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To correlate the obtained HFUS findings with disease activity of patients with psoriatic arthritis (PsA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Consecutive early na\u00efve patients with PsA underwent HFUS on nails and entheses before and after 24\u00a0weeks of treatment with IL-17 or IL-23 inhibitor. The Brown University Nail Enthesis Scale (BUNES), considering morphometry and Power Doppler (PD), and the Madrid Sonography Enthesitis Index (MASEI) score were used to evaluate these features. HFUS findings were correlated with the extension of the disease on skin by Psoriasis Area and Severity Index (PASI) and joints by Disease Activity Index for Psoriatic Arthritis (DAPSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty early na\u00efve patients with PsA were treated for 24\u00a0weeks with an IL-17 or IL-23 inhibitor. A significant reduction of BUNES PD was observed considering the whole cohort of patients receiving these drugs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044), whereas, despite a trend, no significant difference was reported comparing BUNES morphometry. The BUNES PD correlated with PASI (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.466,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030) and with DAPSA (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.444,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032), whereas BUNES morphometry did not. A significant reduction of MASEI was observed considering the whole assessed cohort of patients treated with these drugs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.045). The MASEI correlated with both PASI (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.429,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037) and DAPSA (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.499,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This proof-of-concept study demonstrated that the assessment by HFUS may provide additional accurate information about the effectiveness of IL-17 and IL-23 inhibitors in psoriatic nail and enthesis involvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11547-025-02086-9","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T10:50:53Z","timestamp":1758192653000},"page":"2044-2054","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The evaluation of effectiveness of IL-17 and IL-23 inhibitors on nail and enthesis involvement in early psoriatic arthritis patients by high-frequency ultrasonography: a single-centre prospective proof-of-concept study"],"prefix":"10.1007","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3487-8551","authenticated-orcid":false,"given":"Piero","family":"Ruscitti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Gianneramo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierpaolo","family":"Palumbo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfredo","family":"Bruni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Gentile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Lanzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Vagnozzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Loda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina Maria","family":"Magnanimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Concetta","family":"Fargnoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Barile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Cipriani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Esposito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"issue":"1","key":"2086_CR1","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1038\/s41572-021-00293-y","volume":"7","author":"O FitzGerald","year":"2021","unstructured":"FitzGerald O, Ogdie A, Chandran V, Coates LC, Kavanaugh A, Tillett W, Leung YY, deWit M, Scher JU, Mease PJ (2021) Psoriatic arthritis. 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Barile is the Editor in Chief and P. Palumbo is Deputy Editor of \u201cLa Radiologia Medica\u201d. They have not taken part in the review or selection process of this article. The remaining authors declare that they have no competing interests related to this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The local Ethics Committee (\n                      Comitato Etico Azienda Sanitaria Locale 1 Avezzano\/Sulmona\/L\u2019Aquila, L\u2019Aquila, Italy; protocol number 0204194\/22\n                      ) and the internal Review Board of the University of L\u2019Aquila (\n                      protocol number Internal Review Board University of L\u2019Aquila 01\/2022\n                      ) approved this study the study, which was performed according to the Good Clinical Practice guidelines and the latest Declaration of Helsinki. Moreover, patients signed an informed consent allowing the use of clinical and imaging records for scientific purposes.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable; all the patients\u2019 data are de-identified.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}