:: Volume 15, Issue 2 (Spring 2024) ::
Caspian J Intern Med 2024, 15(2): 313-317 Back to browse issues page
Sonographic assessment of Achilles tendon in patients with cutaneous psoriasis
Anwar Sharifaskari , Azadeh Goodarzi , Navid Davoody , Nahid Kianmehr , Ali Sepyani , Anousheh Haghighi
Department of Internal Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran , haghighi533@yahoo.com
Abstract:   (471 Views)
with a variety of skin manifestations. The aim of this study was to determine the prevalence of subclinical Achilles tendon disorder in cutaneous psoriasis patients and compare it with healthy controls.
Methods: This was a cross-sectional case-control study conducted on psoriasis patients that were referred to dermatology clinic. Thirty patients in the case group and 30 healthy controls were included in the study. Thickness of Achilles tendon enthesis was scanned by an expert rheumatologist using ultrasound equipped with a 5-14 MHz linear prob bilaterally.
Results: The mean age of the patient and control groups was 43.97±16.82 years and 38.87±12.71 years, respectively (P=0.190). The mean thickness of the Achilles tendon enthesis in the dominant limb was 4.31±0.86 mm in the patient group and 4.10±0.54 mm in the control group. There was no significant difference between the two groups in terms of thickness of the Achilles tendon enthesis in the dominant limb (P=0.276). The mean thickness of the Achilles tendon enthesis in the non-dominant limb was 4.44±0.91 mm in the patient group and 4.14±0.59 mm in the control group. There was no significant difference between the two groups in terms of thickness of Achilles tendon enthesis in the non-dominant limb (P = 0.134).
Conclusion: Although ultrasonography may be utilized for assessment of both structural and inflammatory changes, we revealed no difference in the mean thickness of Achilles tendon enthesis in patients with cutaneous psoriasis. Contradiction between clinical and ultrasonography features required further research.

 
Keywords: Cutaneous psoriasis, Achilles tendon, Ultrasound, Enthesis, Psoriatic arthritis.
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Type of Study: Original Article | Subject: Reumatology
Received: 2022/11/27 | Accepted: 2024/02/24 | Published: 2024/02/24



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Volume 15, Issue 2 (Spring 2024) Back to browse issues page