Clinical Symptoms of Skin, Nails, and Joints Manifest Independently in Patients with Concomitant Psoriasis and Psoriatic Arthritis
2011

Independent Symptoms in Psoriatic Arthritis

Sample size: 180 publication Evidence: moderate

Author Information

Author(s): Wittkowski Knut M., Leonardi Craig, Gottlieb Alice, Menter Alan, Krueger Gerald G., Tebbey Paul W., Belasco Jennifer, Soltani-Arabshahi Razieh, Gray John, Horn Liz, Krueger James G.

Primary Institution: The Rockefeller University

Hypothesis

The study aims to determine the smallest number of independent scoring dimensions needed to measure the presence and severity of skin, nail, and joint involvement in patients with psoriasis and psoriatic arthritis.

Conclusion

The study found that skin, nail, and joint symptoms in psoriatic disease often manifest independently, suggesting the need for separate assessment tools.

Supporting Evidence

  • The study analyzed data from 180 patients, including 55 with psoriatic arthritis.
  • Correlations between assessment tools showed high correlations between XL-PASI, PWESI, and LS-PGA.
  • Low correlation was observed between joint symptoms and skin symptoms.

Takeaway

This study looked at how skin, nail, and joint problems in psoriasis can happen separately, which means doctors need different ways to check each one.

Methodology

Patients with plaque psoriasis were evaluated using various assessment tools to measure the severity of skin, nail, and joint symptoms.

Potential Biases

Inconsistencies in the design of individual instruments may have affected the results.

Limitations

The study's statistical power may be limited in describing the relationship of specific psoriatic arthritis subtypes.

Participant Demographics

The majority of patients were Caucasian (86%), with a mean age of 45.3 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0020279

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