Occult axial involvement in patients with psoriatic arthritis mutilans: a case report

  • F.M. Perrotta Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy. http://orcid.org/0000-0003-3771-5205
  • S. Scriffignano Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy.
  • A. De Socio Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy.
  • E. Lubrano | enniolubrano@hotmail.com Academic Rheumatology Unit, Dipartimento di Medicina e Scienze della Salute Vincenzo Tiberio, Università degli Studi del Molise, Campobasso, Italy. http://orcid.org/0000-0001-6189-5328

Abstract

We present the case of a patient with psoriatic arthritis (PsA) mutilans and occult axial involvement. The patient had suffered from PsA mutilans for more than a decade, with severe residual articular damage, but had been in clinical remission for years. Clinical axial involvement was never reported; however, magnetic resonance imaging of the sacroiliac joints, performed for other reasons, documented active inflammation and damage even without clinical symptoms. These findings corroborated the hypothesis that axial involvement could be asymptomatic, subclinical and, furthermore, underdiagnosed or even occult in patients with PsA mutilans, in which cases it should be carefully evaluated.

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Published
2019-07-09
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Section
Case Reports
Keywords:
Psoriatic arthritis, arthritis mutilans, axial involvement, magnetic resonance imaging.
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How to Cite
Perrotta, F., Scriffignano, S., De Socio, A., & Lubrano, E. (2019). Occult axial involvement in patients with psoriatic arthritis mutilans: a case report. Reumatismo, 71(2), 88-91. https://doi.org/10.4081/reumatismo.2019.1146