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Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Patterns of psoriatic arthritis
Amer Ejaz1, Arshi Iftikhar, Nadia Iftikhar
1Department of Dermatology, Combined Military Hospital, Kharian Cantt. amer_ejaz@yahoo.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 5, 2009
Summary
Joint involvement is common in psoriasis patients, with nearly half experiencing arthritis. Nail changes were significantly more prevalent in those with psoriatic arthritis.
Area of Science:
- Rheumatology
- Dermatology
- Clinical Medicine
Background:
- Psoriasis is a chronic inflammatory skin condition.
- Psoriatic arthritis (PsA) is a common comorbidity, affecting a significant portion of psoriasis patients.
- Understanding the clinical patterns of PsA is crucial for diagnosis and management.
Purpose of the Study:
- To delineate the clinical manifestations of arthritis in patients with psoriasis.
- To identify characteristic features associated with psoriatic arthritis.
Main Methods:
- A cross-sectional, observational study was conducted with 100 consecutive psoriasis patients.
- Patients were diagnosed with psoriatic arthritis using the Moll and Wright criteria.
- Clinical examination assessed peripheral and axial joints, enthesitis, dactylitis, and nail changes; PASI scores evaluated psoriasis severity.
Main Results:
- 46% of psoriasis patients met the criteria for psoriatic arthritis.
- The most frequent presentation was monoarthritis (single joint involvement).
- Nail involvement was significantly higher in patients with PsA (74%) compared to those without (29%).
Conclusions:
- Joint involvement is a frequent occurrence in individuals with psoriasis.
- Diagnostic criteria for psoriatic arthritis may require further consensus and refinement.
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