Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic review

Abstract Twenty to thirty percent of psoriasis (Pso) patients will develop psoriatic arthritis (PsA). Detection of Pso patients that are (at risk for) developing PsA is essential to prevent structural damage. We conducted a systematic search of five bibliographic databases, up to May 2020. We search...

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Main Authors: Michelle L. M. Mulder, Tamara W. van Hal, Mark H. Wenink, Hans J. P. M. Koenen, Frank H. J. van den Hoogen, Elke M. G. J. de Jong, Juul M. P. A. van den Reek, Johanna E. Vriezekolk
Format: Article
Language:English
Published: BMC 2021-06-01
Series:Arthritis Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13075-021-02545-4
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author Michelle L. M. Mulder
Tamara W. van Hal
Mark H. Wenink
Hans J. P. M. Koenen
Frank H. J. van den Hoogen
Elke M. G. J. de Jong
Juul M. P. A. van den Reek
Johanna E. Vriezekolk
author_facet Michelle L. M. Mulder
Tamara W. van Hal
Mark H. Wenink
Hans J. P. M. Koenen
Frank H. J. van den Hoogen
Elke M. G. J. de Jong
Juul M. P. A. van den Reek
Johanna E. Vriezekolk
author_sort Michelle L. M. Mulder
collection DOAJ
description Abstract Twenty to thirty percent of psoriasis (Pso) patients will develop psoriatic arthritis (PsA). Detection of Pso patients that are (at risk for) developing PsA is essential to prevent structural damage. We conducted a systematic search of five bibliographic databases, up to May 2020. We searched for studies assessing markers (clinical, laboratory, genetic) associated with the development or presence of PsA in Pso patients. Study selection and quality assessment of the included studies was performed, followed by a qualitative best evidence synthesis to determine the level of evidence for a marker and its association with concomitant/developing PsA in Pso. Overall, 259 possible markers were identified in 119 studies that met the inclusion criteria. Laboratory markers related to inflammation and bone metabolism reached a strong level of evidence for the association (not prediction) of PsA in Pso. Only CXCL10 showed strong evidence for a positive predictive value for PsA in Pso. The importance of timely detecting PsA in a Pso population, and finding more (bio)markers contributing to early detection, remains high.
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spelling doaj.art-e6fc5ebba49a41f6b2b072fcc29b0aec2022-12-21T21:59:42ZengBMCArthritis Research & Therapy1478-63622021-06-0123112210.1186/s13075-021-02545-4Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic reviewMichelle L. M. Mulder0Tamara W. van Hal1Mark H. Wenink2Hans J. P. M. Koenen3Frank H. J. van den Hoogen4Elke M. G. J. de Jong5Juul M. P. A. van den Reek6Johanna E. Vriezekolk7Department of Rheumatology, Sint MaartenskliniekDepartment of Rheumatology, Sint MaartenskliniekDepartment of Rheumatology, Sint MaartenskliniekLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical CenterRadboud UniversityRadboud Institute for Health Sciences (RIHS), Radboud University Medical CenterRadboud Institute for Health Sciences (RIHS), Radboud University Medical CenterDepartment of Rheumatology, Sint MaartenskliniekAbstract Twenty to thirty percent of psoriasis (Pso) patients will develop psoriatic arthritis (PsA). Detection of Pso patients that are (at risk for) developing PsA is essential to prevent structural damage. We conducted a systematic search of five bibliographic databases, up to May 2020. We searched for studies assessing markers (clinical, laboratory, genetic) associated with the development or presence of PsA in Pso patients. Study selection and quality assessment of the included studies was performed, followed by a qualitative best evidence synthesis to determine the level of evidence for a marker and its association with concomitant/developing PsA in Pso. Overall, 259 possible markers were identified in 119 studies that met the inclusion criteria. Laboratory markers related to inflammation and bone metabolism reached a strong level of evidence for the association (not prediction) of PsA in Pso. Only CXCL10 showed strong evidence for a positive predictive value for PsA in Pso. The importance of timely detecting PsA in a Pso population, and finding more (bio)markers contributing to early detection, remains high.https://doi.org/10.1186/s13075-021-02545-4PsoriasisPsoriatic arthritisSystematic review(Bio)markerScreeningClinical
spellingShingle Michelle L. M. Mulder
Tamara W. van Hal
Mark H. Wenink
Hans J. P. M. Koenen
Frank H. J. van den Hoogen
Elke M. G. J. de Jong
Juul M. P. A. van den Reek
Johanna E. Vriezekolk
Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic review
Arthritis Research & Therapy
Psoriasis
Psoriatic arthritis
Systematic review
(Bio)marker
Screening
Clinical
title Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic review
title_full Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic review
title_fullStr Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic review
title_full_unstemmed Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic review
title_short Clinical, laboratory, and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients: a systematic review
title_sort clinical laboratory and genetic markers for the development or presence of psoriatic arthritis in psoriasis patients a systematic review
topic Psoriasis
Psoriatic arthritis
Systematic review
(Bio)marker
Screening
Clinical
url https://doi.org/10.1186/s13075-021-02545-4
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