Semin Musculoskelet Radiol 2003; 07(2): 115-126
DOI: 10.1055/s-2003-41345
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Imaging Features of Psoriatic Arthritis and Reiter's Syndrome

Rosemary J. Klecker, Barbara N. Weissman
  • Department of Radiology, Brigham and Women's Hospital, Boston, MA, and Department of Radiology, Harvard Medical School, Boston, MA
Further Information

Publication History

Publication Date:
14 August 2003 (online)

ABSTRACT

Psoriatic arthritis and Reiter's Syndrome are seronegative spondyloarthropathies with characteristic, yet nonspecific, radiographic findings. Radiographic diagnosis is based upon recognition of the classic morphologic changes and knowledge of the articular distribution. Other imaging modalities such as computed tomography (CT), radionuclide imaging, magnetic resonance (MR) imaging, and ultrasonography are also utilized and play specific roles in the evaluation of Psoriatic arthritis and Reiter's Syndrome.

REFERENCES

  • 1 Kettering J M, Towers J D, Rubin D A. The seronegative spondyloarthropathies.  Semin Roentgenol . 1996;  31 220-228
  • 2 Wright V. Psoriasis and arthritis.  Br J Dermatol . 1957;  69 1
  • 3 Lambert J R, Wright V. Eye inflammation in psoriatic arthritis.  Ann Rheumatol . 1976;  35 354-356
  • 4 Arnett F C. Seronegative spondyloarthropathies.  Bull Rheumatol Dis . 1987;  37 1-12
  • 5 Leczindky C G. The incidence of arthropathy in a ten-year series of psoriasis cases.  Acta Dermato-Venereol . 1948;  28 483
  • 6 Wright V. Psoriatic arthritis. In: Scott J, ed. Copeman's Textbook of the Rheumatic Diseases, 5th ed Edinburgh: Churchill Livingstone 1978: 537
  • 7 Brewerton D A, Caffrey M, Nicholls A, Walters D, James D C. HL-A 27 and arthropathies associated with ulcerative colitis and psoriasis.  Lancet. 1974;  1(7864) 956-958
  • 8 Lambert J R. et al . Histocompatibility antigens in psoriatic arthritis.  Ann Rheumatic Dis . 1976;  35 526-530
  • 9 Metzger A L. et al . HL-A W27 in psoriatic arthropathy.  Arthritis Rheumatism . 1975;  18 111-115
  • 10 Kammer G M. et al . Psoriatic arthritis: a clinical, immunologic and HLA study of 100 patients.  Semin Arthrit Rheumat . 1979;  9 75-97
  • 11 Hellgren L. Association between rheumatoid arthritis and psoriasis in total populations.  Acta Rheumatol Scand . 1969;  15 316-326
  • 12 Church R. The prospect of psoriasis.  Br J Dermatol . 1958;  70 139
  • 13 Tiedemann G. Symptomatologie und Aetiologie der Psoriasis arthropathica im Blickpunkt der Vererbung und Umweltbeeinflussung.  Ztschr Menschi Vererb-u Konstitutionslehre . 1951;  30 248
  • 14 Roberts M E. et al . Psoriatic arthritis. Follow-up study.  Ann Rheumatic Dis . 1976;  35 206-212
  • 15 Gladman D D, Shuckett R, Russell M L. et al . Psoriatic arthritis (PsA): an analysis of 220 patients.  Q J Med . 1987;  62 127-141
  • 16 Helliwell P. et al . A re-evaluation of the osteoarticular manifestations of psoriasis (comment).  Br J Rheumatol . 1991;  30 339-345
  • 17 Scarpa R. et al . Psoriatic arthritis in psoriatic patients.  Br J Rheumatol . 1984;  23 246-250
  • 18 Torre Alonso C J. et al . Psoriatic arthritis (PA): a clinical, immunological and radiological study of 180 patients (comment).  Br J Rheumatol . 1991;  30 245-250
  • 19 Wright V, Moll J M. Psoriatic arthritis.  Bull Rheumatic Dis . 1971;  21 627-632
  • 20 Green L. et al . Arthritis in psoriasis.  Ann Rheumatic Dis . 1981;  40 366-369
  • 21 Porter G G. Psoriatic arthritis. Plain radiology and other imaging techniques.  Clin Rheumatol . 1994;  8 465-482
  • 22 Harvie J N, Lester R S, Little A H. Sacroiliitis in severe psoriasis.  Am J Roentgenol . 1976;  127 579-584
  • 23 Maldonado-Cocco J A, Porrini A, Garcia-Mortoe O. Prevalence of sacroiliitis and ankylosing spondylitis in psoriasis patients.  J Rheumatol . 1978;  5 311-313
