Ann Rheum Dis: A new and reliable overall ultrasound score for psoriasis arthritis (DACTOS)

Finger inflammation is one of the most typical characteristics of psoriasis arthritis (PsA), which has a high lifetime prevalence and is included in PsA clinical indicatorsMusculoskeletal Ultrasound (Msk-US) can easily detect the invasion of finger anatomy and monitor the therapeutic effectThe purpose of this study was to identify the characteristic lesions of PsA hand finger inflammation, to assess the reliability of Msk-US's scoring of these lesions, and to establish a total ultrasound (DACTOS) score for the diseaseafter a systematic literature review of the use of Msk-US in PsA fingeritis, 12 rheumatologists participated in three rounds of Delphi procedures and consensus sessions to reach a consensus on the composition of ultrasound basic lesions and overall ultrasound scores for symptomititisReliability exercises were then conducted between network-based and patient-based evaluators and evaluators to assess those diseases that were included in the scoreThe DACTOS score was obtained by adding the lesion scores selected in the Delphi survey: subcutaneous soft tissue edema, flexor tendonitis, peritonal encephalitis, and glioblastitisDACTOS scores range from 0 to 25In the reliability exercise, the consistency of the score included in the ultrasound lesions was excellentthe new DACTOS score is a reliable indicator that can be used to explain the many ultrasound characteristics of finger inflammationDACTOS scores provide a useful overall analysis of hand fingerinflammation and contribute to clinical diagnosis, as well as a useful tool for treatment and research in PsA patients with fingerinflammation