Another interesting study demonstrating the use of ultrasound to assess psoriatic arthritis. In very early, DMARD naïve PsA, clinically swollen joints are associated with PD synovitis, but tender, non-swollen joints are not @RheumNow #ACR20 Abst#313

DISCOVER-2 (52 wk study) Guselkumab 100mg q4wk and q8wk for tx of PsA 1️⃣Sustained responses in: ACR20/50/70, PASI90/100, HAQ-DI, MDA/VLDA, QoL 2️⃣Improvement enthesitis/dactylitis 3️⃣No increase rate of serious infection @RheumNow #ACR20 Abs#0506 https://t.co/7MXYTucVZ9

The presence of fibromyalgia in psoriatic arthritis correlates with the clinical outcome scores. Ultrasound evaluation can be useful to evaluate disease activity in the presence of fibromyalgia @rheumnow #ACR20 Abstr#315 #ACRbest

The synovio-entheseal complex theory is proposed in the pathogenesis of psoriatic arthritis. The ultrasound study showed a link in the severity of the sonographic findings in the joints and the entheses supporting this model @rheumnow #ACR20 Abstr#311

@Rhemnow #ACR20 abs0307 analysis of PsA pts diagnostic pathway emphasizes difference in Dx coding by specialty (Derm unlikely to code arthritis, rheum unlikely to code PSO, PCP tend to code general MSK and axial symptoms). PSO and enthesitis codes increased closer to PsA Dx https://t.co/i6ZmjlD3xs

Small study showed poor to fair agreement of PE and US findings of hands in PsA. Do you use US in your clinic for diagnostics? #ABS0314 @RheumNow #ACR20 https://t.co/6oQG4SB1d3 https://t.co/SQK7uhX02T

• Accuracy of Physical Examination to Detect Synovial and Extra-synovial Patholog…

What's your initial biologic of choice when escalating therapy for PsA patients non-responsive to csDMARDs? @RheumNow #ACR20