  • 24 Killebrew K, Gold R H, Sholkoff S D. Psoriatic spondylitis.  Radiology . 1973;  108 9-16
  • 25 Lambert J R, Wright V. Psoriatic spondylitis: a clinical and radiological description of the spine in psoriatic arthritis.  Q J Med . 1977;  46 411-425
  • 26 Sundaram M, Patton J T. Paravertebral ossification in psoriasis and Reiter's disease.  Br J Radiol . 1975;  48 628-633
  • 27 Loebl D H. et al . Psoriatic arthritis.  JAMA . 1979;  242 2447-2451
  • 28 Sherman M S. Psoriatic arthritis.  Observations on the clinical, roentgenographic, and pathological changes. J Bone Joint Surg . 1952;  34A 831
  • 29 Martel W. et al . Erosive osteoarthritis and psoriatic arthritis: a radiologic comparison in the hand, wrist, and foot.  Am J Roentgenol . 1980;  134 125-135
  • 30 Forrester D M, Kirkpatrick J. Periostitis and pseudoperiostitis.  Radiology . 1976;  118 597-601
  • 31 Resnick D, Broderick T W. Bony proliferation of terminal toe phalanges in psoriasis: the "ivory" phalanx.  J Can Assoc Radiol . 1977;  28 187-189
  • 32 Resnick D, Niwayama G. Rheumatoid arthritis and the seronegative spondyloarthropathies: radiographic and pathologic concepts. In: Resnick D, Niwayama G, eds. Diagnosis of Bone and Joint Disorders, 2nd ed Philadelphia: WB Saunders 1988: 895-953
  • 33 Resnick D, Niwayama G. Entheses and enthesopathy. Anatomical, pathological, and radiological correlation.  Radiology . 1983;  146 1-9
  • 34 Resnick D. et al . Calcaneal abnormalities in articular disorders. Rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and Reiter syndrome.  Radiology . 1977;  125 355-366
  • 35 Avila R. et al . Psoriatic arthritis: a roentgenologic study.  Radiology . 1960;  75 691-701
  • 36 Lambert J R, Wright V. Psoriatic spondylitis: a clinical and radiological description of the spine in psoriatic arthritis.  Q J Med . 1977;  184 411-425
  • 37 Kemple K, Bluestone R. The histocompatibility complex and rheumatic diseases.  Med Clin North Am . 1977;  61 331-345
  • 38 Barraclough D, Russell A S, Percy J S. Psoriatic spondylitis: a clinical, radiological, and scintiscan survey.  J Rheumatol . 1977;  4 282-287
  • 39 Fam A G, Cruickshank B. Subaxial cervical subluxation and cord compression in psoriatic spondylitis.  Arthritis Rheumatism . 1982;  25 101-106
  • 40 Peterson Jr C C, Silbiger M L. Reiter's syndrome and psoriatic arthritis. Their roentgen spectra and some interesting similarities.  Am J Roentgenol Radium Ther Nucl Med . 1967;  101 860-871
  • 41 Kaplan D, Plotz C M, Nathanson L, Frank L. Cervical spine in psoriasis and in psoriatic arthritis.  Ann Rheum Dis . 1964;  23 50-56
  • 42 Becker N J. et al . Psoriatic arthritis affecting the manubriosternal joint.  Arthritis Rheumatism . 1986;  29 1029-1031
  • 43 Parker V S, Malhotra C M, Ho Jr G, Kalan S R. Radiographic appearance of the sternomanubrial joint in arthritis and related conditions.  Radiology . 1984;  153 343-347
  • 44 Jurik A, Gradual H, de Carcalho A. Monoarticular involvement of the manubriosternal joint.  Skeletal Radiol . 1985;  12 99-103
  • 45 Namey T C, Rosenthall L. Periarticular uptake of 99mtechnetium diphosphonate in psoriatics: correlation with cutaneous activity.  Arthritis Rheumatism . 1976;  19 607-612
  • 46 Bachmann E. et al . Joint involvement in psoriasis: scintigraphic, radiologic and clinical findings.  Dermatologica . 1983;  166 250-254
  • 47 Esdaile J, Hawkins D, Rosenthall L. Radionuclide joint imaging in the seronegative spondyloarthropathies.  Clin Orthop Relat Res . 1979;  143 46-52
  • 48 Weissberg D L. et al . Rheumatoid arthritis and its variants: analysis of scintiphotographic, radiographic, and clinical examinations.  Am J Roentgenol . 1978;  131 665-673
  • 49 Shearman J. et al . Predictive value of radionuclide joint scintigrams.  Arthritis Rheumatism . 1982;  25 83-86
