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10-THE MEANING OF DACTYLITIS IN PATIENTS WITH ITH PSORIATIC ARTHRITIS

Authors: ABDALLRAHMAN ALRASHIDI --- FAISAL ALSAQABI
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2009 Volume: 15 Issue: 1 Pages: 61-66
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to describe dactylitis in a cohort of patients resident in Kuwait with psoriaticarthritis followed prospectively in our Rheumatology clinic and identify whether dactylitis isassociated with a worse outcome in patients with psoriatic arthritis.Between 2005 and 2008, (53) patients with psoriatic arthritis in Kuwait were followedprospectively every two months intervals and all patients files information were searched forpatients with dactylitis. Descriptive statistics were used to describe the population and x2 tests torelate dactylitis to radiographic changes.Dactylitis was documented in 32 patients (59%); 70% most of the cases were recorded atpresentation to the clinic. Dactylitis affected feet only in 63% of cases, hands only in 12%, andboth hands and feet in 5%. Recurrent dactylitis occurred in 36% of the patients. Increasedradiological progression was noted in digits showing dactylitis compared with those withoutdactylitis (54% v 31%, respectively; p<0.0001).It is concluded that dactylitis is common among patients with psoriatic arthritis resident inKuwait. It most often affects the feet, in an asymmetrical distribution. It is associated with agreater degree of radiological damage than occurs in digits not affected by dactylitis.

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