The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China Hospital

Abstract Introduction This study aims to describe the demographic, clinical, laboratory, and ultrasonic characteristics of patients with psoriatic arthritis (PsA) in the Psoriatic Arthritis cohort of West China Hospital. Methods In this cross-sectional study, we included patients diagnosed with PsA...

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Main Authors: Yiyi Wang, Yue Xiao, Furong Li, Yuanxia Gu, Min Yang, Lingyan Zhang, Jing Tang, Wei Li
Format: Article
Language:English
Published: Adis, Springer Healthcare 2023-02-01
Series:Rheumatology and Therapy
Subjects:
Online Access:https://doi.org/10.1007/s40744-023-00537-1
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author Yiyi Wang
Yue Xiao
Furong Li
Yuanxia Gu
Min Yang
Lingyan Zhang
Jing Tang
Wei Li
author_facet Yiyi Wang
Yue Xiao
Furong Li
Yuanxia Gu
Min Yang
Lingyan Zhang
Jing Tang
Wei Li
author_sort Yiyi Wang
collection DOAJ
description Abstract Introduction This study aims to describe the demographic, clinical, laboratory, and ultrasonic characteristics of patients with psoriatic arthritis (PsA) in the Psoriatic Arthritis cohort of West China Hospital. Methods In this cross-sectional study, we included patients diagnosed with PsA according to the Classification Criteria for Psoriatic Arthritis, collected their demographic information, medical histories, and treatments, evaluated all domains (skin and nail lesions, tenderness, swelling, enthesitis, dactylitis, and axial arthritis) related to PsA, and then performed descriptive statistical analyses of all data. Results A total of 275 patients with PsA were included in this study. The ratio of male to female patients was 2.16:1. Skin lesions preceded arthritis in 86.5% of these patients with PsA with a mean interval of 10.1 years. The metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints of fingers, and sacroiliac joints are the most commonly involved sites of tenderness, swelling, and the spine, respectively. Among all comorbidities, fatty liver has the highest incidence with 33.1%. Finally, we noted that the mean disease duration of PsA was 4.2 years, suggesting a delay in the diagnosis of PsA. Conclusion Our study proposes that the prevalent population of PsA are male patients with psoriasis over 40 years of age who have a long disease course. For patients with PsA, MCP, PIP joints of fingers, and sacroiliac joints are the most frequently affected anatomical sites. With respect to comorbidities, the association between PsA and fatty liver and the underlying molecular mechanisms are worthy of further exploration.
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spelling doaj.art-02ba0b4d780549fd8167dd3c6f7926d52023-04-30T11:27:52ZengAdis, Springer HealthcareRheumatology and Therapy2198-65762198-65842023-02-0110377578410.1007/s40744-023-00537-1The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China HospitalYiyi Wang0Yue Xiao1Furong Li2Yuanxia Gu3Min Yang4Lingyan Zhang5Jing Tang6Wei Li7Department of Dermatology and Rare Diseases Center, West China Hospital, Sichuan UniversityDepartment of Dermatology and Rare Diseases Center, West China Hospital, Sichuan UniversityDepartment of Dermatology and Rare Diseases Center, West China Hospital, Sichuan UniversityDepartment of Dermatology and Rare Diseases Center, West China Hospital, Sichuan UniversityDepartment of Rheumatology, West China Hospital, Sichuan UniversityDepartment of Ultrasound, West China Hospital, Sichuan UniversityDepartment of Radiology, West China Hospital, Sichuan UniversityDepartment of Dermatology and Rare Diseases Center, West China Hospital, Sichuan UniversityAbstract Introduction This study aims to describe the demographic, clinical, laboratory, and ultrasonic characteristics of patients with psoriatic arthritis (PsA) in the Psoriatic Arthritis cohort of West China Hospital. Methods In this cross-sectional study, we included patients diagnosed with PsA according to the Classification Criteria for Psoriatic Arthritis, collected their demographic information, medical histories, and treatments, evaluated all domains (skin and nail lesions, tenderness, swelling, enthesitis, dactylitis, and axial arthritis) related to PsA, and then performed descriptive statistical analyses of all data. Results A total of 275 patients with PsA were included in this study. The ratio of male to female patients was 2.16:1. Skin lesions preceded arthritis in 86.5% of these patients with PsA with a mean interval of 10.1 years. The metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints of fingers, and sacroiliac joints are the most commonly involved sites of tenderness, swelling, and the spine, respectively. Among all comorbidities, fatty liver has the highest incidence with 33.1%. Finally, we noted that the mean disease duration of PsA was 4.2 years, suggesting a delay in the diagnosis of PsA. Conclusion Our study proposes that the prevalent population of PsA are male patients with psoriasis over 40 years of age who have a long disease course. For patients with PsA, MCP, PIP joints of fingers, and sacroiliac joints are the most frequently affected anatomical sites. With respect to comorbidities, the association between PsA and fatty liver and the underlying molecular mechanisms are worthy of further exploration.https://doi.org/10.1007/s40744-023-00537-1PsoriasisPsoriatic arthritisClinical studyChina
spellingShingle Yiyi Wang
Yue Xiao
Furong Li
Yuanxia Gu
Min Yang
Lingyan Zhang
Jing Tang
Wei Li
The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China Hospital
Rheumatology and Therapy
Psoriasis
Psoriatic arthritis
Clinical study
China
title The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China Hospital
title_full The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China Hospital
title_fullStr The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China Hospital
title_full_unstemmed The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China Hospital
title_short The Clinical Characteristics of Psoriatic Arthritis: A Cross-Sectional Study Based on the Psoriatic Arthritis Cohort of West China Hospital
title_sort clinical characteristics of psoriatic arthritis a cross sectional study based on the psoriatic arthritis cohort of west china hospital
topic Psoriasis
Psoriatic arthritis
Clinical study
China
url https://doi.org/10.1007/s40744-023-00537-1
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