REVISITING THE DIAGNOSIS OF PSORIATIC ARTHRITIS IN PATIENTS WITH PSORIASIS

Cover Page


Cite item

Abstract

Aim: To study clinical and x-ray characteristics of psoriatic arthritis in patients with psoriasis during hospital treatment in the Dermatovenereology and Dermato-Oncology Department of the Moscow Regional Research and Clinical Institute (MONIKI). Materials and methods: We examined 70  patients with generalized psoriasis vulgaris and clinically suspected or definitely diagnosed psoriatic arthritis. Functional insufficiency, characteristics, activity and radiological stage of joint disease were estimated. Results: Usually, patients with psoriasis had oligoor polyarthritis which was rarely associated with psoriatic ankylosing spondylitis and more commonly associated with peripheral arthritis. Only 6% of the patients had isolated arthralgia. Conclusion: In patients with psoriasis, psoriatic arthritis may manifest as arthralgia or low-activity arthritis without radiological signs. Thus, early detection of the disease is of importance.

About the authors

E. S. Yakubovskaya

Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Author for correspondence.
Email: alenka.hunny@mail.ru
Junior Research Associate, Dermatovenereology and Dermato-Oncology Department Russian Federation

References

  1. Молочков ВА, Бадокин ВВ, Альбанова ВИ, Волнухин ВА. Псориаз и псориатический артрит. М.: Товарищество научных изданий КМК; 2007. 300 с. (Molochkov VA, Badokin VV, Al’banova VI, Volnukhin VA. Psoriasis and psoriatic arthritis. Moscow: Tovarishchestvo nauchnykh izdaniy KMK; 2007. 300 p. Russian).
  2. Tey HL, Ee HL, Tan AS, Theng TS, Wong SN, Khoo SW. Risk factors associated with having psoriatic arthritis in patients with cutaneous psoriasis. J Dermatol. 2010;37(5):426–30.
  3. Молочков ВА, Кильдюшевский АВ, Молочков АВ, Карзанов ОВ, Якубовская ЕС, Федулкина ВА. Клинико-иммунологические аспекты экстракорпоральной фотохимиотерапии при псориазе и псориатическом артрите. Терапевтический архив. 2012;(10): 69–74. (Molochkov VA, Kil’dyushevskiy AV, Molochkov AV, Karzanov OV, Yakubovskaya ES, Fedulkina VA. [Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis]. Terapevticheskiy arkhiv. 2012;(10):69–74. Russian).
  4. Gottlieb A, Korman NJ, Gordon KB, Feldman SR, Lebwohl M, Koo JY, Van Voorhees AS, Elmets CA, Leonardi CL, Beutner KR, Bhushan R, Menter A. Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 2. Psoriatic arthritis: overview and guidelines of care for treatment with an emphasis on the biologics. J Am Acad Dermatol. 2008;58(5):851–64.
  5. Mease PJ, Gladman DD, Papp KA, Khraishi MM, Thaçi D, Behrens F, Northington R, Fuiman J, Bananis E, Boggs R, Alvarez D. Prevalence of rheumatologist-diagnosed psoriatic arthritis in patients with psoriasis in European/North American dermatology clinics. J Am Acad Dermatol. 2013;69(5):729–35.
  6. Wilson FC, Icen M, Crowson CS, McEvoy MT, Gabriel SE, Kremers HM. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum. 2009;61(2):233–9.
  7. Gelfand JM, Gladman DD, Mease PJ, Smith N, Margolis DJ, Nijsten T, Stern RS, Feldman SR, Rolstad T. Epidemiology of psoriatic arthritis in the population of the United States. J Am Acad Dermatol. 2005;53(4):573.

Copyright (c) 2014 Yakubovskaya E.S.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies