Psoriatic arthritis: current state of the problemPsoriatic arthritis: Current state of the problem
DOI:
https://doi.org/10.21638/spbu11.2019.302Abstract
The article presents data on the prevalence, pathogenesis, clinical picture, diagnosis, treatment of psoriatic arthritis (PsA). Despite significant scientific advances, this pathology remains a serious medical and social problem. The etiology and pathogenesis of PsA are not fully understood. It leads to imperfect treatment methods. Given the polymorphism of clinical picture, as well as the lack of specific laboratory parameters, the diagnosis of PsA, especially at early stage, presents considerable difficulties. It is necessary to remember about the possibility ofdeveloping such socially significant comorbid conditions as hypertension, ischemic heart disease,type 2 diabetes, obesity, metabolic syndrome, inflammatory bowel disease, eye damage in patients with PsA. The pathology of the nails in patients with psoriasis and its relationship with the development and course of PsA is particularly interesting. The progressive nature of the damage to the musculoskeletal system, leading to a decreased function of the joints, disability, and impaired social adaptation, therefore the early diagnosis of PsA and the choice of optimal therapy are current priorities. A multidisciplinary approach to the management of PsA patients will facilitate the timely detection of pathology, as well as improve the quality of life of patients and the outcome of the disease.
Keywords:
psoriasis, psoriatic arthritis, enthesitis, comorbidity, nail damage
Downloads
Download data is not yet available.
References
References
Federal clinical guidelines for the management of psoriasis patients. Available at: http://mzdrav.rk.gov.ru/file/ Psoriaz_05052014_Klinicheskie_rekomendacii.pdf (accessed: 25.05.2019).
Federal clinical guidelines for the management of patients with psoriatic arthritis. Available at: http://www.ismos.ru/ guidelines/doc/psoriaticheskij_artrit.pdf (accessed: 25.05.2019).
Coates L. C., Kavanaugh A., Mease P. J., et al. Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA): Treatment Recommendations for Psoriatic Arthritis 2015. Arthritis Rheumatol, 2016, vol. 68, no. 5, pp. 1060–1071.
Korsakova Y. L. Psoriasis and psoriatic arthritis: topical issues. Sovremennaia revmatologiia. 2012, no. 3. pp. 28–32. (In Russian)
Korotaeva T. V., Loginova E. Yu., Luchikhina E. L., Pushkova O. V., Akhmetova E. M., Glazkov A. A., Volkov A. V., Karateev D. E., Nasonov E. L. The diagnostic significance of clinical examination and ultrasound examination of enthesis for the early detection of psoriatic and rheumatoid arthritis (research REMARKA). Nauchno-prakticheskaia revmatologiia, 2013, vol. 51, no. 5, pp. 495–499. (In Russian)
Yusupova L. A., Filatova M. A. The current state of the problem of psoriatic arthritis. Prakticheskaia meditsina, 2013, vol. 73, no. 1–4, pp. 24–28. (In Russian)
Panshina N. N., Shilova L. N. Clinical features of the metabolic syndrome in patients with psoriatic arthritis. Volgogradskii nauchno-meditsinskii zhurnal, 2017, no. 1, pp. 31–33. (In Russian)
Korotaeva T. V., Korsakova Y. L., Loginova E. Y., Gubar E. E., Chamurlieva M. N. Psoriatic arthritis.Clinical recommendations for diagnosis and treatment. Sovremennaia revmatologiia, 2018, vol. 12, no. 2, pp. 22–35. (In Russian)
Loginova E. Y., Korotaeva T. V. Early psoriatic arthritis. Nauchno-prakticheskaia revmatologiia, 2008,no. 6, pp. 47–55. (In Russian)
Sterling G. West. Rheumatology Secrets. 3rd ed. Rus. Ed. Moscow, GEOTAR-Media Publ., 2018. 760 p.(In Russian)
Lloyd P., Ryan C., Menter A. Psoriatic Arthritis: An Update. Hindawi Publishing Corporation. Arthritis,2012, vol. 2012, p. 6.
