Research Article

Ultrasound Findings in Hand Joints Involvement in Patients with Psoriatic Arthritis and Its Correlation with Clinical DAS28 Score

Figure 4

A 30-year-old female patient diagnosed as PsA presented with history of pain and swelling of right third PIP (arrow) (a). DAS28 score was 4.48 (suggestive of moderate disease activity). Ultrasound examination revealed Grade 2 synovial hypertrophy in right third PIP joint (b and d). PD evaluation showed increased signal (Grade 3) within the hypertrophied synovium in the joint (c and e). US scores derived were as follows: GSJC-11, GSJS-18, PDJC-3, and PDJS-7. Longitudinal view (b and c). Transverse view (d and e).
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