Diagnosing and treating psoriatic arthritis: an update

Boehncke, Wolf Henning; Qureshi, Abrar A.; Merola, Joseph F.; Thaçi, Diamant; Krueger, Gerald G.; Walsh, Jessica A.; Kim, N.; Gottlieb, Alice B.

doi:10.1111/bjd.12748

Cited by 30 publications

(32 citation statements)

References 142 publications

(288 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In humans, the most frequent clinical presentation of psoriasis includes erythematous, silvery, scaly plaques especially on the extremities and scalp [3]. Patients may also suffer from itch, pain, nail-related disease, and arthritis [1][2][3]. Up to 20-30% of psoriasis patients will also have psoriatic arthritis (PsA), with joint disease typically occurring several years after the original onset of skin conditions [2].…”

Section: Discussionmentioning

confidence: 99%

“…Patients may also suffer from itch, pain, nail-related disease, and arthritis [1][2][3]. Up to 20-30% of psoriasis patients will also have psoriatic arthritis (PsA), with joint disease typically occurring several years after the original onset of skin conditions [2]. PsA has several patterns, including distal interphalangeal, asymmetric oligoarthritis, symmetric polyarthritis, arthritis mutilans, and spondyloarthritis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

First Report of Psoriatic-Like Dermatitis and Arthritis in a 4-Year-Old Female Spayed Pug Mix

Regan

Marsella²,

Özmen³

2015

Case Reports in Veterinary Medicine

View full text Add to dashboard Cite

Psoriasis manifests as chronic dermatitis and arthritis (PsA) in people. Psoriasis with concurrent PsA is characterized by erythematous, silvery, scaly plaques, especially on the extremities, and concurrent arthritis with enthesitis, tenosynovitis, and dactylitis. To date, no such disease has spontaneously occurred in domestic animals. This case report aims to describe the clinical, radiographic, and histologic appearance of a psoriasis-like dermatitis and psoriatic-like arthritis in a dog. A 4-year-old female spayed pug mix presented for the evaluation of chronic history of hyperkeratotic footpads and deforming arthritis. After ruling out other differential diagnoses and based on the similarity of clinical, radiographic, and histologic findings to human psoriasis and PsA, a tentative diagnosis of psoriasis-like disease was made. Treatment was begun to control pain (tramadol, gabapentin, and carprofen) and psoriatic dermatitis (clobetasol propionate 0.05%, calcipotriene 0.005%, and urea 40% ointment twice daily). Dramatic positive response to treatment was achieved confirming the tentative diagnosis. This case may provide preliminary evidence for the existence of a psoriasis-like condition in dogs and may elucidate treatment options in otherwise refractory cases of chronic dermatitis and polyarthropathy in dogs.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

First Report of Psoriatic-Like Dermatitis and Arthritis in a 4-Year-Old Female Spayed Pug Mix

Regan

Marsella²,

Özmen³

2015

Case Reports in Veterinary Medicine

View full text Add to dashboard Cite

show abstract

“…This is a frequent comorbidity; there is undiagnosed psoriatic arthritis in many psoriasis patients. As early diagnosis and treatment would prevent erosive arthropathy and irreversible joint destruction, psoriatic patients should be screened for this condition and observed in respect of development of psoriatic arthritis 4,7,8 . Pain, rigidity, swelling and tenderness of joints showing inflammatory pain, back pain and stiffness, and joint pain accompanied by morning stiffness should be especially looked for at examination.…”

Section: Psoriatic Arthritismentioning

confidence: 99%

Comorbidities in psoriasis: The recognition of psoriasis as a systemic disease and current management

