Psoriasis features associated with higher risk of PsA were scalp lesions (hazard ratio HR 3. In the literature, clinical features of psoriasis associated with psoriatic arthritis (PsA) onset have not been clarified, even if high Psoriasis Area and Severity Index (PASI) was found to be directly related with PsA. Scalp lesions, nail dystrophy, intergluteal/perianal psoriasis and the involvement of 3 sites or more are associated with the development of psoriatic arthritis in psoriasis patients.
A recent report has shown that psoriatic features such as nail dystrophy, and scalp, and intergluteal/perianal lesions are associated with a higher likelihood of PsA 21. She had a history of severe psoriasis and osteoarthritis. Considering the patient’s symmetrical arthritis involving small and large joints with severe psoriasis, our top 2 considerations in the differential diagnosis were psoriasis and RA. Wilson and associates3 observed that nail dystrophy, scalp lesions, and intergluteal and perianal psoriasis are psoriatic features associated with a higher probability of PsA. Comorbidities in Pso include psoriatic arthritis (PsA), reduced quality of life, malignancy, depression, but also a constellation of associated conditions that enhance the cardiovascular (CV) risk. Pso is associated with dyslipidemia with higher concentrations of triglycerides, total cholesterol, and LDL cholesterol (16). On the contrary, results for CV disease and risk factors were more consistent, indicating increased CV morbidity in PsA, including ischemic heart disease, congestive heart failure, cerebrovascular, and peripheral vascular disease.
3 Baseline Nail Disease in Patients with Moderate-to-Severe Psoriasis and Response to Treatment with Infliximab over One Year Phoebe Rich, Christopher E. Back to basics Nail anatomy Nail pathology Key clinical features of nail psoriasis Epidemiology Impact and consequences of disease Assessment tools Is the nail a window to something more? Management of nail disease. 23 Frequency of Symptoms of Nail Psoriasis Survey sent to Dutch union of psoriasis patients; 7000 questionnaires sent, 1728 were returned Baseline Characteristics Age (yrs), mean (SD) 47 (14) Patients with skin lesions present 100 Disease duration, mean (SD) 12 (10) Patients with joint complaints 48. 2.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser. Nail dystrophy, scalp lesions, and intergluteal and/or perianal location of psoriatic lesions are associated with an increased likelihood of PsA.
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PubMed Journal articles for were found in Unbound MEDLINE. Nail dystrophies, scalp and intergluteal/perianal psoriatic lesions: risk factors for psoriatic arthritis in mild skin psoriasis? Because psoriasis usually presents before psoriatic arthritis, the dermatologist plays a key role in early detection of the latter.