Fareeha Khalid, Nisar Ahmed, Mazhar Shafiq, Rahat, Atif.
To Determine the Frequency of Achilles Tendon Involvement in Psoriasis By Ultrasound.
Pak J Radiol Jan ;27(1):09-13.

OBJECTIVE : To determine the frequency of Achilles tendon involvement in clinically missed psoriatic patients detecting on ultrasound as an investigation tool. STUDY DESIGN : This was a descriptive cross-sectional study. PLACE AND DURATION OF STUDY: The study was conducted in the Department of Radiology, PNS Shifa Hospital, Karachi, Pakistan from 02-04-15 to 30-06-16 for a period of >14 months. PATIENTS & METHODS: Eighty one (81) diagnosed patients with Psoriasis having no history of any type of arthritis or foot trauma were included. Patients underwent ultrasound of Achilles tendon. RESULTS: In this study the mean age of the 44.28±10.019 years and the male to female ratio of the patients was 5.75:1. Achilles tendon on ultrasound was found in 4 (4.9%) patients who were clinically missed. Statistically significant difference was found between disease duration groups and outcome variable with p-value=0.003 and insignificant differences were found between outcome variable and age groups and gender that are p-value = 0.127 and p-value = 0.520 respectively. CONCLUSION: Our study results concluded that use of ultrasound as a cost effective and useful investigation tool for detecting Achilles tendon involvement in clinically missed psoriatic patients.

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