Nail involvement can predict enthesopathy in patients with psoriasis.
J Dtsch Dermatol Ges
; 14(11): 1102-1107, 2016 Nov.
Article
em En
| MEDLINE
| ID: mdl-27860304
ABSTRACT
BACKGROUND:
Although subclinical enthesopathy is a well-established diagnostic criterion for psoriatic arthritis (PsA), it is frequently overlooked, as many patients are asymptomatic. The possibility of finding a clinical clue predicting enthesopathy would help clinicians establish an early diagnosis of PsA. MATERIAL ANDMETHODS:
A prospective single-center study of a total of 90 patients with psoriasis was conducted to assess the presence of entheseal abnormalities as detected by ultrasound, and to determine any correlation with nail involvement.RESULTS:
Entheseal abnormalities were found in 23 patients (25.5 %), 19 (82.6 %) of whom showed nail involvement, whereas four (17.4 %) individuals did not. Enthesopathy was present in 31.1 % (19/61) of patients with onychopathy compared to 13.8 % (4/29) of those without nail involvement (p = 0.07). There was a significant correlation between target NAPSI score and evidence of enthesopathy. In addition, the number of nails affected also showed a significant correlation with the presence of enthesopathy (p = 0.035).CONCLUSIONS:
Clinical evidence of onychopathy may be the clue to an early diagnosis of enthesopathy in psoriasis patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Psoríase
/
Entesopatia
/
Doenças da Unha
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article