Dactylitis: implications for clinical practice.

Title

Dactylitis: implications for clinical practice.

Creator

Rothschild B M; Pingitore C; Eaton M

Publisher

Seminars in Arthritis & Rheumatism

Date

1998
1998-08

Description

OBJECTIVES: To assess the specificity of dactylitis for the diagnosis of spondyloarthropathy, sarcoidosis, and gout; and to characterize dactylitis specifically associated with gout. METHODS: Dactylitis was prospectively assessed among all individuals presenting to the Arthritis Center of Northeast Ohio from 1986 to 1996. RESULTS: Dactylitis was observed in 12% of individuals with spondyloarthropathy, 17% with sarcoidosis, and 5% with gout, but not in 96 patients with rheumatoid arthritis or in 2,434 patients with osteoarthritis, neck or back pain, or collagen vascular diseases. Among individuals with spondyloarthropathy, dactylitis was present in 22% with psoriatic, 28% with Reiter's syndrome, and only 7% with undifferentiated spondyloarthropathy. Gouty dactylitis was found only in individuals with polyarticular disease. CONCLUSIONS: Dactylitis is a valuable clue in the differential diagnosis of arthritis. Compared with the wider spectrum in children, sausage-shaped digits have only a few known causes in adults: Reiter's syndrome, psoriatic arthritis, sarcoidosis, flexor tendon sheath infections, and gout. In our series, the presence of dactylitis eliminated rheumatoid arthritis from the differential diagnosis. Copyright (c) 1998 by W.B. Saunders Company

Subject

Adult; Female; Male; Prospective Studies; Human; Chi Square Test; Descriptive Statistics; Middle Age; Fisher's Exact Test; Diagnosis; Differential; Fingers; Toes; Gout – Complications

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

41–47

Issue

1

Volume

28

Citation

Rothschild B M; Pingitore C; Eaton M, “Dactylitis: implications for clinical practice.,” NEOMED Bibliography Database, accessed November 28, 2021, https://neomed.omeka.net/items/show/6138.

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