Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria

The aim of this study is to determine the prevalence of psoriatic arthritis (PsA) according to CASPAR criteria, ASAS peripheral and axial SpA criteria, and New York criteria for AS. The first 100 patients consecutively attending a psoriasis dermatology clinic were assessed. Demographic and clinical...

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Autores principales: Hernán, M.F., Gustavo, C., José Antonio, M.C.
Formato: JOUR
Materias:
ASAS criteria
CASPAR criteria
Prevalence
Psoriasis
Psoriatic arthritis
Spondyloarthritis
Adult
Arthritis, Psoriatic
Arthrography
Cervical Vertebrae
Cohort Studies
Female
Foot
Hand
Humans
Male
Middle Aged
Pelvis
Rheumatoid Factor
Rheumatology
Sacroiliac Joint
Acceso en línea:http://hdl.handle.net/20.500.12110/paper_07703198_v33_n2_p243_Hernan
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Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) de Universidad de Buenos Aires
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spelling todo:paper_07703198_v33_n2_p243_Hernan2023-10-03T15:39:49Z Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria Hernán, M.F. Gustavo, C. José Antonio, M.C. ASAS criteria CASPAR criteria Prevalence Psoriasis Psoriatic arthritis Spondyloarthritis Adult Arthritis, Psoriatic Arthrography Cervical Vertebrae Cohort Studies Female Foot Hand Humans Male Middle Aged Pelvis Prevalence Psoriasis Rheumatoid Factor Rheumatology Sacroiliac Joint The aim of this study is to determine the prevalence of psoriatic arthritis (PsA) according to CASPAR criteria, ASAS peripheral and axial SpA criteria, and New York criteria for AS. The first 100 patients consecutively attending a psoriasis dermatology clinic were assessed. Demographic and clinical data were collected; all patients were questioned and examined for joint manifestations. Rheumatoid factor and radiographies of hands, feet, cervical spine, and pelvis for sacroiliac joints were obtained. X-rays were read independently by two experienced observers in blind fashion. Patients with objective joint manifestations, both axial and peripheral, were evaluated for fulfillment of CASPAR, ASAS peripheral and axial, and New York criteria. Median age 48 years; 93 % of patients had psoriasis vulgaris and 56 % nail involvement. Seventeen patients had peripheral arthritis as follows: nine mono/oligoarticular and eight polyarthritis. Median arthritis duration was 8 years. Seventeen percent of patients fulfilled CASPAR and ASAS peripheral criteria, 6 % New York, and 5 % ASAS axial criteria. Patients who met CASPAR criteria showed a significantly higher psoriasis duration compared to those without arthritis (M 16 vs. 10 years, p = 0.02), and a higher frequency of nail involvement (88.2 vs. 49.4 %, p = 0.003). Five patients (29.4 %) fulfilled ASAS axial criteria; all of them had peripheral involvement as follows: mono/oligoarticular in three patients and polyarticular in two. Patients with peripheral and axial involvement presented a significantly higher frequency of erythrodermic psoriasis compared to the other patients (35.3 vs. 1.2 %, p = 0.0006 and 80 vs. 16.7 %, p = 0.02). Prevalence of PsA, for CASPAR and ASAS peripheral criteria, was of 17 %. Five percent of patients met ASAS axial criteria, while 6 % met New York criteria. Worth noting, few patients without signs or symptoms of arthritis had radiological changes, both axial and peripheral, precluding a proper classification. © 2013 Clinical Rheumatology. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_07703198_v33_n2_p243_Hernan
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic ASAS criteria
CASPAR criteria
Prevalence
Psoriasis
Psoriatic arthritis
Spondyloarthritis
Adult
Arthritis, Psoriatic
Arthrography
Cervical Vertebrae
Cohort Studies
Female
Foot
Hand
Humans
Male
Middle Aged
Pelvis
Prevalence
Psoriasis
Rheumatoid Factor
Rheumatology
Sacroiliac Joint
spellingShingle ASAS criteria
CASPAR criteria
Prevalence
Psoriasis
Psoriatic arthritis
Spondyloarthritis
Adult
Arthritis, Psoriatic
Arthrography
Cervical Vertebrae
Cohort Studies
Female
Foot
Hand
Humans
Male
Middle Aged
Pelvis
Prevalence
Psoriasis
Rheumatoid Factor
Rheumatology
Sacroiliac Joint
Hernán, M.F.
Gustavo, C.
José Antonio, M.C.
Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria
topic_facet ASAS criteria
CASPAR criteria
Prevalence
Psoriasis
Psoriatic arthritis
Spondyloarthritis
Adult
Arthritis, Psoriatic
Arthrography
Cervical Vertebrae
Cohort Studies
Female
Foot
Hand
Humans
Male
Middle Aged
Pelvis
Prevalence
Psoriasis
Rheumatoid Factor
Rheumatology
Sacroiliac Joint
description The aim of this study is to determine the prevalence of psoriatic arthritis (PsA) according to CASPAR criteria, ASAS peripheral and axial SpA criteria, and New York criteria for AS. The first 100 patients consecutively attending a psoriasis dermatology clinic were assessed. Demographic and clinical data were collected; all patients were questioned and examined for joint manifestations. Rheumatoid factor and radiographies of hands, feet, cervical spine, and pelvis for sacroiliac joints were obtained. X-rays were read independently by two experienced observers in blind fashion. Patients with objective joint manifestations, both axial and peripheral, were evaluated for fulfillment of CASPAR, ASAS peripheral and axial, and New York criteria. Median age 48 years; 93 % of patients had psoriasis vulgaris and 56 % nail involvement. Seventeen patients had peripheral arthritis as follows: nine mono/oligoarticular and eight polyarthritis. Median arthritis duration was 8 years. Seventeen percent of patients fulfilled CASPAR and ASAS peripheral criteria, 6 % New York, and 5 % ASAS axial criteria. Patients who met CASPAR criteria showed a significantly higher psoriasis duration compared to those without arthritis (M 16 vs. 10 years, p = 0.02), and a higher frequency of nail involvement (88.2 vs. 49.4 %, p = 0.003). Five patients (29.4 %) fulfilled ASAS axial criteria; all of them had peripheral involvement as follows: mono/oligoarticular in three patients and polyarticular in two. Patients with peripheral and axial involvement presented a significantly higher frequency of erythrodermic psoriasis compared to the other patients (35.3 vs. 1.2 %, p = 0.0006 and 80 vs. 16.7 %, p = 0.02). Prevalence of PsA, for CASPAR and ASAS peripheral criteria, was of 17 %. Five percent of patients met ASAS axial criteria, while 6 % met New York criteria. Worth noting, few patients without signs or symptoms of arthritis had radiological changes, both axial and peripheral, precluding a proper classification. © 2013 Clinical Rheumatology.
format JOUR
author Hernán, M.F.
Gustavo, C.
José Antonio, M.C.
author_facet Hernán, M.F.
Gustavo, C.
José Antonio, M.C.
author_sort Hernán, M.F.
title Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria
title_short Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria
title_full Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria
title_fullStr Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria
title_full_unstemmed Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria
title_sort prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria
url http://hdl.handle.net/20.500.12110/paper_07703198_v33_n2_p243_Hernan
work_keys_str_mv AT hernanmf prevalenceofpsoriaticarthritisinpsoriasispatientsaccordingtonewerclassificationcriteria
AT gustavoc prevalenceofpsoriaticarthritisinpsoriasispatientsaccordingtonewerclassificationcriteria
AT joseantoniomc prevalenceofpsoriaticarthritisinpsoriasispatientsaccordingtonewerclassificationcriteria
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