Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study

BACKGROUND: Psoriatic arthritis is the most frequent and impactful comorbidity among psoriatic patients and appears in most cases after skin disease. Dermatologists play a key role in its early diagnosis and treatment. OBJECTIVES: To determine the prevalence of psoriatic arthritis and associated var...

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Autores: Gamonal, Shirley Braga Lima, Gamonal, Aloisio Carlos Couri, Brandão, Marcos Antônio Fernandes, Junqueira, Laura Andrade, Assis, Pollyana Mendonça de, Raposo, Nádia Rezende Barbosa
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Institución:Associação Paulista de Medicina
Repositorio:São Paulo medical journal (Online)
Idioma:inglés
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/525
Acceso en línea:https://periodicosapm.emnuvens.com.br/spmj/article/view/525
Access Level:acceso abierto
Palabra clave:Psoriasis
Arthritis, psoriatic
Retrospective studies
Brazil
Prevalence
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spelling Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective studyPsoriasisArthritis, psoriaticRetrospective studiesBrazilPrevalenceBACKGROUND: Psoriatic arthritis is the most frequent and impactful comorbidity among psoriatic patients and appears in most cases after skin disease. Dermatologists play a key role in its early diagnosis and treatment. OBJECTIVES: To determine the prevalence of psoriatic arthritis and associated variables among patients with plaque psoriasis seen at a reference center for treating psoriasis. DESIGN AND SETTING: Retrospective cross-sectional study conducted among 300 patients at an outpatient clinic in a university center in Juiz de Fora, MG, Brazil. METHODS: Standardized records of 300 patients with plaque psoriasis were examined. Demographic data and medical variables relating to psoriasis (Psoriasis Area and Severity Index (PASI), family history, age at onset and disease progression) and psoriasis arthritis (CASPAR criteria) were evaluated. Laboratory and radiographic tests in the medical records were reviewed. RESULTS: Seventy-three (24.3%) of these 300 patients with plaque psoriasis had psoriatic arthritis. Asymmetric oligoarthritis (58.9%) was the most common clinical form, followed by polyarthritis (20.5%), distal interphalangeal arthritis (15.2%) and spondyloarthritis (5.4%). Dactylitis was present in 21.9% and enthesitis in 35.6% of patients. Compared with patients without arthritis, patients with arthritis had higher average age, higher frequency of positive family history of psoriasis, longer duration of evolution and higher PASI rates. CONCLUSION: Psoriatic arthritis is often underdiagnosed. Since dermatologists perform the initial approach, these professionals need to be trained to diagnose this comorbidity and treat it, together with rheumatologists.São Paulo Medical JournalSão Paulo Medical Journal2021-09-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicosapm.emnuvens.com.br/spmj/article/view/525São Paulo Medical Journal; Vol. 139 No. 5 (2021); 476-480São Paulo Medical Journal; v. 139 n. 5 (2021); 476-4801806-9460reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APMenghttps://periodicosapm.emnuvens.com.br/spmj/article/view/525/470https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGamonal, Shirley Braga LimaGamonal, Aloisio Carlos CouriBrandão, Marcos Antônio FernandesJunqueira, Laura AndradeAssis, Pollyana Mendonça deRaposo, Nádia Rezende Barbosa2023-07-11T13:35:15Zoai:ojs.diagnosticoetratamento.emnuvens.com.br:article/525Revistahttp://www.scielo.br/spmjPUBhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2023-07-11T13:35:15São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
title Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
spellingShingle Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
Gamonal, Shirley Braga Lima
Psoriasis
Arthritis, psoriatic
Retrospective studies
Brazil
Prevalence
title_short Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
title_full Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
title_fullStr Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
title_full_unstemmed Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
title_sort Prevalence of psoriatic arthritis among patients with plaque psoriasis: a Brazilian retrospective study
dc.creator.none.fl_str_mv Gamonal, Shirley Braga Lima
Gamonal, Aloisio Carlos Couri
Brandão, Marcos Antônio Fernandes
Junqueira, Laura Andrade
Assis, Pollyana Mendonça de
Raposo, Nádia Rezende Barbosa
author Gamonal, Shirley Braga Lima
author_facet Gamonal, Shirley Braga Lima
Gamonal, Aloisio Carlos Couri
Brandão, Marcos Antônio Fernandes
Junqueira, Laura Andrade
Assis, Pollyana Mendonça de
Raposo, Nádia Rezende Barbosa
author_role author
author2 Gamonal, Aloisio Carlos Couri
Brandão, Marcos Antônio Fernandes
Junqueira, Laura Andrade
Assis, Pollyana Mendonça de
Raposo, Nádia Rezende Barbosa
author2_role author
author
author
author
author
dc.subject.por.fl_str_mv Psoriasis
Arthritis, psoriatic
Retrospective studies
Brazil
Prevalence
topic Psoriasis
Arthritis, psoriatic
Retrospective studies
Brazil
Prevalence
description BACKGROUND: Psoriatic arthritis is the most frequent and impactful comorbidity among psoriatic patients and appears in most cases after skin disease. Dermatologists play a key role in its early diagnosis and treatment. OBJECTIVES: To determine the prevalence of psoriatic arthritis and associated variables among patients with plaque psoriasis seen at a reference center for treating psoriasis. DESIGN AND SETTING: Retrospective cross-sectional study conducted among 300 patients at an outpatient clinic in a university center in Juiz de Fora, MG, Brazil. METHODS: Standardized records of 300 patients with plaque psoriasis were examined. Demographic data and medical variables relating to psoriasis (Psoriasis Area and Severity Index (PASI), family history, age at onset and disease progression) and psoriasis arthritis (CASPAR criteria) were evaluated. Laboratory and radiographic tests in the medical records were reviewed. RESULTS: Seventy-three (24.3%) of these 300 patients with plaque psoriasis had psoriatic arthritis. Asymmetric oligoarthritis (58.9%) was the most common clinical form, followed by polyarthritis (20.5%), distal interphalangeal arthritis (15.2%) and spondyloarthritis (5.4%). Dactylitis was present in 21.9% and enthesitis in 35.6% of patients. Compared with patients without arthritis, patients with arthritis had higher average age, higher frequency of positive family history of psoriasis, longer duration of evolution and higher PASI rates. CONCLUSION: Psoriatic arthritis is often underdiagnosed. Since dermatologists perform the initial approach, these professionals need to be trained to diagnose this comorbidity and treat it, together with rheumatologists.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-02
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/525
url https://periodicosapm.emnuvens.com.br/spmj/article/view/525
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/525/470
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
dc.source.none.fl_str_mv São Paulo Medical Journal; Vol. 139 No. 5 (2021); 476-480
São Paulo Medical Journal; v. 139 n. 5 (2021); 476-480
1806-9460
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
_version_ 1853676236818087936
score 15,301603

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