PMID- 24448118
OWN - NLM
STAT- MEDLINE
DCOM- 20160405
LR  - 20140122
IS  - 0973-3922 (Electronic)
IS  - 0378-6323 (Linking)
VI  - 80
IP  - 1
DP  - 2014 Jan-Feb
TI  - Prevalence and clinical patterns of psoriatic arthritis in Indian patients with 
      psoriasis.
PG  - 15-23
LID - 10.4103/0378-6323.125472 [doi]
AB  - BACKGROUND: The prevalence and clinical patterns of psoriatic arthritis (PsA) 
      varies in different parts of the world and there is little clinical and 
      epidemiological data from the Indian subcontinent. AIMS: Our study was designed 
      to evaluate the prevalence and clinical patterns of PsA in Indian patients. 
      METHODS: This was a non-interventional, cross-sectional study, in which 1149 
      consecutive psoriasis patients seen over 1 year were screened for PsA according 
      to classification of psoriatic arthritis (CASPAR) criteria. Demographic and 
      disease parameters were recorded including Psoriasis Area and Severity Index 
      (PASI), Nail Psoriasis Severity Index (NAPSI), and number of swollen and tender 
      joints. RESULTS: Among 1149 patients with psoriasis, 100 (8.7%) patients had PsA, 
      of which 83% were newly diagnosed. The most common pattern was symmetrical 
      polyarthritis (58%), followed by spondyloarthropathy 49%, asymmetric 
      oligoarthritis (21%), isolated spondyloarthropathy (5%), predominant distal 
      interphalangeal arthritis (3%), and arthritis mutilans (1%). Enthesitis and 
      dactylitis were present in 67% and 26% of cases, respectively. The mean number of 
      swollen and tender joints were 3.63+/-3.59 (range, 0-22) and 7.76+/-6.03 (range, 
      1-26), respectively. Nail changes were present in 87% of the cases. The median 
      PASI and NAPSI of the subjects with PsA was 3.6 and 20, respectively. There was 
      no significant correlation of number of swollen/tender joints with PASI or NAPSI. 
      CONCLUSION: There is a relatively low prevalence of PsA among Indian psoriasis 
      patients presenting to dermatologists. No correlation was found between the 
      severity of skin and nail involvement and articular disease.
FAU - Kumar, Ramesh
AU  - Kumar R
FAU - Sharma, Aman
AU  - Sharma A
FAU - Dogra, Sunil
AU  - Dogra S
AD  - Department of Dermatology, Venereology and Leprology, Postgraduate Institute of 
      Medical Education and Research, Chandigarh, India.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Indian J Dermatol Venereol Leprol
JT  - Indian journal of dermatology, venereology and leprology
JID - 7701852
RN  - 9007-41-4 (C-Reactive Protein)
RN  - 9009-79-4 (Rheumatoid Factor)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Age of Onset
MH  - Aged
MH  - Arthritis, Psoriatic/blood/diagnosis/*epidemiology
MH  - Blood Sedimentation
MH  - C-Reactive Protein/metabolism
MH  - Child
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - India/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Nails
MH  - Prevalence
MH  - Psoriasis/blood/epidemiology
MH  - Rheumatoid Factor/blood
MH  - Severity of Illness Index
MH  - Young Adult
EDAT- 2014/01/23 06:00
MHDA- 2016/04/06 06:00
CRDT- 2014/01/23 06:00
PHST- 2014/01/23 06:00 [entrez]
PHST- 2014/01/23 06:00 [pubmed]
PHST- 2016/04/06 06:00 [medline]
AID - ijdvl_2014_80_1_15_125472 [pii]
AID - 10.4103/0378-6323.125472 [doi]
PST - ppublish
SO  - Indian J Dermatol Venereol Leprol. 2014 Jan-Feb;80(1):15-23. doi: 
      10.4103/0378-6323.125472.