PMID- 12465155
OWN - NLM
STAT- MEDLINE
DCOM- 20030507
LR  - 20191210
IS  - 0315-162X (Print)
IS  - 0315-162X (Linking)
VI  - 29
IP  - 12
DP  - 2002 Dec
TI  - 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.
PG  - 2577-82
AB  - To examine the prevalence of inflammatory manifestations, such as peripheral 
      arthritis, axial disease, undifferentiated spondyloarthropathy (uSpA) and 
      enthesopathies in patients with psoriasis, and to evaluate a psoriatic and 
      arthritic questionnaire (PAQ) to identify patients with arthritis. Methods. An 
      evaluation of a questionnaire (PAQ) in a hospital- and community-based population 
      of 276 psoriatic patients, and clinical, radiological, and laboratory examination 
      of the 202 patients answering the questionnaire and willing to participate in the 
      subsequent study. Results. Ninety-seven patients (48%) were identified as having, 
      or having had, inflammatory manifestations (peripheral arthritis, axial disease, 
      uSpA, and enthesopathies). Sixty-seven patients (33%) had peripheral arthritis 
      and/or axial disease, 30 of whom had not previously been diagnosed. A total PAQ 
      score of 4 out of 8 was the best cutoff value detecting arthritis with a 
      sensitivity of 60% and a specificity of 62.2%. A positive answer to the question 
      "Have you ever thought you might have arthritis?" in combination with morning 
      stiffness in peripheral joints for at least 60 min, had a sensitivity of 30% and 
      a specificity of 91.1% and was significantly associated with peripheral arthritis 
      and/or axial disease in multiple logistic regression analysis. Conclusion. We 
      found a high prevalence of inflammatory joint/axial disease in this group of 
      psoriatic patients. Almost half the patients with peripheral arthritis and/or 
      axial disease had not previously been diagnosed. The PAQ did not, either as a 
      total score or by combining questions, discriminate for arthritis in this 
      population with psoriasis.
FAU - Alenius, Gerd-Marie
AU  - Alenius GM
AD  - Division of Rheumatology, University Hospital, Umea, Sweden.
FAU - Stenberg, Berndt
AU  - Stenberg B
FAU - Stenlund, Hans
AU  - Stenlund H
FAU - Lundblad, Magnus
AU  - Lundblad M
FAU - Dahlqvist, Solbritt Rantapaa
AU  - Dahlqvist SR
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Canada
TA  - J Rheumatol
JT  - The Journal of rheumatology
JID - 7501984
SB  - IM
MH  - Arthritis, Psoriatic/*complications/diagnosis/epidemiology
MH  - Humans
MH  - Joints/*pathology
MH  - Middle Aged
MH  - Prevalence
MH  - Spine/*pathology
MH  - Spondylitis, Ankylosing/*complications/diagnosis/epidemiology
MH  - Surveys and Questionnaires
MH  - Sweden/epidemiology
EDAT- 2002/12/05 04:00
MHDA- 2003/05/08 05:00
CRDT- 2002/12/05 04:00
PHST- 2002/12/05 04:00 [pubmed]
PHST- 2003/05/08 05:00 [medline]
PHST- 2002/12/05 04:00 [entrez]
AID - 0315162X-29-2577 [pii]
PST - ppublish
SO  - J Rheumatol. 2002 Dec;29(12):2577-82.