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The Pattern of Psoriatic Arthritis in Kashmir: A 6-Year Prospective Study.

Rather S, Nisa N, Arif T - N Am J Med Sci (2015)

Bottom Line: Commonest nail change found was pitting and seen in 60 (40%) patients.The clinical pattern of PsA varies in different parts of the world.Knowledge of the clinical presentation of PsA in a given area is necessary for the successful management of this disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, STDs and Leprosy, Government Medical College, Srinagar, Jammu and Kashmir, India.

ABSTRACT

Background: The prevalence, clinical presentation, and patterns of psoriatic arthritis (PsA) vary in different parts of the world. The scenario of PsA in west is different from that of Asia. Moreover, the oligoarticular type which was considered most prevalent earlier has been replaced by polyarticular type.

Aim: The study was to the clinical profile of psoriasis patients associated with PsA in Kashmir valley of India.

Materials and methods: This was a noninterventional, observational, prospective, hospital-based study involving 150 successive patients of PsA over a span of 6 years. Severity of the skin and nail involvement was assessed by Psoriasis Area and Severity Index (PASI) and Nail Psoriasis Severity Index (NAPSI), respectively. PsA was diagnosed by classification criteria for PsA. The number and pattern of swollen and tender joints was counted and classified by Moll and Wright's classification criteria.

Results: Plaque-type psoriasis was the most common clinical type, observed in 122 (81.33%) patients followed by erythrodermic psoriasis in 10 (6.66%) patients and pustular psoriasis in eight (5.33%) patients. PsA occurred between 30 and 40 years of age in 105 (70%) patients. The cutaneous involvement occurred before joint involvement in 113 (75.33%), while they occurred simultaneously in 30 (20%) cases and the PsA preceded the skin involvement in seven (4.66%) cases. Symmetrical polyarthritis was the commonest clinical presentation and was seen in 90 (60%) patients. Nail involvement due to psoriasis was present in 120 (80%) patients. Commonest nail change found was pitting and seen in 60 (40%) patients.

Conclusion: The clinical pattern of PsA varies in different parts of the world. Knowledge of the clinical presentation of PsA in a given area is necessary for the successful management of this disease.

No MeSH data available.


Related in: MedlinePlus

Symmetric polyarthritis involving joints of hands with flexion deformities
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Figure 2: Symmetric polyarthritis involving joints of hands with flexion deformities

Mentions: Symmetrical polyarthritis was the commonest clinical type and seen in 90 (60%) patients [Figures 1 and 2]. This group includes patients with isolated symmetrical polyarthritis in 54 (36%) and symmetrical polyarthritis with spondylitis in 36 (24%) patients followed by predominantly asymmetrical oligoarthritis in 21 (14%) patients and predominantly DIP in 12 (8%) patients. Other combinations of patterns like spondylitis and asymmetric oligoarthritis were seen in 12 (8%) patients. Isolated spondylitis was present in nine (6%) cases and arthritis mutilans in three (2%) [Figure 3]. Rare variants like manubriosternal joint arthritis, temporomandibular joint involvement, and calcaneal spur were seen in one (0.66%) patient each [Table 2].


The Pattern of Psoriatic Arthritis in Kashmir: A 6-Year Prospective Study.

Rather S, Nisa N, Arif T - N Am J Med Sci (2015)

Symmetric polyarthritis involving joints of hands with flexion deformities
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4561441&req=5

Figure 2: Symmetric polyarthritis involving joints of hands with flexion deformities
Mentions: Symmetrical polyarthritis was the commonest clinical type and seen in 90 (60%) patients [Figures 1 and 2]. This group includes patients with isolated symmetrical polyarthritis in 54 (36%) and symmetrical polyarthritis with spondylitis in 36 (24%) patients followed by predominantly asymmetrical oligoarthritis in 21 (14%) patients and predominantly DIP in 12 (8%) patients. Other combinations of patterns like spondylitis and asymmetric oligoarthritis were seen in 12 (8%) patients. Isolated spondylitis was present in nine (6%) cases and arthritis mutilans in three (2%) [Figure 3]. Rare variants like manubriosternal joint arthritis, temporomandibular joint involvement, and calcaneal spur were seen in one (0.66%) patient each [Table 2].

Bottom Line: Commonest nail change found was pitting and seen in 60 (40%) patients.The clinical pattern of PsA varies in different parts of the world.Knowledge of the clinical presentation of PsA in a given area is necessary for the successful management of this disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, STDs and Leprosy, Government Medical College, Srinagar, Jammu and Kashmir, India.

ABSTRACT

Background: The prevalence, clinical presentation, and patterns of psoriatic arthritis (PsA) vary in different parts of the world. The scenario of PsA in west is different from that of Asia. Moreover, the oligoarticular type which was considered most prevalent earlier has been replaced by polyarticular type.

Aim: The study was to the clinical profile of psoriasis patients associated with PsA in Kashmir valley of India.

Materials and methods: This was a noninterventional, observational, prospective, hospital-based study involving 150 successive patients of PsA over a span of 6 years. Severity of the skin and nail involvement was assessed by Psoriasis Area and Severity Index (PASI) and Nail Psoriasis Severity Index (NAPSI), respectively. PsA was diagnosed by classification criteria for PsA. The number and pattern of swollen and tender joints was counted and classified by Moll and Wright's classification criteria.

Results: Plaque-type psoriasis was the most common clinical type, observed in 122 (81.33%) patients followed by erythrodermic psoriasis in 10 (6.66%) patients and pustular psoriasis in eight (5.33%) patients. PsA occurred between 30 and 40 years of age in 105 (70%) patients. The cutaneous involvement occurred before joint involvement in 113 (75.33%), while they occurred simultaneously in 30 (20%) cases and the PsA preceded the skin involvement in seven (4.66%) cases. Symmetrical polyarthritis was the commonest clinical presentation and was seen in 90 (60%) patients. Nail involvement due to psoriasis was present in 120 (80%) patients. Commonest nail change found was pitting and seen in 60 (40%) patients.

Conclusion: The clinical pattern of PsA varies in different parts of the world. Knowledge of the clinical presentation of PsA in a given area is necessary for the successful management of this disease.

No MeSH data available.


Related in: MedlinePlus