Mazurov V. I., Lesniak O. M Revmatologiia. Farmakoterapiia bez oshibok: rukovodstvo dlia vrachei.Rus. Ed. Moscow, E-noto Publ., 2017. 528 p. (In Russian)
Mazurov V. I., Trofimov E. A., Gaidukova I. Z. Place of type 4 phosphodiesterase inhibitor in the treatment strategy for psoriatic arthritis. Sovremennaia revmatologiia, 2018, vol. 12, no. 1, pp. 41–46. (In Russian)
Smirnova S. V., Smolnikova M. V. Immunopathogenesis of psoriasis and psoriatic arthritis. Meditsinskaia immunologiia, 2014, vol. 16, no. 2, pp. 127–138. (In Russian)
Schoenfeld I., Meroni P. L., Churilov L. P. Rukovodstvo po autoimmunnym zabolevaniiam dlia vrachei obshchei praktiki. Rus. Ed. St. Petersburg, Medbook “ELBI” Publ., 2017. 416 p. (In Russian)
Chamurlieva M. N., Loginova E. Y., Korotaeva T. V., Batkaev E. A. The defeat of the osteo-articular apparatus in patients with psoriasis according to the screening questionnaire PEST and rheumatological clinical and instrumental examination.Nauchno-prakticheskaia revmatologiia, 2014, vol. 52, no. 6,pp. 636–642. (In Russian)
Arslan Alhussain F., Kasapoglu Gunal E., Kurum E., Bakirci S., Ozturk A. B., McGonagle D., Aydin S. Z. Greater magnitude of entheseal microdamage and repair in psoriatic arthritis compared with ankylosing spondylitis on ultrasound. Rheumatology (Oxford), 2019, vol. 58, no. 2, pp. 299–303.
D’Agostino. Enthesitis detection by ultrasound: where are we now? Clinical and experimental rheumatology,2018, vol. 114, no. 5, pp. 127–130.
Zabotti A., Mandl P., Zampogna G., Dejaco C., Iagnocco A. One year in review 2018: ultrasonography in rheumatoid arthritis and psoriatic arthritis. Clinical and experimental rheumatology, 2018, vol. 36,pp. 519–525.
Hagiwara S., Tsuboi H., Terasaki T., Terasaki M., Toko H., Shimizu M., Honda F., Yagishita M., Ohyama A., Takahashi H., Yokosawa M., Asashima H., Kondo Y., Matsumoto I., Sumida T. Association of anti-cyclic citrullinated peptide antibody with clinical features in patients with psoriatic arthritis. Modern Rheumatology, 2019, vol. 2, pp. 1–8.
Cantini F., Niccoli L., Nannini C., Kaloudi O., Bertoni M., Cassarà E. Psoriatic arthritis: a systematic revie. International Journal of Rheumatic Deseases, 2010, vol. 13, no. 4, pp. 300–317.
Pavlyuchenko A. K., Lukashenko L. V., Sinyachenko O. V. Psoriatic arthritis and ophthalmopathy. Dermatologiia i venerologiia, 2012, vol. 4, no. 58, pp. 58–64. (In Russian)
Korotaeva T. V., Korsakova Y. L. Psoriatic arthritis: classification, clinical presentation, diagnosis, treatment.Nauchno-prakticheskaia revmatologiia, 2018, vol. 56, no. 1, pp. 60–69. (In Russian)
Batkaeva N. V., Korotaeva T. V., Batkaev E. A. The structure of cardiovascular comorbidity in patients with severe forms of psoriasis: data from a retrospective analysis of the hospital cohort. Nauchnoprakticheskaia revmatologiia, 2017, vol. 55, no. 5, pp. 493–499. (In Russian)
Ustyan A. A., Batkaeva N. V., Malyarenko E. N., Batkaev E. A. Increased body mass index in patients with psoriasis as a factor aggravating the course of the disease. Vestnik postdiplomnogo meditsinskogo obrazovaniia, 2017, no. 2, pp. 37–42. (In Russian)
Klingberg E., Bilberg A., Björkman S., Hedberg M., Jacobsson L., Forsblad-d’Elia H., Carlsten H., Eliasson B., Larsson I. Weight loss improves disease activity in patients with psoriatic arthritis and obesity: an interventional study. Arthritis Research and Therapy, 2019, vol. 21, no. 1, pp. 1–10.
Sidorchik T. G., Linev V. A., Radzynia M. A., Rubins A. Y. Enthesitis and psoriatic onihopathy as predisposing factors of psoriatic arthritis in patients with psoriasis. Vestnik dermatologii i venerologii,2018, vol. 94, no. 1, pp. 38–50. (In Russian)
Sobolewski P., Walecka I., Dopytalska K. Nail involvement in psoriatic arthritis. Reumatologia, 2017, vol. 55, no. 3, pp. 131–135.
