Cross-sectional multicenter observational study of psoriatic arthritis in Japanese patients: Relationship between skin and joint symptoms and results of treatment with tumor necrosis factor-α inhibitors

Autor: Motonobu Nakamura, Sakae Kaneko, Hiroko Fukamatsu, Kentaro Yonekura, Ryosuke Hino, Michiya Yamaguchi, Kenichi Morimoto, Bungo Ohyama, Takeshi Nakahara, Chika Ohata, Satoko Kikuchi, Toshihiro Sato, Shinichi Imafuku, Tetsuji Yanase, Shin Morizane, Kazunari Sugita, Kanami Saito, Kotaro Ito, Hideki Koketsu, Noriko Tsuruta, Masutaka Furue, Yutaka Narisawa, Hiroaki Hayashi, Kazuki Yamaguchi, Maki Kuwashiro, Fusako Okazaki, Chikage Mitoma, Shigeto Yanagihara, Kenzo Takahashi, Takuya Miyagi
Rok vydání: 2019
Předmět:
Zdroj: The Journal of Dermatology. 46:193-198
ISSN: 0385-2407
DOI: 10.1111/1346-8138.14745
Popis: Psoriatic arthritis (PsA) is an inflammatory arthritis with as yet unclear pathophysiology. This retrospective, multicenter, cross-sectional study was conducted in 19 facilities in western Japan and aimed to identify patients' characteristics and factors that affect the results of treatment with biologic agents. Of 2116 patients with psoriasis, 285 (13.5%) had PsA. Skin manifestations preceded joint manifestations in 69.8%, the onset was simultaneous in 17.2%, whereas PsA preceded skin manifestations in 2.5%. Peripheral arthritis was most common, occurring in 73.7%, compared with axial disease in 21.8%, enthesitis in 23.5% and dactylitis in 35.4%. Patients with severe skin manifestations were significantly younger at onset (P = 0.02) and more frequently had axial disease (P
Databáze: OpenAIRE