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Rheumatic manifestations of psoriasis.

H A Sadek1, A M Abdel-Nasser, T A El-Amawy

  • 1Department of Rheumatology and Rehabilitation, Minia University Hospital, Minia, Egypt.

Clinical Rheumatology
|May 4, 2006
PubMed
Summary
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Psoriatic arthropathy (PsA) affects over 70% of psoriasis patients, presenting diverse rheumatic and radiological symptoms. Current diagnostic criteria for PsA are inadequate, necessitating development of improved methods.

Area of Science:

  • Rheumatology
  • Dermatology
  • Radiology

Background:

  • Psoriatic arthritis (PsA) is a distinct rheumatic disease, often grouped with spondyloarthropathies.
  • Recent recognition of rheumatic manifestations like enthesopathy and osteoperiostitis in psoriasis patients.

Purpose of the Study:

  • To investigate rheumatological and radiological manifestations of psoriasis.
  • To assess the association between these manifestations and skin/nail disease severity.

Main Methods:

  • Consecutive interviews of 81 psoriatic outpatients over 6 months.
  • Utilized questionnaires and indices for skin, nail, and rheumatic disease assessment.
  • Performed radiological examinations of hands, feet, spine, and pelvis.

Related Experiment Videos

Main Results:

  • 73% of patients exhibited clinical and/or radiological psoriatic arthropathy (PsA).
  • Common findings included sacroiliitis/spondylitis (64.4%), enthesopathy (61%), and osteoperiostitis (83%).
  • Subungual hyperkeratosis strongly correlated with PsA and its various manifestations.

Conclusions:

  • Psoriatic arthropathy is more prevalent than previously assumed, affecting a majority of psoriasis outpatients.
  • Existing diagnostic criteria for PsA demonstrate poor performance, lacking both sensitivity and specificity.
  • Development of enhanced diagnostic and classification criteria for PsA is crucial, incorporating recent clinical and radiological findings.