Giá trị siêu âm cơ xương khớp góc nhìn của bs lâm sàng

GIATR| SEU AM COXUONG KHOP

GOC NHIN CUABAC Si LAM SANG

BS. Nowén Hodng Thanh Vn
TrudnBgH Y-Duoc Hut

Hy gu WSU,
THE NATIONAL CONGRESS OF VIETNAMESE SOCIETY OF LTRASOUNDIN

Semone om

NOIDUNG

1, Case am sing

2 Gi tri cla su Amtrong mat 0 bén cd viém Kh ngoa bién

thutng gép

3, Mat sO van đề thưa đề ty đến run tội Ung này

Case lam sang 1

* Bérnh nanint 1970
* Dau ktdp khujubén pha dé
1 ndm nay i
Ban du: dau 1 dt gin su
tang ln ki vn dong

* YN;VS:190, 2h 140

RF: Duong tinh

Arti CCP > 00 Um

CRP: 3.71.mg/L

Case lam sang2 II) (MUM|

* Bnnam 1970

7S: bénh gut trén 10 ném

Giéutri khong lién tue

+ AU mu: 320 uml

Tu) A "001100
ai) |
VANE) bà Lt TRÍ

k |)/2U0)
xa "DU,

STUN TY STUNT)

Mat I4 LI

hd)

I2

Phan loai bénh li Bệnh iln
Kho thong gan
quan rian
tymien

fusion WM p Benh I do MU.

a lfñilum..
Ìeftth
viem chuyen fd

lIttwsed ue]

MỘÚp HậMHÚp — HHỀMp—

-\idm kp ohiém Khudn = Bénh gt - ên khdp dang thép

“Lao hp - ibm Khdpthigu Vid kpvay nén

«Binh gl vb cd vid MnO cn -Lupus ban dhe thong

pd ng dng tiem Nn | cn

the imp ct |i úy hii ty

-Vidm khdp ct tng phat

-Bénh Stil 6 ngui tring

thanh

- êm lhúp lên quan vim

rust

-Bénh git mgn

ohn Honda(2020) Cnc! Rheumatology, Singer

06, Hung ch vB bh coat’

Mat sd bénh viém khop ngoai bin thường gịp

trên fm sang

1, Vikhdvmay nén

2, Vidm kh cbt sng thé ngoai bin the hin hop

3,Vidmkhdandg pthap

4, Benhgut

Phan bigtcéc trung hot viem Khop ngoai bien

Juilt Sra pce divas
Naldysvophy Bane erosion

Sacolits Previn invlvement
Mhjt Destrubconte isvoes

Dachyis

Enhets

Willom Sooeol(2021), erent Para Artis fram steoortitis and Rheumatoid Artis: A

Nonrotve Review ond Gulde for Advanced Pactc Provides", Rheumatol The. & pp. 149341547

ditLen khopvay nén

Will Sold, e ol. (20), “Dferentting Psonic Athi rom Csteoartits ond Rheumotold Athi: A
Novrotve Review nd Gulde for Advanced Practice Provides", Rheumatol The. 8, np. 493-1517

Viem gan Achille

a

Pony

‘Ano Moro Crepo-Rociqur etal, (2021, "Role of dlagnaste Imaging in psoite arth: how, when, and

why’ Insights agin. 12, pp. o12


Worstma's morphological clsiication of ultrasonographic changes in the psoriatic nal (4),

type Intact and hyperechoic dorsal plate wih foal hyperechoic areas on the venta plat

type ll A.normal hyperechoic dora pte wth luring and! os of ventral plate margins
typeI] Wavy appearance ofboth nail plates

type LV Los of dition ofboth plates

2.2, Vidm khop cot sng

kịitrìtửa iêuâm tr tiệt thuần chan dodn SpA

Inpatients with 28 months back pan, Inpalens with perihera.

(with/without peiheral manifestations) wanitestatons. ONL’

and age a onset5 yeas |

| a i

Sein || HU | pls
Imaging pus21 OR 22 oher ph
SpAlealue TÚ)

SpA eatues 21 SpA Teaure

+ flammatory back pan * wells
i * peoriasls
+ Crohslcrav cls
* anhiis

+ enhesis (be!) * preceding inecon
+ J lý + HUB?

+ (lý + sacroonlimiagling
, 0
* psrasis :
* Cron’ eave cli 2LodherSA features

+ god epg NSAs

+ ani tis lo SpA "ats

“HABIT + enlhesiig

* elevated CRP + li

+ (BP ever

Pl tis uly radon owierand 0/009 avis + fay ily or SpA
W Rucwal tl Ann RhDeis 2u017m025:
Centr, cb chy 89s

A

Vai tr cla siéu dm trong tiéuchuén chan dod PsA

Tituchuin CASPAR dh i vd kp got i, ot sng vl dem bm

en, hn din io thu im:

1 Vay nn dang hoa dng (2 fin) en bin thin od vy ne (in) luự

tin gin ob vi nd (di),
2 Tin throng ning nin (de),

4 Yeut dan hip RF i inh ce),

{, Viên ngonhinh Khe do: hién nay hod ten st (Gago anh gta bot bic st

thip kh) (! dem),

§,X qu bin yin hin bnh think xuong cath kh dem) 3)

Grade

13, im lhúf II <

(WlWMũ (núi

i Scoring ultrasoun

rheumatoid arthri (4)

Mera OMERACT ult

aes Part: definition a

of a standardised,

scoring system

Mat Anoita Ago,” Lene

Mia Backus Pete Ba Coc

Wr Grass Annamaria agnooo,

David Kana" Esperanza Naedo,

Pho Conagchhaardr”ake

Jol ling

Table4 EULAR-OMERACT combined scoring systefmr

grading synovitis in heumatold arthritis

Gr0;aNodrmaleint No GS detecStHeadnd
N10 PD signal (within the
synovium)

Grade 1: Minimal synovitis Grade1 SH and
PD signal

Grade2: Moderate synovitis Grade2 SH and
PD signal or Grade1 SH and
a Grade 2PD signal

Grade 3; Severe synovitis GraSH dande PD signal or Grade1 or2 SH
anda Grade 3 PD signal Ddgostno MA, eta RMO Open 2017;3e000428,

ho 10.1136/mdopen-2016-000428

Tật thun pin loai VKDT ACR/EULAR 2010

‘uch gm iy my i A, 1 Thay itr X quang kh

aE | tong tid chudn chdn dodnli?

Hl ea 2 Nd ih idm kp do atk

—— nguyén nhan nao khac?

1 idm ip dil sin?

REG) vbanl CCP() I

If(lllilllawi(lM() !

W(!)w0(*)\luwl(()ee(*) }

Chin ng ep th

CRP vAVSSbinh thang I

CRP ie VS iy |

DT gn sl in ching

«Gun I

3l |

Nah hint 2 610d, apc dn vin Kip ip,

(nn ing bk ng (ag i > 3 niag

Noi soi khop- Siew am: day va tang sinh mach

mang hoat dich