Yıl: 2020 Cilt: 23 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: İngilizce DOI: 10.31609/jpmrs.2019-70757 İndeks Tarihi: 12-10-2020

A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis

Öz:
Many patients with psoriasis (Ps) and psoriatic arthritis (PsA) develop a variety of sensory skin symptoms as discomfort, burning, stinging, irritation and hypersensitivity. We hypothesize that neuropathic pain (NP) is a component of these sensory skin symptoms. This study aims to assess the prevalence of NP in patients with Ps and PsA and to investigate the association between disease severity and pain scores.Material and Methods: We conducted a cross-sectional study on 79 Ps patients, 21 PsA patients, and 45 healthy individuals. NP was assessed by the PainDETECT Questionnaire (PDQ). Pain intensity was scored on Visual AnalogueScales (VAS). We used the Psoriasis Area Severity Index (PASI) andthe Dermatology Life Quality Index (DLQI) and Nottingham HealthProfile (NHP) to assess the disease severity and quality of life, respectively.Results: PsA patients had significantly more “likely neuropathic pain” compared with Ps patients and healthy controls (19% vs. 3.8% and 6.7%). The mean PDQ scores were higher in the Ps and PsA groups than the control group. PsA group had significantly worse scores of pain, physical activity, and fatigue compared withthe Ps group. Conclusion: Our findings suggest that neuropathic painmay be a component of the sensory symptoms manifested in PsA patients. However, no association was found between disease severityand neuropathic pain.
Anahtar Kelime:

Psöriyazis ve Psöriyatik Artritte Ağrının Nöropatik Bileşeni: Kesitsel Bir Çalışma

Öz:
Psöriyazis (Ps) ve psöriyatik artrit (PsA) olan birçok hastada, ciltte rahatsızlık, yanma, acı, tahriş ve aşırı duyarlılık gibi çeşitli duyusal cilt semptomları gelişebilir ve nöropatik ağrı bu duyusal cilt semptomlarının bir bileşeni olabilir. Bu çalışma, Ps ve PsA hastalarında nöropatik ağrı varlığını değerlendirmeyi ve hastalık şiddeti ile ağrı skorları arasındaki ilişkiyi araştırmayı amaçlamaktadır. Gereç ve Yöntemler: Çalışmaya 79 Ps, 21 PsA hastası ve 45 sağlıklı kontrol alındı. Nöropatik ağrı PainDETECT anketi [PainDETECT Questionnaire (PDQ)] ile, ağrışiddeti Görsel Analog Skala [Visual Analog Scale (VAS)] ile değerlendirildi. Hastalık şiddeti ve yaşam kalitesini değerlendirmek için sırasıyla Psöriyazis Alan Ciddiyeti İndeksi (PASI) ,Dermatoloji Yaşam Kalitesi İndeksi (DLQI) ve Nottingham Sağlık Profili (Nottingham Health Profile (NHP) kullanıldı.Bulgular: PsA’lı hastalarda, Ps’li hastalar ve sağlıklı kontrollerle karşılaştırıldığında anlamlı olarak daha yüksek “muhtemel nöropatik ağrı” değerleri izlendi (sırasıyla; %19, %3,8 ve %6,7). Ortalama PDQ skorları Ps ve PsA gruplarında kontrol grubuna göre daha yüksek bulundu. PsA grubu, Ps grubuna göre anlamlı derecede kötü ağrı, fiziksel aktivite ve yorgunluk skorlarına sahipti. Sonuç: Bulgularımız nöropatik ağrının PsA hastalarında ortaya çıkan duyusal semptomların bir bileşeni olabileceğini düşündürmektedir. Bununla birlikte, psöriyazis hastalık şiddeti ve nöropatik ağrı arasında bir ilişki bulunamadı.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Ozkaya DB, Onsun N, Topukçu B, et al. The relationship between body mass index, waist circumference and psoriatic arthritis in the Turkish population. Postepy Dermatol Alergol. 2016;33:219-23. [Crossref] [PubMed] [PMC]
