The Challenging Differentiation of Psoriatic Arthritis from Other Arthropathies and Nonspecific Arthralgias in Patients with Psoriasis: Results of a Cross-Sectional Rheumatologic Assessment of a Large Dermatologic Cohort.

diagnosis differential diagnosis multidisciplinary approach psoriasis psoriatic arthritis

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
21 Sep 2023
Historique:
received: 04 08 2023
revised: 16 09 2023
accepted: 17 09 2023
medline: 28 9 2023
pubmed: 28 9 2023
entrez: 28 9 2023
Statut: epublish

Résumé

Aiming to identify the potential challenges in the classification of musculoskeletal manifestations in patients with psoriasis (PsO), this study analyzed the outcomes of a cross-sectional rheumatologic assessment of 1057 PsO patients. In total, 209 had a previous diagnosis of psoriatic arthritis (PsA). Out of the remaining 848 subjects, 293 (35%) were classified as suspected PsA cases according to the rheumatologist's judgment and/or Early PsA Screening Questionnaire score (EARP) ≥ 3. However, only 14% received a PsA diagnosis, 49% had a PsA-alternative diagnosis, and the remaining 37% had nonspecific arthralgias. Most of the newly diagnosed PsA patients had a symptoms duration ≥1 year (72%) and moderate disease activity (55%) with active oligoarthritis (85%), dactylitis, or enthesitis (35%) as the most frequent clinical pattern. The most frequent PsA-alternative diagnoses were osteoarthritis and fibromyalgia (44% and 41%). The only factors with significant (

Identifiants

pubmed: 37763030
pii: jcm12186090
doi: 10.3390/jcm12186090
pmc: PMC10532027
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Alberto Floris (A)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Cristina Mugheddu (C)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Dermatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09123 Cagliari, Italy.

Leonardo Sichi (L)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Martina Dessì (M)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Jasmine Anedda (J)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Dermatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09123 Cagliari, Italy.

Alessia Frau (A)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Dermatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09123 Cagliari, Italy.

Andrea Pau (A)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Simone Aldo Lari (SA)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Jessica Sorgia (J)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Laura Li Volsi (L)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Maria Teresa Paladino (MT)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Mattia Congia (M)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Elisabetta Chessa (E)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Maria Maddalena Angioni (MM)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Caterina Ferreli (C)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Dermatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09123 Cagliari, Italy.

Matteo Piga (M)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Laura Atzori (L)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Dermatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09123 Cagliari, Italy.

Alberto Cauli (A)

Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Rheumatology Unit, Azienda Ospedaliero Universitaria di Cagliari, 09042 Monserrato, Italy.

Classifications MeSH