Rheumatology

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Prevalence and clinical features of psoriatic arthritis and joint complaints in 2009 patients with psoriasis: Results of a German national survey
Journal of the European Academy of Dermatology and Venereology, 06/08/09

Radtke MA et al. - Data imply that there is still a significant number of patients suspected of having joint involvement without ever having been diagnosed with psoriatic arthritis (PsA). Joint damage and functional disability in these pts can be prevented if adequate treatment is started promptly.

• Study to determine the prevalence and clinical features of PsA and joint complaints in pts with psoriasis
• 2009 pts; pts showing rheumatological symptoms were further recorded with respect to active arthritis and PsA symptoms

• 19% of the pts had PsA, including 14.8% previously confirmed and 4.2% newly diagnosed disease
• Another 7.7% had intermittent but clinically unspecific joint symptoms, which could not be clearly attributed to PsA
• 49.7% of the pts with PsA had at least 1 swollen joint and 84.9% suffered from joint pain
• Pts suffering from pain marked an average of 8.7 joints on a diagram as painful out of a possible 28
• Mean number of swollen joints among the affected pts amounted to an average of 6.8

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