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The transition state between psoriasis and psoriatic arthritis (PsA) can be difficult for patients, with PsA affecting their physical functioning and quality of life.1 Delays in the diagnosis of PsA, even by 6 months, can result in irreversible joint damage. Therefore, identifying individuals with psoriasis who are at risk of progression to PsA is key for earlier intervention.1
Here, we summarize a review by Ribeiro et al. published in Current Rheumatology Reports on the use of musculoskeletal ultrasound (MSUS) to detect subclinical inflammation, with the aim of identifying individuals who are at a higher risk of PsA development following psoriasis.1
Figure 1. Suggested treatment algorithm for diagnosis of PsA incorporating MSUS*
PsA, psoriatic arthritis; POS, positive; NEG, negative; PEST, Psoriasis Epidemiology Screening Tool; ToPAS-2, Toronto Psoriatic Arthritis Screen Version 2; PASE, Psoriatic Arthritis Screening and Evaluation.
*Adapted from Ribeiro, et al.1 Created with BioRender.com
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