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Girolimetto N, Macchioni P, Tinazzi I, Costa L, McGonagle D, Peluso R, Del Puente A, Addimanda O, Marchetta A, Possemato N, Tasso M, Salvarani C, Scarpa R, Caso F. Ultrasonographic Evidence of Predominance of Acute Extracapsular and Chronic Intrasynovial Patterns in 100 Cases of Psoriatic Hand Dactylitis. J Rheumatol 2019; 47:227-233. [PMID: 31092722 DOI: 10.3899/jrheum.190046] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2019] [Indexed: 02/06/2023]
Abstract
OBJECTIVE To use ultrasonography to study whether the duration of psoriatic dactylitis was associated with different patterns of extracapsular and synovial-based involvement. METHODS One hundred cases of hand dactylitis from 85 patients with psoriatic arthritis (PsA) were consecutively enrolled in a multicenter cross-sectional study and divided into 2 groups according to dactylitis duration (shorter or longer than the median: 20 weeks). All dactylitis fingers were investigated using high-frequency ultrasound both in greyscale (GS) and power Doppler (PD), evaluating the presence of flexor tenosynovitis, soft tissue edema, subcutaneous PD signal (PDS), extensor tendon involvement, and joint synovitis. RESULTS Cases with a shorter dactylitis duration (< 20 weeks) had a significantly higher prevalence of GS flexor tenosynovitis of grade > 2, PD flexor tenosynovitis, soft tissue edema, and subcutaneous PDS (p = 0.001, p < 0.001, p < 0.05, and p = 0.001, respectively). However, the presence of synovitis in GS and PD mode (in both cases at proximal interphalangeal level) was more frequent in patients with longer dactylitis duration (p < 0.001). When detected in the chronic form, flexor tenosynovitis was grade 2 or lower. CONCLUSION In a large cohort of PsA hand dactylitis, we found a predominant extracapsular inflammation (flexor tenosynovitis and soft tissue edema) in early cases and a high prevalence of joint synovitis at proximal interphalangeal level in the chronic form. However, longitudinal imaging studies are needed to clarify these aspects.
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Affiliation(s)
- Nicolò Girolimetto
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Pierluigi Macchioni
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Ilaria Tinazzi
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Luisa Costa
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Dennis McGonagle
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Rosario Peluso
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Antonio Del Puente
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Olga Addimanda
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Antonio Marchetta
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Niccolò Possemato
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Marco Tasso
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Carlo Salvarani
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
| | - Raffaele Scarpa
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy. .,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II.
| | - Francesco Caso
- From the Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II, Naples; Department of Rheumatology, Azienda USL-Institute for Research and Health Care (IRCCS) di Reggio Emilia, Reggio Emilia; Unit of Rheumatology, Ospedale Sacro Cuore, Negrar, Verona, Italy; UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds, UK; Rheumatology Unit, University of Modena and Reggio Emilia, Reggio Emilia, Italy.,N. Girolimetto, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; P. Macchioni, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; I. Tinazzi, MD, Unit of Rheumatology, Ospedale Sacro Cuore; L. Costa, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; D. McGonagle, MD, PhD, Professor, FRCPI, NIHR Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals Trust and the University of Leeds; R. Peluso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; A. Del Puente, MD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; O. Addimanda, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia; A. Marchetta, MD, Unit of Rheumatology, Ospedale Sacro Cuore; N. Possemato, MD, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia;. Tasso, MD, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; C. Salvarani, MD, Full Professor, Department of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, and Rheumatology Unit, University of Modena and Reggio Emilia; R. Scarpa, MD, Full Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II; F. Caso, MD, PhD, Assistant Professor, Department of Clinical Medicine and Surgery, Rheumatology Research Unit, University Federico II
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