Protocolo diagnóstico de la dactilitis

  1. Turrión Nieves, A.
  2. Martín Holguera, R.
  3. Bohorquez Heras, C.
  4. Movasat Hadjkan, A.
Zeitschrift:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Datum der Publikation: 2017

Titel der Ausgabe: Enfermedades del sistema inmune y reumatológicas (III) Espondiloartritis. Manifestaciones cutáneas de las enfermedades reumatológicas

Serie: 12

Nummer: 26

Seiten: 1546-1549

Art: Artikel

DOI: 10.1016/J.MED.2017.01.017 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Medicine: Programa de Formación Médica Continuada Acreditado

Zusammenfassung

Introduction Dactylitis is one of the clinical manifestations of spondyloarthropathies, mostly related to psoriasic arthritis. Etiopathogenesis It is caused by the inflammation of structures with synovial fluid in fingers, the joint itself or the flexor tendon sheath; enthesis plays an important role in its pathophysiology. Clinical manifestations The clinical manifestation is uniform swelling of a finger. Diagnosis and prognosis Diagnosis is mostly clinical, prognosis and treatment depend on the etiopathogenesis. Treatment In spondyloarthropathy-related dactylitis the treatment is based on NSAIDs, local physical measures and infiltrations. Both synthetic and biological DMARDs have been used and new biological (Ustekinumab, Secukinumab) and non-biological (Apremilast) drugs have been approved.

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