Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features

AKBAL, Ayla; Zateri, Coskun; CEVİZCİ, Sibel; REŞORLU, Hatice; Öğretmen, Zerrin; KILIÇ, SEVİLAY

Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features

Hatice REŞORLU, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Çanakkale, Türkiye)

Zerrin ÖĞRETMEN, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Dermatoloji Bölümü, Çanakkale, Türkiye)

Sevilay KILIÇ, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Dermatoloji Bölümü, Çanakkale, Türkiye)

Ayla AKBAL, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Çanakkale, Türkiye)

Coşkun ZATERİ, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Çanakkale, Türkiye)

Sibel CEVİZCİ (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Çanakkale, Türkiye)

Türk Osteoporoz Dergisi

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Yıl: 2016 Cilt: 22 Sayı: 2 Sayfa Aralığı: 88 - 91 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features

Öz:

Amaç: Bu çalışmanın amacı psoriasisli hastalarda, psoriatik artritin (PsA) varlığını klinik ve radyolojik açıdan belirlemek ve klinik bulgularla ilişkisini değerlendirmektir.Gereç ve Yöntem: Çalışmamızda 2009-2014 yılları arasında polikliniğimize PsA ön tanısı ile yönlendirilen 72 psoriasis tanılı hastanın dosyaları retrospektif olarak incelendi. Hastaların el, ayak ve sakroiliak eklem grafileri, hangi hastalarda klinik olarak PsA olduğunu bilmeyen, kas iskelet sistemi radyolojisinde tecrübeli bir radyolog tarafından okundu. Tüm psoriasisli hastalar, radyografik bulgulara ve Classification Criteria for Psoriatic Arthritis (CASPAR) kriterlerine göre değerlendirilerek PsA olan ve olmayan olarak iki gruba ayrıldı. Tüm hastaların demografik verileri, hastalık süresi, tırnak tutulumu, sigara-alkol kullanımı kayıt edildi.Bulgular: Tüm olguların yaş ortalaması 47,24±14,61 yıl, ortalama hastalık süresi ise 14,13±11,92 yıldı. Çalışmamıza dahil ettiğimiz hastaların %54,2'si (n=39) sigara, %23,6'sı (n=17) alkol kullanmaktaydı. Hastaların %56,9'unda (n=41) tırnak tutulumu mevcuttu. Hastaların %58,3'ünde (n=42) radyolojik bulgulara göre PsA tespit edildi. Bu olgularda yaş ortalaması ve hastalığın başlangıç yaşı, radyolojik olarak PsA olmayanlara göre daha yüksekti. Klinik olarak tüm hastaların sadece %18,1'inde (n=13) CASPAR kriterlerine göre PsA saptandı. Sonuç: Radyolojik değerlendirmeye göre PsA olarak nitelendirdiğimiz hastaların oranı yüksek bulunmuştur. Bu durumun ana nedeni asemptomatik-subklinik seyirli hastaların varlığıdır. Bu nedenle psoriasis hastalarında detaylı öykü alınması ve iyi klinik muayene yapılması önemlidir. PsA tanısında radyolojik ve klinik değerlendirme birlikte kullanılmalıdır.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Psoriasisli Hastalarda Psoriatik Artrit: Klinik ve Radyolojik Özelliklerin Değerlendirilmesi

Öz:

