B-mode ultrasound in the uveitis in the psoriatic arthritis without skin lesion

Abstract

Introduction: The involvement of inflammatory ocular and joint manifestations can be better evaluated by ultrasound, but the application of this image method in the eyes is a universe that is still very little explored in inflammatory joint diseases. Objective: The aim of this case report was to detect inflammatory ocular and joint changes by ultrasound with a high frequency linear probe in patients without prior established diagnosis. Case report: This case describes a caucasoid patient of the female sex, 32 years of age, without diagnosis. The patient referred red eyes when using a computer, with weak nails and left ankle arthritis, for 6 months. An ultrasound with 12 MHz high frequency linear probe was used to evaluate the eyes and a frequency of 15 to 18 MHZ for joint investigates. Discussion: The ultrasound showed in eyes the following findings: floating hypoecogenic images in vitreous humor more intensely to the left, characterizing vitritis, in all of the distal interphalangicas evaluated, with loss of the plate nail pattern trilaminar, effusion tibio - talar, tenosynovitis peroneus longus tendon and entesopathy Achilles tendon, without the presence of power Doppler. Conclusion: B-mode ultrasound can an important adjunct to the clinical evaluation in patients with arthritis e uveitis. Future studies will better signal the intensity of these findings of vitreous humor alterations, and also define this relationship with the subclinical and inflammatory, ocular and joint activity condition.