  • 2. Choi JW, Kim BR, Seo E, et al. Could psoriatic arthritis be easily diagnosed from current suspicious physical findings in the dermatology clinic? Ann Dermatol. 2017;29:48-54. [Crossref] [PubMed] [PMC]
  • 3. Ljosaa TM, Stubhaug A, Mork C, et al. Improvement in psoriasis area and severity index score predicts improvement in skin pain over time in patients with psoriasis. Acta Derm Venereol. 2013;93:330-4. [Crossref] [PubMed]
  • 4. Ljosaa TM, Mork C, Stubhaug A, et al. Skin pain and skin discomfort is associated with quality of life in patients with psoriasis. J Eur Acad Dermatol Venereol. 2012;26:29-35. [Crossref] [PubMed]
  • 5. Ljosaa TM, Rustoen T, Mørk C, et al. Skin pain and discomfort in psoriasis: an exploratory study of symptom prevalence and characteristics. Acta Derm Venereol. 2010;90:39-45. [Crossref] [PubMed]
  • 6. Moverley AR, Vinall-Collier KA, Helliwell PS. It’s not just the joints, it’s the whole thing: Qualitative analysis of patients’ experience of flare in psoriatic arthritis. Rheumatology (Oxford). 2015;54:1448-53. [Crossref] [PubMed]
  • 7. Treede RD, Jensen TS, Campbell JN, et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology. 2008;70:1630-5. [Crossref] [PubMed]
  • 8. van Laarhoven AI, Kraaimaat FW, WilderSmith OH, et al. Sensitivity to itch and pain in patients with psoriasis and rheumatoid arthritis. Exp Dermatol. 2013;22:530-4. [Crossref] [PubMed]
  • 9. Gölge UH, Şen HM, Kuyucu E, et al. Investigation of knee pain in osteoarthritic and neuropathic pain awareness.Acta Orthop Belg. 2015;81:639-46. [PubMed]
  • 10. Spahr N, Hodkinson D, Jolly K, et al. Distinguishing between nociceptive and neuropathic components in chronic low back pain using behavioural evaluation and sensory examination. Musculoskelet Sci Pract. 2017;27:40-8. [Crossref] [PubMed] [PMC]
  • 11. Rifbjerg-Madsen S, Wæhrens EE, Danneskiold-Samsøe B, et al. Psychometric properties of the painDETECT questionnaire in rheumatoid arthritis, psoriatic arthritis and spondyloarthritis: Rasch analysis and test-retest reliability. Health Qual Life Outcomes. 2017;15:110. [Crossref] [PubMed] [PMC]
  • 12. von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61:344-9. [Crossref] [PubMed]
  • 13. Rudwaleit M, Taylor WJ. Classification criteria for psoriatic arthritis and ankylosing spondylitis/axial spondyloarthritis. Best Pract Res Clin Rheumatol. 2010;24:589-604. [Crossref] [PubMed]
  • 14. Alkan H, Ardic F, Erdogan C, et al. Turkish Version of the painDETECT questionnaire in the assessment of neuropathic pain: a validity and reliability study. Pain Med. 2013;14:1933- 43. [Crossref] [PubMed]
  • 15. Huskisson EC. Measurement for pain. Lancet. 1974;2:1127-31. [Crossref] [PubMed]
  • 16. Kücükdeveci AA, McKenna SP, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23:31-8. [Crossref] [PubMed]
  • 17. Oztürkcan S, Ermertcan AT, Eser E, et al. Cross validation of the Turkish version of dermatology life quality index. Int J Dermatol. 2006;45:1300-7. [Crossref] [PubMed]
  • 18. Patruno C, Napolitano M, Balato N, et al. Psoriasis and skin pain: instrumental and biological evaluations. Acta Derm Venereol. 2015;95:432-8. [Crossref] [PubMed]
