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psoriatic arthritis;familial aggregation Article Summary

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Familial aggregation of psoriatic arthritis
Annals of Rheumatic Diseases, 06/12/08
Print     Email This Article     Save in My Library   Free Abstract
Chandran V et al. – The recurrence risk ratio for both PsA and psoriasis is high in FDRs and siblings of patients with PsA. These results confirm that both PsA and psoriasis have a strong heritable component.

Methods
  • Study to determine the recurrence risk of psoriatic arthritis (PsA) and uncomplicated psoriasis in first degree relatives (FDRs) of pts with PsA
  • All available FDRs of 100 consecutive consenting pts were evaluated for the presence of psoriasis and PsA
  • The protocol included a screening questionnaire, physical examination by a rheumatologist, radiographic and laboratory assessment
  • Prevalence of PsA and Ps in FDRs of index case was determined and recurrence risk ratio was calculated

Results
  • The 100 probands had 533 relatives
  • 84 of them were deceased and 53 were unavailable
  • Of the remaining 396 FDRs, 107 did not participate, thus, 73% of the available FDRs participated in the study
  • There were 130 siblings, 108 parents and 51 children
  • The prevalence of PsA and psoriasis among FDRs was 7.6% and 15.2%, respectively
  • The prevalence of PsA and psoriasis in siblings was 7.7% and 17.7%, respectively

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