PMID- 28223746
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 1013-9087 (Print)
IS  - 2005-3894 (Electronic)
IS  - 1013-9087 (Linking)
VI  - 29
IP  - 1
DP  - 2017 Feb
TI  - Could Psoriatic Arthritis Be Easily Diagnosed from Current Suspicious Physical 
      Findings in the Dermatology Clinic?
PG  - 48-54
LID - 10.5021/ad.2017.29.1.48 [doi]
AB  - BACKGROUND: The prevalence and clinical characteristics of psoriatic arthritis 
      (PsA) in patients with psoriasis are not well described in Asian populations, 
      including Koreans. OBJECTIVE: The purpose of this study was to investigate the 
      prevalence of PsA by using the classification of psoriatic arthritis (CASPAR) 
      criteria on the basis of physical examination only, as well as its correlation 
      with psoriasis severity and other medical conditions including nail psoriasis. 
      METHODS: A single-center, cross-sectional observational cohort study was 
      conducted, and the included patients were evaluated for PsA according to the 
      CASPAR criteria. The psoriasis area severity index (PASI) and the nail psoriasis 
      severity index (NAPSI) were calculated. RESULTS: The prevalence of PsA in 
      patients with psoriasis in Korea was 13.5%. When performing logistic regression, 
      hyperlipidemia and localized pustular psoriasis were found to be significant 
      predictors of PsA. The PASI score was significantly higher in PsA patients than 
      in those with psoriasis alone (p=0.014). Psoriatic nail involvement was found in 
      85.5% of the study population, and all PsA patients had nail psoriasis. The mean 
      NAPSI score was higher in patients with PsA; however, the difference was not 
      statistically significant. CONCLUSION: There was a close relation between 
      psoriasis severity and PsA, although nail psoriasis severity was not related to 
      PsA status. Dermatologists can diagnose PsA from current physical findings by 
      using the CASPAR criteria. To validate the CASPAR criteria for PsA diagnosis, the 
      definition of nail psoriasis clinical types and severity in the CASPAR criteria 
      should be reviewed again.
FAU - Choi, Jee Woong
AU  - Choi JW
AD  - Department of Dermatology, Seoul National University Bundang Hospital, Seoul 
      National University College of Medicine, Seongnam, Korea.
FAU - Kim, Bo Ri
AU  - Kim BR
AD  - Department of Dermatology, Seoul National University Bundang Hospital, Seoul 
      National University College of Medicine, Seongnam, Korea.
FAU - Seo, Eunmi
AU  - Seo E
AD  - Department of Dermatology, Seoul National University Bundang Hospital, Seoul 
      National University College of Medicine, Seongnam, Korea.
FAU - Youn, Sang Woong
AU  - Youn SW
AD  - Department of Dermatology, Seoul National University Bundang Hospital, Seoul 
      National University College of Medicine, Seongnam, Korea.
LA  - eng
PT  - Journal Article
DEP - 20170203
PL  - Korea (South)
TA  - Ann Dermatol
JT  - Annals of dermatology
JID - 8916577
PMC - PMC5318526
OTO - NOTNLM
OT  - Nail psoriasis
OT  - Psoriasis
OT  - Psoriatic arthritis
EDAT- 2017/02/23 06:00
MHDA- 2017/02/23 06:01
PMCR- 2017/02/01
CRDT- 2017/02/23 06:00
PHST- 2016/03/21 00:00 [received]
PHST- 2016/05/09 00:00 [revised]
PHST- 2016/05/23 00:00 [accepted]
PHST- 2017/02/23 06:00 [entrez]
PHST- 2017/02/23 06:00 [pubmed]
PHST- 2017/02/23 06:01 [medline]
PHST- 2017/02/01 00:00 [pmc-release]
AID - 10.5021/ad.2017.29.1.48 [doi]
PST - ppublish
SO  - Ann Dermatol. 2017 Feb;29(1):48-54. doi: 10.5021/ad.2017.29.1.48. Epub 2017 Feb 
      3.