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Related Experiment Videos

Sacroiliitis in severe psoriasis

J N Harvie, R S Lester, A H Little

    AJR. American Journal of Roentgenology
    |October 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Radiologic changes of psoriatic arthritis were found in 25% of patients hospitalized for severe psoriasis. Sacroiliac joint involvement was common, sometimes being the only sign of musculoskeletal disease in psoriatic arthritis.

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    Area of Science:

    • Rheumatology
    • Dermatology
    • Radiology

    Background:

    • Psoriasis is a chronic inflammatory skin condition.
    • Psoriatic arthritis (PsA) is a common comorbidity of psoriasis.
    • Early detection of PsA is crucial for effective management.

    Purpose of the Study:

    • To determine the prevalence of radiologic findings suggestive of psoriatic arthritis in patients hospitalized for severe psoriasis.
    • To characterize the pattern of musculoskeletal involvement in this patient cohort.

    Main Methods:

    • Retrospective review of radiologic imaging (e.g., sacroiliac joints, spine, peripheral joints) in 100 consecutive patients admitted for severe psoriasis.
    • Correlation of radiologic findings with clinical presentation.

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    Main Results:

    • Twenty-five percent (25/100) of patients exhibited radiologic changes consistent with psoriatic arthritis.
    • Sacroiliac joint involvement (erosions, sclerosis) was observed in 20 patients, with 8 showing isolated asymptomatic changes.
    • Vertebral syndesmophytes, terminal interphalangeal joint changes, and peripheral joint involvement were noted in 12, 11, and 10 patients, respectively.

    Conclusions:

    • Radiologic evidence of psoriatic arthritis is present in a significant proportion of patients with severe psoriasis.
    • Sacroiliac joint disease can be the primary or sole manifestation of psoriatic arthritis.
    • These findings underscore the importance of screening for psoriatic arthritis in patients with severe psoriasis, even in the absence of overt joint symptoms.