recent and the findings are similar to those observed in other inflammatory diseases, like rheumatoid arthritis (RA)<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2,3</span></a> and lupus.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> Some of these ultrasound findings in joints are suggestive of acute inflammatory activity in PsA and in psoriasis (enthesitis, dactylitis), whereas others are less common, among them, acute tenosynovitis of the flexor tendon, detected by high-resolution ultrasound in only 0.3%–7% of cases.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1,2,5</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">We report the case of a 37-year-old man with PsA that began in 2003 with skin involvement, and eventually affected his joints. He started taking methotrexate in 2014, and is currently in clinical remission. At his last check-up, his cutaneous condition had worsened and he complained of apparently mechanical pain in the fourth finger of his right hand. Clinical examination found nothing of interest, whereas ultrasound revealed acute tenosynovitis of the flexor tendon in that finger, affecting the entire volar portion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The clinical signs remitted after ultrasound-guided corticosteroid injection.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The purpose of this report is to reflect the importance of ultrasound, not only in the management of RA, but also in the monitoring and follow-up of PsA in clinical remission, and to illustrate ultrasound monitoring of these patients. We wish to point out that acute tenosynovitis of the flexor tendon of the hand often goes unnoticed, but may be more common than is reported in patients with disease of low inflammatory activity.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical Disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association (Declaration of Helsinki).</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have received no funding for the performance of this study.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conflicts of Interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical Disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0030" "titulo" => "Conflicts of Interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-09-07" "fechaAceptado" => "2015-10-16" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Torrente-Segarra V, Petiti GH, González A, Corominas H. Tenosinovitis aguda persistente del tendón flexor palmar en artropatía psoriásica en remisión. Reumatol Clin. 2016;12:230–232.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1872 "Ancho" => 1406 "Tamanyo" => 272534 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ultrasound images of the 4th finger of the patient's right hand. (A) Long-axis view of middle-distal phalanges, with grade 1 power Doppler signal. (B) Long-axis view of proximal phalanx-metacarpus, with grade 2 power Doppler signal. (C) Cross-sectional view of proximal phalanx-metacarpus, with grade 2 power Doppler signal.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriatic arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V. Wright" 1 => "J.M. 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Year/Month | Html | Total | |
---|---|---|---|
2024 November | 8 | 11 | 19 |
2024 October | 50 | 23 | 73 |
2024 September | 70 | 18 | 88 |
2024 August | 114 | 40 | 154 |
2024 July | 75 | 20 | 95 |
2024 June | 86 | 35 | 121 |
2024 May | 72 | 22 | 94 |
2024 April | 79 | 20 | 99 |
2024 March | 65 | 30 | 95 |
2024 February | 57 | 22 | 79 |
2024 January | 59 | 31 | 90 |
2023 December | 48 | 25 | 73 |
2023 November | 61 | 25 | 86 |
2023 October | 57 | 27 | 84 |
2023 September | 80 | 43 | 123 |
2023 August | 46 | 14 | 60 |
2023 July | 83 | 20 | 103 |
2023 June | 106 | 24 | 130 |
2023 May | 67 | 21 | 88 |
2023 April | 74 | 13 | 87 |
2023 March | 57 | 21 | 78 |
2023 February | 46 | 28 | 74 |
2023 January | 70 | 12 | 82 |
2022 December | 59 | 24 | 83 |
2022 November | 62 | 29 | 91 |
2022 October | 56 | 37 | 93 |
2022 September | 76 | 31 | 107 |
2022 August | 77 | 44 | 121 |
2022 July | 59 | 41 | 100 |
2022 June | 66 | 25 | 91 |
2022 May | 73 | 39 | 112 |
2022 April | 60 | 41 | 101 |
2022 March | 81 | 63 | 144 |
2022 February | 52 | 30 | 82 |
2022 January | 69 | 42 | 111 |
2021 December | 52 | 43 | 95 |
2021 November | 51 | 42 | 93 |
2021 October | 80 | 43 | 123 |
2021 September | 65 | 46 | 111 |
2021 August | 62 | 44 | 106 |
2021 July | 59 | 39 | 98 |
2021 June | 67 | 31 | 98 |
2021 May | 72 | 47 | 119 |
2021 April | 184 | 77 | 261 |
2021 March | 110 | 27 | 137 |
2021 February | 66 | 19 | 85 |
2021 January | 78 | 15 | 93 |
2020 December | 73 | 12 | 85 |
2020 November | 91 | 21 | 112 |
2020 October | 73 | 17 | 90 |
2020 September | 59 | 16 | 75 |
2020 August | 69 | 18 | 87 |
2020 July | 43 | 13 | 56 |
2020 June | 37 | 20 | 57 |
2020 May | 37 | 10 | 47 |
2020 April | 32 | 10 | 42 |
2020 March | 13 | 2 | 15 |
2018 May | 5 | 0 | 5 |
2018 April | 53 | 5 | 58 |
2018 March | 120 | 10 | 130 |
2018 February | 36 | 4 | 40 |
2018 January | 16 | 5 | 21 |
2017 December | 28 | 10 | 38 |
2017 November | 33 | 2 | 35 |
2017 October | 37 | 3 | 40 |
2017 September | 22 | 10 | 32 |
2017 August | 30 | 7 | 37 |
2017 July | 39 | 8 | 47 |
2017 June | 41 | 10 | 51 |
2017 May | 41 | 16 | 57 |
2017 April | 33 | 12 | 45 |
2017 March | 21 | 6 | 27 |
2017 February | 16 | 4 | 20 |
2017 January | 19 | 6 | 25 |
2016 December | 47 | 22 | 69 |
2016 November | 57 | 24 | 81 |
2016 October | 46 | 15 | 61 |
2016 September | 56 | 6 | 62 |
2016 August | 93 | 13 | 106 |
2016 July | 47 | 10 | 57 |