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Vol 23. no 1
March 2018

Assessment of musculoskeletal symptoms in patients with psoriasis (summary)
Olga Brzezińska, Anita Łuczak, Dawid Małecki, Diana Kobiałka, Anna Lewandowska-Polak, Katarzyna Poznańska-Kurowska, Joanna Makowska
Introduction. Psoriasis is a chronic autoimmune disease of skin which may affect around 2% of population and 20-40% of psoriatic patients develops psoriatic arthritis (PsA). It is estimated that cutaneous symptoms outpace musculoskeletal symptoms for about 10 years. Prompt diagnosis and implementation of treatment are crucial for the achieving of remission and better prognosis. Aim. The aim of the study was to assess the occurrence of PsA among patients with psoriasis as well as clinical manifestation. Material and methods. 180 subjects with psoriasis of the skin and/or nails were enrolled in the study. The screening questionnaire was created to assess the frequency of musculoskeletal symptoms and their character. The symptoms reported by the patients were compared with the CASPAR classification and with screening questionnaire PEST. Results. More than 90% of responders declared complaints from musculoskeletal system ever. In 70% of surveyed symptoms were present during filling up the questionnaire and in 40% reported symptoms fulfilled the criteria of inflammatory arthritis. About 23% of responders have never been diagnosed and almost 40% of the responders declared to be diagnosed to have psoriatic arthritis. Interestingly 27.68% of patients never diagnosed, fulfilled CASPAR criteria for psoriatic arthritis. Conclusions. Musculoskeletal complaints are frequent among patients with psoriasis. The significant percentage of patients treated by dermatologist doesn’t have any diagnosis of inflammatory joint disease despite the presented symptoms. These patients should be referred to rheumatologist for further evaluation.
Keywords: psoriatic arthritis, psoriasis, arthritis
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