Objective: The purpose of this study was to perform radiological and clinical determination of the presence of psoriatic arthritis (PsA) in patients with psoriasis and to evaluate associations with clinical findings.Materials and Methods: The medical files of 72 patients with psoriasis presenting to our clinic between years 2009-2014 with a prediagnosis of PsA were reviewed retrospectively. Hand, foot and sacroiliac joint radiograms were evaluated by a radiologist who was blinded to the patient's clinical status and who is experienced on musculoskeletal radiology. Patients with psoriasis were divided into two groups according to the presence of arthritis which was determined based on radiographic findings or on Classification Criteria for Psoriatic Arthritis (CASPAR) criteria. All patients' demographic characteristics, length of disease, nail involvement, smoking-alcohol consumption were recorded.Results: The mean age of all patients was 47.24±14.61 years, and the mean duration of disease was 14.13±11.92 years. Smoking and alcohol consumptions were determined in 54.2% (n=39) and 23.6% (n=17) of the cases, respectively. Nail involvement was determined in 56.9% (n=41) of the cases. PsA was determined based on radiological findings in 58.3% (n=42) of the patients. The mean age and age at onset of disease were higher in PsA (+) patients than in radiologically non-PsA subjects. Based on clinical findings, PsA based on CASPAR criteria was determined in only 18.1% (n=13) of all patients.Conclusion: A higher level of PsA was determined using radiological evaluation in this study. The main cause of this condition is the existence of asymptomatic-subclinical patients. A detailed medical history should therefore be taken from patients, and good clinical evaluation is very important. Radiological and clinical evaluation should be performed together in the diagnosis.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	REŞORLU H, Öğretmen Z, KILIÇ S, AKBAL A, Zateri C, CEVİZCİ S (2016). Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. , 88 - 91.
Chicago	REŞORLU Hatice,Öğretmen Zerrin,KILIÇ SEVİLAY,AKBAL Ayla,Zateri Coskun,CEVİZCİ Sibel Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. (2016): 88 - 91.
MLA	REŞORLU Hatice,Öğretmen Zerrin,KILIÇ SEVİLAY,AKBAL Ayla,Zateri Coskun,CEVİZCİ Sibel Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. , 2016, ss.88 - 91.
AMA	REŞORLU H,Öğretmen Z,KILIÇ S,AKBAL A,Zateri C,CEVİZCİ S Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. . 2016; 88 - 91.
Vancouver	REŞORLU H,Öğretmen Z,KILIÇ S,AKBAL A,Zateri C,CEVİZCİ S Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. . 2016; 88 - 91.
IEEE	REŞORLU H,Öğretmen Z,KILIÇ S,AKBAL A,Zateri C,CEVİZCİ S "Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features." , ss.88 - 91, 2016.
ISNAD	REŞORLU, Hatice vd. "Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features". (2016), 88-91.

APA	REŞORLU H, Öğretmen Z, KILIÇ S, AKBAL A, Zateri C, CEVİZCİ S (2016). Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. Türk Osteoporoz Dergisi, 22(2), 88 - 91.
Chicago	REŞORLU Hatice,Öğretmen Zerrin,KILIÇ SEVİLAY,AKBAL Ayla,Zateri Coskun,CEVİZCİ Sibel Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. Türk Osteoporoz Dergisi 22, no.2 (2016): 88 - 91.
MLA	REŞORLU Hatice,Öğretmen Zerrin,KILIÇ SEVİLAY,AKBAL Ayla,Zateri Coskun,CEVİZCİ Sibel Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. Türk Osteoporoz Dergisi, vol.22, no.2, 2016, ss.88 - 91.
AMA	REŞORLU H,Öğretmen Z,KILIÇ S,AKBAL A,Zateri C,CEVİZCİ S Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. Türk Osteoporoz Dergisi. 2016; 22(2): 88 - 91.
Vancouver	REŞORLU H,Öğretmen Z,KILIÇ S,AKBAL A,Zateri C,CEVİZCİ S Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features. Türk Osteoporoz Dergisi. 2016; 22(2): 88 - 91.
IEEE	REŞORLU H,Öğretmen Z,KILIÇ S,AKBAL A,Zateri C,CEVİZCİ S "Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features." Türk Osteoporoz Dergisi, 22, ss.88 - 91, 2016.
ISNAD	REŞORLU, Hatice vd. "Psoriatic Arthritis in Psoriasis Patients: Evaluation of Clinical and Radiological Features". Türk Osteoporoz Dergisi 22/2 (2016), 88-91.