CONTEXT Imaging of dactylitis in adult psoriatic arthritis suggests a pathophysiological role for enthesitis. However, histological definition of the dactylitic digit is unavailable. OBJECTIVE We evaluated the role of enthesitis in dactylitis associated with psoriatic juvenile idiopathic arthritis (psJIA) in a child who underwent detailed imaging and histologic evaluation. DESIGN Radiograph...

A 30 year old Pakistani female patient with osteomalacia and coeliac disease presenting as an isolated dactylitis is reported.

Dactylitis and bone lesions are rare complications of sarcoidosis that occur in the chronic disease and they are unusual features of the disease at presentation. The present paper describes a case of a 28-year-old woman with dactylitis (due to tenosynovitis and soft tissue granulomas) and phalangeal bone lesions in 2 fingers at the onset of sarcoidosis. She also had asymptomatic pulmonary type ...

Psoriatic arthritis is a diverse condition that may be characterized by peripheral inflammatory arthritis, axial involvement, dactylitis and enthesitis. Magnetic resonance imaging (MRI) allows visualization of soft tissue, articular and entheseal lesions, and provides a unique picture of the disease process that cannot be gained using other imaging modalities. This review focuses on the literat...