Clinical patterns of psoriatic arthritis & association with age & gender among patients presenting to a tertiary care hospital

Nadia Sultan, Asad Ali Chaudhry, Ghazala Butt, Saima Rehman, Shahbaz Aman, Tabinda Shoaib

Abstract


Background Psoriasis is a common skin condition, which is known to affect about 1-2% of the world population. PsA is a known extra-cutaneous complication of psoriasis, which has variably been reported to affect 5-40%.1

 

Objective To determine the clinical patterns of psoriatic arthritis & association with age & gender among patients of patients presenting to a tertiary care setting.

 

Materials and Methods A cross sectional study conducted at  OPD, Unit-I, KEMU Mayo  Hospital, Lahore, conducted for six months from 20th August, 2013 to 20th February, 2014. Total sixty five patients of psoriatic arthritis diagnosed according to Moll & Wright criteria were enrolled & evaluated for the pattern of arthritis & its association with age & gender. Data entry and analysis was done by using SPSS 16.

 

Results Among 65 cases of PsA, 44 (67.69%) M & 21 (32.31%) F, mean age 42.92±13.70 y, asymmetrical oligo-arthritis was most common pattern in 22 (33.85%). Most PsA cases were in their 2nd to 5th decade.

 

Conclusion Most common pattern was asymmetric oligo-arthritis. Males of late young and middle age were affected the most.

 


Keywords


Psoriasis, psoriatic arthritis, clinical patterns, moll and wright criteria

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References


Cauli A, Gladman DD, Mathieu A, Olivieri I, Porru G, Tak PP, et al. Patient global assessment in psoriatic arthritis: a multicenter GRAPPA and OMERACT study. J Rheumatol 2011; 38(5): 898-903.

Christophers E, Barker JN, Griffiths CE, Dauden E, Milligan G, Molta C et al. The risk of psoriatic arthritis remains constant following initial diagnosis of psoriasis among patients seen in European dermatology clinics. J Eur Acad Dermatol 2010; 24(5): 548-54.

Prasad P, Bikku B, Kaviarasan P, Senthilnathan A. A clinical study of psoriatic arthropathy Indian J Dermatol Venereol Leprol 2007; 73(3): 166-70.

Moll JM, Wright V. Psoriatic arthritis. Semin Arthritis Rheum 1973; 3(1): 55-78.

Eder L, Thavaneswaran A, Chandran V, Gladman DD. Gender difference in disease expression, radiographic damage and disability among patients with psoriatic arthritis. Ann Rheum Dis 2013; 72(4): 578-82.

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.

Goldenstein-Schainberg C, Favarato MH, Ranza R. Current and relevant concepts in psoriatic arthritis. Revista brasileira de reumatologia. 2012; 52(1): 98-106.

Nossent JC, Gran JT. Epidemiological and clinical characteristics of psoriatic arthritis in northern Norway. Scand J Rheumatol 2009;38(4):251-5.

Queiro R, Tejón P, Coto P, Alonso S, Alperi M, Sarasqueta C, et al. Clinical differences between men and women with psoriatic arthritis: relevance of the analysis of genes and polymorphisms in the major histocompatibility complex region and of the age at onset of psoriasis. Clin Dev Immunol 2013; 2013: 482691-.

Gladman DD, Brubacher B, Buskila D, Langevitz P, Farewell VT. Psoriatic spondyloarthropathy in men and women: a clinical, radiographic, and HLA study. Clinical and investigative medicine Medecine clinique et experimentale. 1992; 15(4): 371-5.

Battistone MJ, Manaster BJ, Reda DJ, Clegg DO. The prevalence of sacroilitis in psoriatic arthritis: new perspectives from a large, multicenter cohort. A Department of Veterans Affairs Cooperative Study. Skeletal radiology 1999; 28(4): 196-201.

Saeed M, Zaman T, Rashid T, Jahangir M. Evaluation of joint involvement in patients of psoriasis: An observational study. J Pak Assoc Dermatol 2008; 18.


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