  • 19. Ahmed S, Magan T, Vargas M, et al. Use of the painDETECT tool in rheumatoid arthritis suggests neuropathic and sensitization components in pain reporting. J Pain Res. 2014;7:579-88. [Crossref] [PubMed] [PMC]
  • 20. Christensen AW, Rifbjerg-Madsen S, Christensen R, et al. Non-nociceptive pain in rheumatoid arthritis is frequent and affects disease activity estimation: cross-sectional data from the FRAME study. Scand J Rheumatol. 2016;45:461-9. [Crossref] [PubMed]
  • 21. Rifbjerg-Madsen S, Christensen AW, Boesen M, et al. Can the painDETECT Questionnaire score and MRI help predict treatment outcome in rheumatoid arthritis: protocol for the Frederiksberg hospital’s Rheumatoid Arthritis, pain assessment and Medical Evaluation (FRAMEcohort) study. BMJ Open. 2014;4:e006058. [Crossref] [PubMed] [PMC]
  • 22. Koop SM, ten Klooster PM, Vonkeman HE, et al. Neuropathic-like pain features and crosssectional associations in rheumatoid arthritis. Arthritis Res Ther. 2015;17:237. [Crossref] [PubMed] [PMC]
  • 23. Sampogna F, Gisondi P, Melchi CF, et al. Prevalence of symptoms experienced by patients with different clinical types of psoriasis. Br J Dermatol. 2004;151:594-9. [Crossref] [PubMed]
APA Güler T, ÇİMEN Y, ASLAN N, DÖRTBAŞ F (2020). A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. , 1 - 6. 10.31609/jpmrs.2019-70757
Chicago Güler Tuba,ÇİMEN Yeşim Garip,ASLAN Nurşad Çifçi,DÖRTBAŞ Fulya A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. (2020): 1 - 6. 10.31609/jpmrs.2019-70757
MLA Güler Tuba,ÇİMEN Yeşim Garip,ASLAN Nurşad Çifçi,DÖRTBAŞ Fulya A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. , 2020, ss.1 - 6. 10.31609/jpmrs.2019-70757
AMA Güler T,ÇİMEN Y,ASLAN N,DÖRTBAŞ F A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. . 2020; 1 - 6. 10.31609/jpmrs.2019-70757
Vancouver Güler T,ÇİMEN Y,ASLAN N,DÖRTBAŞ F A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. . 2020; 1 - 6. 10.31609/jpmrs.2019-70757
IEEE Güler T,ÇİMEN Y,ASLAN N,DÖRTBAŞ F "A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis." , ss.1 - 6, 2020. 10.31609/jpmrs.2019-70757
ISNAD Güler, Tuba vd. "A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis". (2020), 1-6. https://doi.org/10.31609/jpmrs.2019-70757
APA Güler T, ÇİMEN Y, ASLAN N, DÖRTBAŞ F (2020). A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 23(1), 1 - 6. 10.31609/jpmrs.2019-70757
Chicago Güler Tuba,ÇİMEN Yeşim Garip,ASLAN Nurşad Çifçi,DÖRTBAŞ Fulya A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 23, no.1 (2020): 1 - 6. 10.31609/jpmrs.2019-70757
MLA Güler Tuba,ÇİMEN Yeşim Garip,ASLAN Nurşad Çifçi,DÖRTBAŞ Fulya A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.23, no.1, 2020, ss.1 - 6. 10.31609/jpmrs.2019-70757
AMA Güler T,ÇİMEN Y,ASLAN N,DÖRTBAŞ F A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2020; 23(1): 1 - 6. 10.31609/jpmrs.2019-70757
Vancouver Güler T,ÇİMEN Y,ASLAN N,DÖRTBAŞ F A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2020; 23(1): 1 - 6. 10.31609/jpmrs.2019-70757
IEEE Güler T,ÇİMEN Y,ASLAN N,DÖRTBAŞ F "A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis." Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 23, ss.1 - 6, 2020. 10.31609/jpmrs.2019-70757
ISNAD Güler, Tuba vd. "A Cross-Sectional Assessment of Neuropathic Pain in Patients with Psoriasis and Psoriatic Arthritis". Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 23/1 (2020), 1-6. https://doi.org/10.31609/jpmrs.2019-70757