Axial disease in psoriatic arthritis

Gladman, Dafna

doi:10.1007/s11926-007-0074-2

Cited by 117 publications

(77 citation statements)

References 27 publications

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“…Moreover, to support the assumptions that an equivalency between axial PsA and AS may not hold up, previous studies showed that the Bath Ankylosing Spondylitis Disease Activity score (BASDAI) in PsA was significantly lower than AS, correlated poorly with external indicators of disease activity [15] and may be influenced by the peripheral involvement, showing again the difference between these two conditions [16]. All these interesting data confirmed, to some extent, that axial PsA is quite different to the classical AS and is usually less severe [17].…”

Section: Introductionmentioning

confidence: 72%

Axial psoriatic arthritis: an intriguing clinical entity or a subset of an intriguing disease?

Lubrano

Spadaro

2012

Clin Rheumatol

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This article summarizes the state of the art of axial involvement in psoriatic arthritis (axial PsA). The definition and measurement of axial disease in PsA still remain problematic, and this, in turn, could affect the best approach of recognition and treatment of this intriguing subset of the psoriatic disease. Axial PsA has been studied over the last few years looking at the difference in function and radiological finding compared to ankylosing spondylitis (AS), trying to differentiate it from a coincidental AS with psoriasis. Finally, this review has described the diagnosis and treatment of axial PsA reporting the data obtained from the literature.

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Section: Introductionmentioning

confidence: 72%

Axial psoriatic arthritis: an intriguing clinical entity or a subset of an intriguing disease?

Lubrano

Spadaro

2012

Clin Rheumatol

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“…A number of the radiographic features of AxPsA are similar to those found in ankylosing spondylitis (AS), although patients with AS generally have more severe radiographic damage compared to AxPsA (5). For example, the sacroiliitis seen in AxPsA may be difficult to distinguish radiographically from that found in AS, and may be milder clinically (2,5). PsA patients also have new bone formation that resembles the syndesmophytes seen in AS patients.…”

Section: Introductionmentioning

confidence: 92%

“…Involvement of the axial joints, termed axial PsA (AxPsA), is relatively common and ties PsA to the concept of spondyloarthritis (SpA). Due to differences in the criteria used for defining AxPsA, there is wide variability (25-70%) in the reported prevalence of axial involvement in PsA (2). AxPsA can affect the sacroiliac (SI) joints, as well as the lumbar, thoracic, and cervical spine (3,4).…”

Section: Introductionmentioning

confidence: 99%

Reliability of Radiographic Scoring Methods in Axial Psoriatic Arthritis

Biagioni

Gladman

Cook

et al. 2014

Arthritis Care & Research

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Objective. Important differences exist between axial psoriatic arthritis (AxPsA) and ankylosing spondylitis (AS). The Bath Ankylosing Spondylitis Radiology Index (BASRI), the modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS), and the Radiographic Ankylosing Spondylitis Spinal Score (RASSS) were developed to score AS, and the Psoriatic Arthritis Spondylitis Radiology Index (PASRI) to score AxPsA. We aimed to develop a computerized scoring application and compare the intra-and interrater reliability of these scoring systems in AS and AxPsA. Methods. A computerized scoring application was developed to facilitate the scoring of radiographic features and calculate total scores for established scoring methods for AS and AxPsA. Digital spinal radiographs of 18 patients with AS and 40 patients with AxPsA were read in random order individually by 4 rheumatologists, data were entered into the application, and scores were obtained. The intraclass correlation coefficients (ICC) of the intra-and interrater reliability of scores for each method were then computed.

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“…Axial PsA has been defined in many ways, varying from an isolated unilateral grade 2 sacroiliitis to those criteria used for Ankylosing Spondylitis (AS) (32)(33). Therefore, the prevalence of this subset of patients, depending on disease stage and criteria used, is very broad ranging A C C E P T E D M A N U S C R I P T…”

Section: Definition Of Axial Psamentioning

confidence: 99%