Zargari O., Kazemnezhad Leyli E., Azimicorresponding S. Z. Nail Involvement in Patients with Psoriatic Arthritis in Northern Iran. Hindawi Publishing Corporation.Autoimmune Diseases, 2018,vol. 2018, pp. 1–6.
Mondal S., Dutta S., Lahiri D., Sinha D., Sircar G., Mandal A. K., Kejriwal M., Ghosh A. Assessment of nail unit structures by ultrasound in patients with psoriatic arthritis and their correlations with disease activity indices: a case-control study. Rheumatology International, 2018, vol. 38, no. 11,pp. 2087–2093.
Bagel J., Schwartzman S. Enthesitis and dactylitis in psoriatic disease: a guide for dermatologists.American Journal of clinical dermatology, 2018, vol. 19, no. 6, pp. 839–852.
Krajewska-Włodarczyk M., Owczarczyk-Saczonek A., Placek W., Wojtkiewicz M., Wiktorowicz A.,Wojtkiewicz J. Ultrasound Assessment of Changes in Nails in Psoriasis and Psoriatic Arthritis. Hindawi Publishing Corporation. Biomed Research International, 2018. 7 p.
Torshina I. E., Zirchik A. A., Gelt T. D., Borsukov A. V., Fedosov E. A., Azovskova O. V. The significance of onychodystrophy in prediction of cardiovascular diseases in patients with psoriasis. Trudnyi patsient, 2017, vol. 15, no. 6–7, pp. 28–30. (In Russian)
Galchenko L. I., Sidorov A. I., Kontorskikh O. V., Makarochkin S. P., Alpert A. A., Obraztsov A. A., Tolstykh A. A., Borhonova O. R., Gorodetskaya Y. V. Radiological diagnosis in some diseases of the joints.Sovremennye problemy revmatologii, 2012, vol. 4, no. 4, pp. 63–69. (In Russian)
Klimentenko N. L., Zavadovskaya V. D., Pesterev P. N., Perova T. B., Zavyalova N. G., Zhogina T. V., Borodin O. Y. Ultrasound and magnetic resonance imaging in assessing the nature of joint changes in psoriatic arthritis. Meditsinskaia vizualizatsiia, 2011, no. 5, pp. 84-93. (In Russian)
Shishkin A. N., Mazurenko S. O., Volovnikova V. A., Kulibaba T. G. Revmaticheskie bolezni. Rus. Ed. St. Petersburg, SPBU Publ., 2012. 215 p. (In Russian)
Klimentenko N. L., Pesterev P. N., Perova T. B. The possibility of modern methods of radiation diagnosis in psoriatic arthritis. Biulleten’ sibirskoi meditsiny, 2010, no. 3, pp. 110–116. (In Russian)
Obramenko I. E., Egin E. I. The role of magnetic resonance imaging in the diagnosis of hand changes in psoriatic arthritis. Vestnik VolGMU, 2008, vol. 4, no. 28, pp. 37–38. (In Russian)
Felbo SK, Terslev L., Ostergaard M. Imaging in peripheral and axial psoriatic arthritis: contributions to diagnosis, follow-up, prognosis and knowledge of pathogenesis. Clinical and experimental rheumatology, 2018, vol. 114. no. 5, pp. 24–34.
Khitrov N. A. Ultrasound examination of the joints.Sovremennaia revmatologiia, 2008, no. 4, pp. 42–45. (In Russian)
Arslan Alhussain F., Kasapoglu Gunal E., Kurum E., Bakirci S., Ozturk A. B., McGonagle D., Aydin S. Z. Greater magnitude of entheseal microdamage and repair in psoriatic arthritis compared with ankylosing spondylitis on ultrasound. Rheumatology (Oxford), 2018, vol. 58, no. 2, pp. 299–303.
Tucker L. J., Ye W, Coates L. C. Novel Concepts in Psoriatic Arthritis Management: Can We Treat toTarget? Current rheumatology reports, 2018, vol. 20, no. 11, p. 71.
Downloads
Published
2020-04-23
How to Cite
Shishkin, A. ., Nikolaeva , A. ., & Smirnova, I. (2020). Psoriatic arthritis: current state of the problemPsoriatic arthritis: Current state of the problem. Vestnik of Saint Petersburg University. Medicine, 14(3), 194–203. https://doi.org/10.21638/spbu11.2019.302
Issue
Section
Internal medicine
License
Articles of "Vestnik of Saint Petersburg University. Medicine" are open access distributed under the terms of the License Agreement with Saint Petersburg State University, which permits to the authors unrestricted distribution and self-archiving free of charge.