  • 50 Stoeger A. et al . Technetium-99m human immunoglobulin scintigraphy in psoriatic arthropathy: first results (comment).  Eur J Nucl Med . 1994;  21 342-344
  • 51 Russell A S, Lentle B C, Percy J S. Investigation of sacroiliac disease: comparative evaluation of radiological and radionuclide techniques.  J Rheumatol . 1975;  2 45-51
  • 52 Baumgarten D A, Taylor Jr T A. Enthesopathy associated with seronegative spondyloarthropathy: 99mTc-methylene diphosphonate scintigraphic findings.  Am J Roentgenol . 1993;  160 1249-1250
  • 53 Carrera G F. et al . CT of sacroiliitis.  Am J Roentgenol . 1981;  136 41-46
  • 54 Lawson T L. et al . The sacroiliac joints: anatomic, plain roentgenographic, and computed tomographic analysis.  J Comput Assist Tomogr . 1982;  6 307-314
  • 55 Ryan L M. et al . The radiographic diagnosis of sacroiliitis. A comparison of different views with computed tomograms of the sacroiliac joint.  Arthritis Rheumatism . 1983;  26 760-763
  • 56 Borlaza G S. et al . Computed tomography in the evaluation of sacroiliac arthritis.  Radiology . 1981;  139 437-440
  • 57 Battafarano D F. et al . Comparison of bone scan, computed tomography, and magnetic resonance imaging in the diagnosis of active sacroiliitis.  Semin Arthritis Rheumatism . 1993;  23 161-176
  • 58 Savnik A. et al . MRI of the arthritic small joints: comparison of extremity MRI (0.2 T) vs high-field MRI (1.5 T).  Eur Radiol . 2001;  11 1030-1038
  • 59 Rand T. et al . Discrimination between fluid, synovium, and cartilage in patients with rheumatoid arthritis: contrast enhanced spin echo versus non-contrast-enhanced fat-suppressed gradient echo MR imaging.  Clin Radiol . 1999;  54 107-110
  • 60 Huang J. et al . A 1-year follow-up study of dynamic magnetic resonance imaging in early rheumatoid arthritis reveals synovitis to be increased in shared epitope-positive patients and predictive of erosions at 1 year.  Rheumatology . 2000;  39 407-416
  • 61 Savnik A. et al . MRI of the wrist and finger joints in inflammatory joint diseases at 1-year interval: MRI features to predict bone erosions.  Eur Radiol . 2002;  12 1203-1210
  • 62 Ciancio G. et al . Inconstant bursa between head of 5th metatarsal bone and tendon of abductor digiti minimi in psoriatic arthritis.  J Rheumatol . 2002;  29 851-852
  • 63 Savnik A. et al . Magnetic resonance imaging of the wrist and finger joints in patients with inflammatory joint diseases.  J Rheumatol . 2001;  28 2193-2200
  • 64 Weishaupt D. et al . MR imaging of inflammatory joint diseases of the foot and ankle.  Skeletal Radiol . 1999;  28 663-669
  • 65 Offidani A. et al . Subclinical joint involvement in psoriasis: magnetic resonance imaging and X-ray findings (comment).  Acta Dermato-Venereol . 1998;  78 463-465
  • 66 Yu W. et al . Comparison of radiography, computed tomography and magnetic resonance imaging in the detection of sacroiliitis accompanying ankylosing spondylitis.  Skeletal Radiol . 1998;  27 311-320
  • 67 Blum U. et al . Magnetic resonance imaging (MRI) for detection of active sacroiliitis-a prospective study comparing conventional radiography, scintigraphy, and contrast enhanced MRI.  J Rheumatol . 1996;  23 2107-2115
  • 68 Wittram C. et al . A comparison of MR and CT in suspected sacroiliitis.  J Comput Assist Tomogr . 1996;  20 68-72
  • 69 Docherty P. et al . Magnetic resonance imaging in the detection of sacroiliitis.  J Rheumatol . 1992;  19 393-401
  • 70 Frediani B. et al . Quadricepital tendon enthesitis in psoriatic arthritis and rheumatoid arthritis: ultrasound examinations and clinical correlations.  J Rheumatol . 2001;  28 2566-2568
  • 71 Lehtinen A, Taavitsainen M, Leirisalo-Repo M. Sonographic analysis of enthesopathy in the lower extremities of patients with spondylarthropathy.  Clin Exp Rheumatol . 1994;  12 143-148