Kalkan¹

2017

TURKDERM

View full text Add to dashboard Cite

©Copyright 2017 by Turkish Society of Dermatology and Venereology Turkderm-Turkish Archives of Dermatology and Venereology published by Galenos Yayınevi. Öz IntroductionPsoriasis, with a worldwide prevalence of 2-3%, is now assumed as a systemic chronic inflammatory disease accompanied by comorbidities while it was accepted as a disease limited only to the skin in the past 1 . Psoriasis and its comorbidities were the main focused topic at several sessions of the 73 rd Annual Meeting of the American Academy of Dermatology and, especially, systemic disease concept was emphasized 2 . Therefore, recent publications suggest that the term psoriatic disease would be a better nomination instead of psoriasis 3 . In this review, learning screening recommendations developed for early detection and treatment of comorbidities as well as integrated, multidisciplinary approach for disease management have been targeted by reviewing psoriasis and accompanying comorbidities. Comorbidities are more frequently seen in 15% of psoriasis patients who have moderate to severe psoriasis due to increased inflammatory impact and common pathogenesis. Consistent monitoring and systemic treatment are required to prevent development of comorbidities. There are several Tüm dünyada %2-3 oranında görülme sıklığına sahip psoriazis, geçmişte sadece deriye sınırlı kabul edilirken, günümüzde birçok komorbiditenin eşlik ettiği kronik sistemik enflamatuvar bir hastalık olarak ele alınmaktadır. Orta-şiddetli düzeyde psoriazisi olanlarda daha sık görülen komorbiditelerle ilgili çeşitli sınıflamalar mevcuttur. Basit olarak klasik, kronik sistemik enflamasyonla ilişkili, yaşam tarzı ile ilgili ve tedavi ile ilgili olarak sınıflanabileceği gibi medikal komorbiditeler, psikiyatrik/psikolojik komorbiditeler ve komorbiditelere katkı yapan durumlar şeklinde de sınıflanabilmektedir. Bu derlemede psoriazis ve eşlik eden komorbiditelerin gözden geçirilmesiyle; komorbiditelerin erken tanı ve tedavisini sağlama, komorbiditilerin erken tespitine yönelik geliştirilen tarama önerilerini öğrenme ve hastalığın yönetiminde entegre, multidisipliner yaklaşım ile uzun dönem hastalık kontrolü ve hayat kalitesinde düzelme sağlamak hedeflenmektedir. Anahtar Kelimeler: Psoriazis, komorbidite, sistemik hastalık Psoriasis, with a worldwide prevalence of 2-3%, is now assumed as a systemic chronic inflammatory disease accompanied by comorbidities while it was accepted as a disease limited only to the skin in the past. There are several classifications of the comorbidities which are more common in patients with moderate to severe psoriasis. Simply, comorbidities can be classified as classic, emerging, related to lifestyle, related to treatment. They can also be categorized as medical comorbidities, psychiatric/psychologic comorbidities, and behaviors contributing to medical and psychiatric comorbidities. In this review, providing early diagnosis and treatment of comorbidities, learning screening recommendations for early detection and long-term disease control and improvemen...

show abstract

“…Psoriasisin en iyi bilinen komorbiditesi, %10-30 sıklıkta görülen artrittir (11,12). Ancak son yıllarda, obezite, metabolik sendrom, nonalkolik yağlı karaciğer hastalığı ve kardiyovasküler hastalık (KVH) riskinin de artmış olduğu ve bunun hastalık şiddetiyle ilişkili olduğunu destekleyen veriler mevcuttur (13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Psoriasisli Hastanın Genel öZellikleriunclassified

“…Hastalığı hafif olan ve non steroid antienflamatuvar ilaçlarla idare edebilen olguların yanısıra, biolojik ve geleneksel ilaç kombinasyonunu gerektiren, kalıcı eklem deformitelerinin oluşmasıyla sonlanan ağır hastalar da vardır (11,12).…”

Section: Komorbiditelerin Değerlendirilmesi Psoriatik Artritunclassified

Management of Psoriasis

Ergun¹

2015

tdd

View full text Add to dashboard Cite

Güncel araştırma bulguları, psoriasisin yaşam kalitesine etkisini, fiziksel ve psiko-sosyal komorbiditelerini anlamamıza olanak tanımıştır. Bunun doğal sonucu, tüm hastaların bütüncül olarak değerlendirilmesinin gerekliliğidir. Dermatoloji uzmanları, dermatolojik tedavinin yanısıra, hastaları komorbiditeler açısından değerlendirme, bilgilendirme ve saptanan bir komorbidite varsa tedavisini koordine etme konularında aktif rol oynamalıdır. Bu derlemede, psoriasisli hastaya bütüncül yaklaşımın anahatları çizilmekte ve günlük pratikte bu konuda yapılması gerekenler basitçe özetlemektedir. Anahtar kelimeler: Psoriasis, yaklaşım, komorbidite taraması Tülin Ergun Psoriasisli Hastaya Yaklaşım Management of Psoriasis Özet AbstractCurrent data has led to better understanding of impact of psoriasis on quality of life as well as its physical and psychosocial co-morbidities. Consequently, holistic approach is mandatory in appropriate management of patients with psoriasis. Dermatologists should not only treat dermatological findings and symptoms but also screen patients regularly for co-morbidities and be active in coordinating the treatment if co-morbidities exist. Current review highlights main steps in management of psoriasis with a special emphasis on important practical points.

show abstract

Diagnosing and treating psoriatic arthritis: an update

Cited by 30 publications

References 142 publications

First Report of Psoriatic-Like Dermatitis and Arthritis in a 4-Year-Old Female Spayed Pug Mix

First Report of Psoriatic-Like Dermatitis and Arthritis in a 4-Year-Old Female Spayed Pug Mix

Comorbidities in psoriasis: The recognition of psoriasis as a systemic disease and current management

Management of Psoriasis

Contact Info

Product

Resources

About