| Autor: |
S. N., CHEBYSHEVA, E. S., ZHOLOBOVA, N. A., GEPPE, K. V., ALEKSANYAN, A. V., MELESHKINA, M. N., NIKOLAEVA, L. G., KHACHATRYAN, I. M., FARBER |
| Předmět: |
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| Zdroj: |
New Armenian Medical Journal; Mar2021, Vol. 15 Issue 1, p95-99, 5p |
| Abstrakt: |
Juvenile psoriatic arthritis is a chronic inflammatory disorder that accounts for 4-9% of all juvenile arthritis. Psoriatic arthritis is a chronic inflammatory joint disease that develops in about a third of patients with psoriasis. The clinical picture of juvenile psoriatic arthritis is diverse and heterogeneous. Most patients with juvenile psoriatic arthritis do not have a chronological relationship between skin and joint damage. There are no specific laboratory tests. Instrumental methods reflect only the presence and severity of the inflammatory process. juvenile psoriatic arthritis is an interdisciplinary problem and requires the joint supervision of rheumatologists and dermatologists. Objective: to identify the clinical features of psoriatic arthritis in children. Methods: open-label, single-center, prospective, observational (1989-2018) cohort clinical study included 83 patients (3-17.0 y/o) who met Vancouver and I/E criteria. Conclusion: The features of skin and articular syndromes in children with juvenile psoriatic arthritis were revealed. In most patients with psoriatic arthritis, the disease began at the age of 6.6 years. In childhood, arthritis is usually preceded by psoriasis. The most common clinical form of psoriasis is plaque psoriasis. Much less often than in the described literature, an isolated lesion of the nail plates was found. At the onset of the disease, symmetric oligoarthritis predominates. During the disease, transformation of the joint syndrome with a predominance of rheumatoid arthritis is noted. All joint groups in juvenile psoriatic arthritis may be involved in the pathological process. However, knee joints, ankles, and interphalangeal joints are more often affected. Two peaks of morbidity at an early age and adolescence described in the literature are not traced by us. All observed patients showed pronounced osteoporosis, which is not characteristic of juvenile psoriatic arthritis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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