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Medical Hydrology and Balneology: Environmental Aspects

Medical Hydrology and Balneology: Environmental Aspects

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<strong>Medical</strong> <strong>Hydrology</strong> <strong>and</strong> <strong>Balneology</strong>: <strong>Environmental</strong> <strong>Aspects</strong><br />

Results<br />

The score at T0 demonstrated a low grade of vascularity in both groups. The Radiologist<br />

did not detect significant variations at T1 <strong>and</strong> in particular the score remained<br />

unchanged in 12 patients (66.7%), improved in 4 (22.2%) <strong>and</strong> worsened in<br />

2 (11.1%) in group A, remained unchanged in 10 patients (71.4%), improved in 2<br />

(14.3%) <strong>and</strong> worsened in 2 (14.3%) in group B. The processing of the films by a<br />

dedicated software showed at T1 a favorable variation of vascularity parameters in<br />

patients in group A, in comparison to controls.<br />

Conclusions<br />

Our data suggest that patients with PA with low active disease induced by TNFinhibitors<br />

can receive a further improvement from a cycle of mud-bath treatment.<br />

CEUS revealed in these patients a slight reduction of vascularity parameters at<br />

time T1 compared to baseline, while in those treated with TNF-inhibitors alone<br />

showed an opposite trend.<br />

These results are in agreement with the clinical improvement observed in patients<br />

with PA submitted to thermal therapy, reported in other studies.<br />

Keywords: Psoriatic Arthritis, Mud-Bath Therapy, Contrasted-Enhanced Ultrasound<br />

(CEUS)<br />

180<br />

Balnea<br />

2012, núm. 6, 179-180

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