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Related Experiment Video

Updated: Jul 3, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
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Radiographic sacroiliitis progression in psoriatic arthritis.

Virginia Carrizo Abarza1,2, Pankti Mehta1,2,3, Fadi Kharouf1,2,4

  • 1Gladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, University Health Network, Toronto, ON, Canada.

Rheumatology (Oxford, England)
|July 1, 2026
PubMed
Summary

Radiographic sacroiliitis progression is common in psoriatic arthritis (PsA). Increased inflammation drives risk, but biologic/targeted synthetic disease-modifying antirheumatic drug (b/tsDMARD) use and modern treatments show protective effects.

Keywords:
PsAaxial diseaseradiographic progressionsacroiliitis

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Area of Science:

  • Rheumatology
  • Immunology
  • Radiology

Background:

  • Psoriatic arthritis (PsA) can lead to sacroiliitis, affecting the sacroiliac joints.
  • Radiographic evidence of sacroiliitis progression is a significant concern in PsA management.

Purpose of the Study:

  • To assess the progression of radiographic sacroiliitis in a psoriatic arthritis cohort.
  • To identify factors associated with sacroiliitis progression in PsA patients.

Main Methods:

  • Analysis of a prospective PsA cohort with biannual pelvic radiographs.
  • Assessment of Sacroiliitis Sum Score (SSS) change as the primary outcome.
  • Use of linear mixed-effects models and Cox regression to identify associated factors.

Main Results:

  • 45% of patients showed sacroiliitis progression (SSS increase ≥1 grade).
  • Factors like male sex, higher inflammatory markers, and disease activity scores were associated with progression.
  • Older age and biologic/targeted synthetic DMARD (b/tsDMARD) exposure demonstrated protective effects against progression.

Conclusions:

  • Radiographic sacroiliitis progression is a frequent complication in psoriatic arthritis.
  • Higher inflammatory activity increases progression risk, while b/tsDMARDs and modern treatment eras are associated with reduced progression.