Abstract

To the Editor: We thank Dr. Ozkan and colleagues for their interest1 in our article2 on how to distinguish psoriatic arthritis (PsA) from fibromyalgia (FM). In our study, as a complement to the clinical findings, we investigated by power Doppler ultrasound (PDUS) the involvement of 10 entheseal sites in a small subgroup of patients selected randomly (30 PsA, 30 FM). The sites examined were not those included in the Ankylosing Spondylitis Enthesitis Score (MASES), with the exception of the Achilles tendon. The point of this substudy was to evaluate whether this imaging technique might enhance the distinction between PsA and FM entheseal pain based only on clinical features. However, … Address correspondence to Dr. Marchesoni; E-mail: marchesoni{at}gpini.it

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