  • 72 Falsetti P. et al . Enthesitis of proximal insertion of the deltoid in the course of seronegative spondyloarthritis. An atypical enthesitis that can mime impingement syndrome.  Scand J Rheumatol . 2002;  31 158-162
  • 73 Ahvonen P, Sievers K, Aho K. Arthritis associated with yersinia enterocolitica infection.  Acta Rheum Scand . 1969;  15 232
  • 74 Reiter H. Ueber eine bisher unerkannte Spirochaten infection (Spirochaetosis arthritica).  Dtsch Med Wochenschr . 1916;  42 1535
  • 75 Fiessinger N, Leroy E. Contribution a l'etude d'une epidemie de dysenterie dans la Somme.  Bull Mem Soc Med Hop . 1916;  40 2030
  • 76 McClusky O E, Lordon R E, Arnett Jr C F. HL-A 27 in Reiter's syndrome and psoriatic arthritis: a genetic factor in disease susceptibility and expression.  J Rheumatol . 1984;  11 571
  • 77 Keat A C. et al . The clinical features and HLA associations of reactive arthritis associated with non-gonococcal urethritis.  Q J Med . 1979;  48 323-342
  • 78 Laivoranta S. et al . HLA frequencies in HLA-B27 negative patients with reactive arthritis.  Clin Exp Rheumatol . 1995;  13 637-640
  • 79 Leirisalo-Repo M, Skylv G, Kousa M. Follow-up study of Reiter's disease and reactive arthritis. Factors influencing the natural course and the prognosis.  Clin Rheumatol . 1987;  6 73-82
  • 80 Aho K. et al . HL-A 27 in reactive arthritis. A study of Yersinia arthritis and Reiter's disease.  Arthritis Rheumatism . 1974;  17 521-526
  • 81 Gross J B, Wollaeger E E, Aauer W G. et al . Whipple's disease. Report of four cases including two in brothers with observations of pathologic physiology, diagnosis and treatment.  Gastroenterology . 1959;  36 65
  • 82 Martel W. et al . Radiologic features of Reiter disease.  Radiology . 1979;  132 1-10
  • 83 Sholkoff S D, Glickman M G, Steinbach H L. Roentgenology of Reiter's syndrome.  Radiology . 1970;  97 497-503
  • 84 Willkens R F. et al . Reiter's syndrome. Evaluation of preliminary criteria for definite disease.  Bull Rheumatic Dis . 1982;  32 31-34
  • 85 Nicholls A, Brewerton D AB, Caffrey M FP. et al . HLA27 in the arthropathies of inflammatory bowel disease (abstract).  Scand J Rheumatol Suppl . 1975;  8 30
  • 86 Russell A S. et al . Transplantation antigens in Crohn' disease: linkage of associated ankylosing spondylitis with HL-Aw27.  Am J Dig Dis . 1975;  20 359-361
  • 87 Willkens R F. et al . Reiter' syndrome. Evaluation of preliminary criteria for definite disease.  Arthritis Rheumatism . 1981;  24 844-849
  • 88 Rubinow A. et al . Arthritis in Whipple's disease.  Israel J Med Sci . 1981;  17 445-450
  • 89 Resnick D. Reiter's syndrome. In: Resnick D, ed. Diagnosis of Bone and Joint Disorders Philadelphia: WB Saunders 1995: 1103-1119
  • 90 Cornes J S, Stecher M. Primary Crohn's disease of the colon and rectum.  Gut . 1961;  2 189
  • 91 Warren C P. Arthritis associated with Salmonella infection.  Ann Rheumatic Dis . 1970;  29 483
  • 92 Khalkhali I, Stadalnik R, Wiesner K. et al . Bone imaging of the heel in Reiter's syndrome.  Am J Roentgenol . 1979;  132 110-112
  • 93 Gerster J C, Vischer T L, Bennani A, Fallet G H. The painful heel: comparative study in rheumatoid arthritis, ankylosing spondylitis, Reiter's syndrome and generalized osteoarthrosis.  Ann Rheumatic Dis . 1977;  36 343-348
  • 94 Resnick D. Patterns of peripheral joint disease in ankylosing spondylitis.  Radiology . 1974;  110 523
  • 95 Jacobs J C. Spondyloarthritis and enthesopathy. Current concepts in rheumatology.  Arch Intern Med . 1983;  143 103-107
  • 96 Keat A. Reiter's syndrome and reactive arthritis in perspective.  N Engl J Med . 1983;  309 1606-1615
  • 97 Rosenthall L, Hawkins D. Radionuclide joint imaging in the diagnosis of synovial disease.  Semin Arthritis Rheumatism . 1977;  7 49-61
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