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Updated: May 15, 2026
02:28
Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Orthopedic Manifestations in Patients with Psoriasis: A Hospital-based Cross-sectional Study
Prashant Harit1, Arvind Karoria2, Preetam Singh Katroliya3
1Department of Dermatology, Government Medical College, Datia, Madhya Pradesh, India.
Journal of Orthopaedic Case Reports
|May 14, 2026
Summary
Psoriasis commonly affects the musculoskeletal system, with 30% of patients experiencing joint issues, enthesitis, or dactylitis. Early orthopedic screening is crucial for managing this common psoriasis complication.
Area of Science:
- Rheumatology
- Dermatology
- Orthopedics
Background:
- Psoriasis is a chronic inflammatory skin condition with frequent extracutaneous manifestations.
- Musculoskeletal involvement in psoriasis, including orthopedic conditions, significantly increases patient morbidity.
- These orthopedic issues are often underdiagnosed, highlighting a gap in patient care.
Purpose of the Study:
- To determine the prevalence and patterns of musculoskeletal manifestations in psoriasis patients.
- To investigate the association between these manifestations and clinical characteristics of psoriasis.
- To improve the diagnostic and management strategies for psoriasis-related orthopedic conditions.
Main Methods:
- A cross-sectional study involving 180 adult psoriasis patients at a tertiary care center.
- Data collection included demographics, psoriasis details (duration, type, nail involvement, PASI score), and structured orthopedic evaluation.
- Laboratory tests and radiological imaging were utilized as needed, with statistical analysis performed (P < 0.05).
Main Results:
- 30% of psoriasis patients (54/180) exhibited musculoskeletal involvement.
- Peripheral joint issues (17.8%) were most common, followed by axial (6.7%) and combined involvement (5.6%). Knees and ankles were frequently affected.
- Musculoskeletal issues correlated significantly with longer disease duration (≥5 years), nail involvement, and severe psoriasis (PASI ≥10).
Conclusions:
- A significant portion of psoriasis patients experience musculoskeletal manifestations, impacting their health.
- These manifestations are linked to disease severity, duration, and nail involvement.
- Integrating routine orthopedic screening into psoriasis care is recommended for early detection and management.
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