Psoriatic arthritis diagnostic study of choice: Difference between revisions
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Created page with "__NOTOC__ {{Psoriatic arthritis}} {{CMG}}; {{AE}} {{CK}} ==Overview== ===Diagnostic Criteria=== * The diagnosis of psoriatic arthritis is easily confirmed when the Ski..." |
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==Overview== | ==Overview== | ||
The [[diagnosis]] of psoriatic arthritis is easily confirmed when the [[Skin|cutaneous]] manifestations of [[psoriasis]] coexist with [[arthritis]]. | |||
==Diagnostic Criteria== | |||
* The [[diagnosis]] of psoriatic arthritis is easily confirmed when the [[Skin|cutaneous]] manifestations of [[psoriasis]] coexist with [[arthritis]].<ref name="pmid25232529">{{cite journal |vauthors=Liu JT, Yeh HM, Liu SY, Chen KT |title=Psoriatic arthritis: Epidemiology, diagnosis, and treatment |journal=World J Orthop |volume=5 |issue=4 |pages=537–43 |date=September 2014 |pmid=25232529 |pmc=4133459 |doi=10.5312/wjo.v5.i4.537 |url=}}</ref><ref name="pmid13395269">{{cite journal |vauthors=WRIGHT V |title=Psoriasis and arthritis |journal=Ann. Rheum. Dis. |volume=15 |issue=4 |pages=348–56 |date=December 1956 |pmid=13395269 |pmc=1006908 |doi= |url=}}</ref><ref name="pmid15708931">{{cite journal |vauthors=Helliwell PS, Taylor WJ |title=Classification and diagnostic criteria for psoriatic arthritis |journal=Ann. Rheum. Dis. |volume=64 Suppl 2 |issue= |pages=ii3–8 |date=March 2005 |pmid=15708931 |pmc=1766878 |doi=10.1136/ard.2004.032318 |url=}}</ref><ref name="pmid10364901">{{cite journal |vauthors=Punzi L, Pianon M, Rossini P, Schiavon F, Gambari PF |title=Clinical and laboratory manifestations of elderly onset psoriatic arthritis: a comparison with younger onset disease |journal=Ann. Rheum. Dis. |volume=58 |issue=4 |pages=226–9 |date=April 1999 |pmid=10364901 |pmc=1752862 |doi= |url=}}</ref> | * The [[diagnosis]] of psoriatic arthritis is easily confirmed when the [[Skin|cutaneous]] manifestations of [[psoriasis]] coexist with [[arthritis]].<ref name="pmid25232529">{{cite journal |vauthors=Liu JT, Yeh HM, Liu SY, Chen KT |title=Psoriatic arthritis: Epidemiology, diagnosis, and treatment |journal=World J Orthop |volume=5 |issue=4 |pages=537–43 |date=September 2014 |pmid=25232529 |pmc=4133459 |doi=10.5312/wjo.v5.i4.537 |url=}}</ref><ref name="pmid13395269">{{cite journal |vauthors=WRIGHT V |title=Psoriasis and arthritis |journal=Ann. Rheum. Dis. |volume=15 |issue=4 |pages=348–56 |date=December 1956 |pmid=13395269 |pmc=1006908 |doi= |url=}}</ref><ref name="pmid15708931">{{cite journal |vauthors=Helliwell PS, Taylor WJ |title=Classification and diagnostic criteria for psoriatic arthritis |journal=Ann. Rheum. Dis. |volume=64 Suppl 2 |issue= |pages=ii3–8 |date=March 2005 |pmid=15708931 |pmc=1766878 |doi=10.1136/ard.2004.032318 |url=}}</ref><ref name="pmid10364901">{{cite journal |vauthors=Punzi L, Pianon M, Rossini P, Schiavon F, Gambari PF |title=Clinical and laboratory manifestations of elderly onset psoriatic arthritis: a comparison with younger onset disease |journal=Ann. Rheum. Dis. |volume=58 |issue=4 |pages=226–9 |date=April 1999 |pmid=10364901 |pmc=1752862 |doi= |url=}}</ref> | ||
* It must be differentiated from other arthritides based on the joint involvement patterns, clinical features, [[imaging]] and [[Medical laboratory|laboratory]] studies. | * It must be differentiated from other arthritides based on the joint involvement patterns, clinical features, [[imaging]] and [[Medical laboratory|laboratory]] studies. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [2]
Overview
The diagnosis of psoriatic arthritis is easily confirmed when the cutaneous manifestations of psoriasis coexist with arthritis.
Diagnostic Criteria
- The diagnosis of psoriatic arthritis is easily confirmed when the cutaneous manifestations of psoriasis coexist with arthritis.[1][2][3][4]
- It must be differentiated from other arthritides based on the joint involvement patterns, clinical features, imaging and laboratory studies.
- The following manifestations may be helpful in diagnosing psoriatic arthritis in an individual in the absence of psoriatic skin lesions.[5]
- Family history of psoriasis in first degree relatives
- Asymmetric joint distribution
- Involvement of distal joints
- Nail involvement (eg, pitting, nail bed destruction, onycholysis)
- Dactylitis
- Hidden psoriatic plaques
- The CASPAR criteria (ClASsification criteria for Psoriatic ARthritis):[6]
- The CASPAR study stated that a patient present with inflammatory articular disease (inflammatory peripheral arthritis, enthesitis, spondylitis) can be diagnosed as having psoriatic arthritis if a total of at least three points are present from the presence of the following possibilities.
- Skin lesions:
- dactylitis (1 point)
- Nail dystrophy (1 point)
- Juxta-articular new bone formation (1point)
- Absence of rheumatoid factor (1 point)
- The specificity is approximately 98.7% and sensitivity is approximately 91.4%.
- The CASPAR study stated that a patient present with inflammatory articular disease (inflammatory peripheral arthritis, enthesitis, spondylitis) can be diagnosed as having psoriatic arthritis if a total of at least three points are present from the presence of the following possibilities.
References
- ↑ Liu JT, Yeh HM, Liu SY, Chen KT (September 2014). "Psoriatic arthritis: Epidemiology, diagnosis, and treatment". World J Orthop. 5 (4): 537–43. doi:10.5312/wjo.v5.i4.537. PMC 4133459. PMID 25232529.
- ↑ WRIGHT V (December 1956). "Psoriasis and arthritis". Ann. Rheum. Dis. 15 (4): 348–56. PMC 1006908. PMID 13395269.
- ↑ Helliwell PS, Taylor WJ (March 2005). "Classification and diagnostic criteria for psoriatic arthritis". Ann. Rheum. Dis. 64 Suppl 2: ii3–8. doi:10.1136/ard.2004.032318. PMC 1766878. PMID 15708931.
- ↑ Punzi L, Pianon M, Rossini P, Schiavon F, Gambari PF (April 1999). "Clinical and laboratory manifestations of elderly onset psoriatic arthritis: a comparison with younger onset disease". Ann. Rheum. Dis. 58 (4): 226–9. PMC 1752862. PMID 10364901.
- ↑ Scarpa R, Cosentini E, Manguso F, Oriente A, Peluso R, Atteno M, Ayala F, D'Arienzo A, Oriente P (December 2003). "Clinical and genetic aspects of psoriatic arthritis "sine psoriasis"". J. Rheumatol. 30 (12): 2638–40. PMID 14719207.
- ↑ Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H (August 2006). "Classification criteria for psoriatic arthritis: development of new criteria from a large international study". Arthritis Rheum. 54 (8): 2665–73. doi:10.1002/art.21972. PMID 16871531.