Abstract
This study investigated the occurrence of rheumatic conditions (RCs) in a psoriasis (PSO)-dedicated dermatological clinic. PSO subjects with musculo-skeletal discomfort, and/or carrying signs (articular/systemic, even asymptomatic) of RCs; and/or suffering flares of previously established psoriatic arthritis (PsA) were referred to rheumatologist for evaluation. Laboratory tests/imaging were performed as needed. Categorization adhered to RCs classification endorsed by the Italian Society of Rheumatology. Of the 1,200 psoriatic subjects, 277 (23.1%) were enrolled (146 females). The mean age was 55.7 years (range 21-81), PSO duration was 13.5 years (range 0-62). Thirty-seven patients (13.4%) were asymptomatic. On an average, 92 (7.6%) patients/year were evaluated, of whom 79.4% näive to rheumatological consultations (NRC). Osteoarthritis (OA) and PsA (isolated or combined) showed the highest prevalence, with 156 (56.3%) and 110 cases (39.7%), respectively. Among NRC subjects, the mean PsA annual incidence was 29.5% (standard error of the mean ±5.4%). Other RCs, isolated or associated with PsA/OA, were diagnosed in 31 cases (11.2%). Thirty-two subjects (11.5%) had arthralgias, 20 of whom due to congenital/mechanical disorders, the remaining were unclassifiable. In conclusion, the largest part (88.5%) of PSO subjects referred to rheumatologist showed some RCs. On annual basis, 29.5% of näive enrolled patients were diagnosed as PsA.
| Original language | English |
|---|---|
| Pages (from-to) | 719-726 |
| Number of pages | 8 |
| Journal | Archives of Dermatological Research |
| Volume | 304 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - Nov 2012 |
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Keywords
- Cooperative approach to psoriasis care
- Epidemiology
- Psoriasis
- Psoriatic arthritis
- Rheumatic diseases
ASJC Scopus subject areas
- Dermatology
Cite this
Not simply a matter of psoriatic arthritis : Epidemiology of rheumatic diseases in psoriatic patients. / De Marco, Gabriele; Cattaneo, Angelo; Battafarano, Norma; Lubrano, Ennio; Carrera, Carlo G.; Marchesoni, Antonio.
In: Archives of Dermatological Research, Vol. 304, No. 9, 11.2012, p. 719-726.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Not simply a matter of psoriatic arthritis
T2 - Epidemiology of rheumatic diseases in psoriatic patients
AU - De Marco, Gabriele
AU - Cattaneo, Angelo
AU - Battafarano, Norma
AU - Lubrano, Ennio
AU - Carrera, Carlo G.
AU - Marchesoni, Antonio
PY - 2012/11
Y1 - 2012/11
N2 - This study investigated the occurrence of rheumatic conditions (RCs) in a psoriasis (PSO)-dedicated dermatological clinic. PSO subjects with musculo-skeletal discomfort, and/or carrying signs (articular/systemic, even asymptomatic) of RCs; and/or suffering flares of previously established psoriatic arthritis (PsA) were referred to rheumatologist for evaluation. Laboratory tests/imaging were performed as needed. Categorization adhered to RCs classification endorsed by the Italian Society of Rheumatology. Of the 1,200 psoriatic subjects, 277 (23.1%) were enrolled (146 females). The mean age was 55.7 years (range 21-81), PSO duration was 13.5 years (range 0-62). Thirty-seven patients (13.4%) were asymptomatic. On an average, 92 (7.6%) patients/year were evaluated, of whom 79.4% näive to rheumatological consultations (NRC). Osteoarthritis (OA) and PsA (isolated or combined) showed the highest prevalence, with 156 (56.3%) and 110 cases (39.7%), respectively. Among NRC subjects, the mean PsA annual incidence was 29.5% (standard error of the mean ±5.4%). Other RCs, isolated or associated with PsA/OA, were diagnosed in 31 cases (11.2%). Thirty-two subjects (11.5%) had arthralgias, 20 of whom due to congenital/mechanical disorders, the remaining were unclassifiable. In conclusion, the largest part (88.5%) of PSO subjects referred to rheumatologist showed some RCs. On annual basis, 29.5% of näive enrolled patients were diagnosed as PsA.
AB - This study investigated the occurrence of rheumatic conditions (RCs) in a psoriasis (PSO)-dedicated dermatological clinic. PSO subjects with musculo-skeletal discomfort, and/or carrying signs (articular/systemic, even asymptomatic) of RCs; and/or suffering flares of previously established psoriatic arthritis (PsA) were referred to rheumatologist for evaluation. Laboratory tests/imaging were performed as needed. Categorization adhered to RCs classification endorsed by the Italian Society of Rheumatology. Of the 1,200 psoriatic subjects, 277 (23.1%) were enrolled (146 females). The mean age was 55.7 years (range 21-81), PSO duration was 13.5 years (range 0-62). Thirty-seven patients (13.4%) were asymptomatic. On an average, 92 (7.6%) patients/year were evaluated, of whom 79.4% näive to rheumatological consultations (NRC). Osteoarthritis (OA) and PsA (isolated or combined) showed the highest prevalence, with 156 (56.3%) and 110 cases (39.7%), respectively. Among NRC subjects, the mean PsA annual incidence was 29.5% (standard error of the mean ±5.4%). Other RCs, isolated or associated with PsA/OA, were diagnosed in 31 cases (11.2%). Thirty-two subjects (11.5%) had arthralgias, 20 of whom due to congenital/mechanical disorders, the remaining were unclassifiable. In conclusion, the largest part (88.5%) of PSO subjects referred to rheumatologist showed some RCs. On annual basis, 29.5% of näive enrolled patients were diagnosed as PsA.
KW - Cooperative approach to psoriasis care
KW - Epidemiology
KW - Psoriasis
KW - Psoriatic arthritis
KW - Rheumatic diseases
UR - http://www.scopus.com/inward/record.url?scp=84871236834&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871236834&partnerID=8YFLogxK
U2 - 10.1007/s00403-012-1281-x
DO - 10.1007/s00403-012-1281-x
M3 - Article
C2 - 22868902
AN - SCOPUS:84871236834
VL - 304
SP - 719
EP - 726
JO - Archives of Dermatological Research
JF - Archives of Dermatological Research
SN - 0340-3696
IS - 9
ER -