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Psoriatic arthritis.

Vanessa Ocampo D1, Dafna Gladman1,2

  • 1University of Toronto, Psoriatic Arthritis Program, University Health Network, Toronto Western Hospital, Toronto, Ontario, Canada.

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|October 5, 2019
PubMed
Summary

Psoriasis is a skin condition affecting 2-4% of adults, with 20-30% developing psoriatic arthritis (PsA), a complex musculoskeletal disease. This review covers PsA classification, diagnosis, pathogenesis, and novel biologic treatments.

Keywords:
biomarkerspathogenesispsoriatic arthritistreatment

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Area of Science:

  • Dermatology
  • Rheumatology
  • Immunology

Background:

  • Psoriasis is a prevalent multisystemic inflammatory skin condition.
  • Psoriatic arthritis (PsA) affects 20-30% of psoriasis patients, presenting as a diverse musculoskeletal disease.
  • PsA involves joints, entheses, skin, and nails, and is linked to comorbidities like osteoporosis and cardiovascular disease.

Purpose of the Study:

  • To provide an updated review of psoriatic arthritis.
  • To discuss advancements in classification criteria, diagnostic tools, pathogenesis, and therapeutic strategies for PsA.

Main Methods:

  • Review of current literature on psoriatic arthritis.
  • Analysis of classification criteria (CASPAR).
  • Examination of screening tools, pathogenetic mechanisms, and emerging biologic therapies.

Main Results:

  • PsA diagnosis is challenging due to its heterogeneity.
  • The CASPAR criteria aid in classification.
  • New screening tools and biologic medications show promise for early diagnosis and treatment.

Conclusions:

  • Psoriatic arthritis is a complex, multisystemic disease requiring comprehensive diagnostic and therapeutic approaches.
  • Early diagnosis and management, aided by updated criteria and novel treatments, are crucial for improving patient outcomes.