Background Psoriatic arthritis (PsA) and periodontitis both represent chronic inflammatory disorders that share similar pathophysiological processes. However, very few studies have been done to address the link between the two diseases which remains poorly understood. The present study aimed to assess and compare the periodontal status in patients suffering from PsA and systemically healthy subjects to identify whether a possible association exists between PsA and periodontitis. Material and Methods Periodontal parameters – PI, BOP, mGI, PPD and CAL were recorded in 110 patients with PsA and 110 age- and gender-matched systemically healthy patients. Mean values of the periodontal parameters were calculated for both groups and subjected to statistical analysis. Logistic regression analysis was performed to correlate the demographic data with periodontitis. Results The frequency of periodontitis and mean values of BOP, mGI, PPD and CAL were found to be significantly higher in patients with PsA than in systemically healthy controls. The number of patients with stage III periodontitis was found to be significantly higher in the PsA group. Conclusions A possible link exists between periodontitis and psoriatic arthritis, as exhibited by the results of the present study. Dental and medical health professionals should be aware of this relationship depending on which, they should carry out adequate treatment strategies involving periodic periodontal evaluation and care. Key words: Periodontitis, psoriatic arthritis, chronic inflammation, probing pocket depth, clinical attachment loss.
BackgroundThere is under reporting of prevalence of Psoriatic Arthritis among patients with psoriasis in India. The data on prevalence of PsA among patients of the psoriasis varies from 6.25% to 48% in western countries. [1],[2] A relatively low figures are reported from Asian countries.ObjectivesTo determine the reporting of psoriatic arthritis from dermatology point of viewMethodsIn this observational study, we identified subjects from hospital recordswho were diagnosed with psoriasisand psoriatic arthritis between 1/07/2010till 31/05/2014and 01/01/2015 till 31/12/2015 inDepartment Dermatologyin a tertiary care Hospital.Age-and sex-specific incidence rates were recorded.In order to sensitize dermatologists about the aspect of psoriatic Arthritis series of close group meetings between dermatologists and Rheumatologists were conducted in order to pick up Arthritis in patients of Psoriasis. Six months post educational intervention, observation of the hospital records regardingdiagnosis of psoriasis and psoriatic Arthritis were recorded.ResultsA total of 16842 patients were reviewed during the pre-education intervention period between 01/07/2010 till 31/05/2014. Out of these 771 (4.57%) patients were recorded as psoriasis but none of the patients were recorded as psoriatic arthritis. The mean± SD age of patients with psoriasis was 43.34± 16.72 years, 50.1% were males.A total of 6012 patients were reviewed during the post- education intervention period between 01/01/2015 till 31/12/2015. Out of these 331 (4.92%) patients were recorded as psoriasis and 35 (0.58%) patients were recorded as both psoriasis and psoriatic arthritis. The psoriatic arthritis patients were referred to rheumatologists and all were found to have PsA according to classification of psoriatic arthritis (CASPAR) criteria.The prevalence rate of psoriasis and psoriatic arthritis with age ≤10 years, 11–25 years, 26–50 years, 51–70 years, and >70 years was found to be 2.06% and 0%, 9.98% and 0.01%,52.9% and 0.9%, 29.8% and 0.8% and 5.2% and 0.6% respectively. The highest prevalence rate of psoriasis and psoriatic arthritis both was between 26–50 years of ageConclusionsPsoriatic Arthritis is underreported from dermatology registries. Rheumatologist and dermatologist should share a platform regarding the concept of Psoriatic Arthritis in patients with psoriasisReferencesShbeeb M, Uramoto KM, Gibson LE, O'Fallon WM, Gabriel SE. The epidemiology of psoriatic arthritis in Olmsted County, Minnesota, USA, 1982–1991. J Rheumatol 2000;27:1247–50. Back to cited text no. 2 [PUBMED]Alenius GM, Stenberg B, Stenlund H, Lundblad M, Dahlqvist SR. Inflammatory joint manifestations are prevalent in psoriasis: Prevalence study of joint and axial involvement in psoriatic patients, and evaluation of a psoriatic and arthritic questionnaire. J Rheumatol 2002;29:2577–82. Back to cited text no. 3 [PUBMED]Disclosure of InterestNone declared
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