PMID- 27252430 OWN - NLM STAT- MEDLINE DCOM- 20171221 LR - 20220311 IS - 1499-2752 (Electronic) IS - 0315-162X (Linking) VI - 43 IP - 9 DP - 2016 Sep TI - The Effect of the Presence of Fibromyalgia on Common Clinical Disease Activity Indices in Patients with Psoriatic Arthritis: A Cross-sectional Study. PG - 1749-54 LID - 10.3899/jrheum.151491 [doi] AB - OBJECTIVE: To study the effect of the presence of fibromyalgia (FM) on common clinical disease activity indices in patients with psoriatic arthritis (PsA). METHODS: Seventy-three consecutive outpatients with PsA (mean age 51.7 yrs; 42 females, 57.5%) were enrolled in a prospective cross-sectional study. FM was determined according to American College of Rheumatism criteria (2010 and 1990). All patients underwent clinical evaluation of disease activity and completed the Health Assessment Questionnaire (HAQ), the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Dermatology Life Quality Index, and the Leeds Enthesitis Index (LEI). Disease activity was evaluated using the Composite Psoriatic Disease Activity Index (CPDAI), minimal disease activity (MDA), and the Disease Activity Index for Psoriatic Arthritis (DAPSA) scores. RESULTS: The overall prevalence of FM was 17.8% (13 patients), and all but 1 were women (12 patients, 92.3%, p = 0.005). CPDAI and DAPSA scores were significantly higher in patients with coexisting PsA and FM (9.23 +/- 1.92 and 27.53 +/- 19.23, respectively) than in patients with PsA only (4.25 +/- 3.14 and 12.82 +/- 12.71, respectively; p < 0.001 and p = 0.003). None of the patients with FM + PsA met the criteria for MDA, whereas 26 PsA-only patients did (43.3%, p = 0.003). HAQ, BASDAI, and LEI scores were significantly worse in patients with PsA and associated FM. CONCLUSION: Coexisting FM is related to worse scores on all tested measures in patients with PsA. Its influence should be taken into consideration in the treatment algorithm to avoid unnecessary upgrading of treatment. FAU - Brikman, Shay AU - Brikman S AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Furer, Victoria AU - Furer V AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Wollman, Jonathan AU - Wollman J AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Borok, Sara AU - Borok S AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Matz, Hagit AU - Matz H AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Polachek, Ari AU - Polachek A AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Elalouf, Ofir AU - Elalouf O AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Sharabi, Amir AU - Sharabi A AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Kaufman, Ilana AU - Kaufman I AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Paran, Daphna AU - Paran D AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. FAU - Elkayam, Ori AU - Elkayam O AD - From the departments of Rheumatology and Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.S. Brikman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; V. Furer, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; J. Wollman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; S. Borok, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; H. Matz, MD, Department of Dermatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Polachek, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elalouf, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; A. Sharabi, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; I. Kaufman, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; D. Paran, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University; O. Elkayam, MD, Department of Rheumatology, Tel Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel Aviv University. oribe14@netvision.net.il. LA - eng PT - Journal Article DEP - 20160601 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 SB - IM EIN - J Rheumatol. 2019 Jan;46(1):119. PMID: 30600243 MH - Adult MH - Aged MH - Arthritis, Psoriatic/*congenital/*diagnosis MH - Cross-Sectional Studies MH - Female MH - Fibromyalgia/*complications MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - Quality of Life MH - Remission Induction MH - Severity of Illness Index OTO - NOTNLM OT - DISEASE ACTIVITY INDICES OT - FIBROMYALGIA OT - PSORIATIC ARTHRITIS EDAT- 2016/06/03 06:00 MHDA- 2017/12/22 06:00 CRDT- 2016/06/03 06:00 PHST- 2016/04/20 00:00 [accepted] PHST- 2016/06/03 06:00 [entrez] PHST- 2016/06/03 06:00 [pubmed] PHST- 2017/12/22 06:00 [medline] AID - jrheum.151491 [pii] AID - 10.3899/jrheum.151491 [doi] PST - ppublish SO - J Rheumatol. 2016 Sep;43(9):1749-54. doi: 10.3899/jrheum.151491. Epub 2016 Jun 1.