Psoriatic Arthritis in the Eastern Part of Uttar Pradesh

  • Dr. Kamlesh Kumar Bhaskar Consultant, Department of Skin & V.D., District Hospital Gazipur, Uttar Pradesh India
  • Dr. Rajesh Kumar Rai Associate Professor of Forensic Medicine, MLNMC, Prayagraj, Uttar Pradesh, India
  • Dr. Archana Mishra Assistant Professor of Biochemistry, MLNMC, Prayagraj, Uttar Pradesh, India
  • Dr. Kavita Chawla Professor of Physiology, MLNMC, Prayagraj, Uttar Pradesh, India
  • Dr. Rakesh Kumar Shukla Assistant Professor of Anatomy, ASMC, Mirzapur, Uttar Pradesh, India
Keywords: Psoriasis, Psoriatic Arthritis, PASI score, PsA Radiology

Abstract

Aim: This original research article aims to study Psoriatic Arthritis in the Eastern Part of Uttar Pradesh.

Material & Method: Two hundred twenty-eight patients of psoriasis regardless of age, sex, religion, occupation, attending the skin, and V. D. outpatients Department, B.R.D. Medical College, Gorakhpur for were taken because of the subject of this study. The bulk of patients belonged to the Eastern U.P. and adjoining areas of Bihar and Nepal. The clinical criteria for diagnosis of psoriasis were the presence of Erythematous and papulosquamous lesions with loosely adherent silvery-white scales. The auspitz's sign was demonstrated all told the cases. The detailed clinical history and examination were recorded with Tests for Rheumatoid factor and serum uric acid, Radiographs of both hands and feet, Radiographs of the lumbosacral Spine and both sacroiliac joints and Radiographs of affected joints (if any). Each patient was categorised into mild to severe psoriasis.

Result: The total number of psoriatic arthritis cases was found, 26 of which male were 17 and female were 9. The maximum number of Arthritis cases, 18.5%, were seen with severe disease (PASI score > 15) with higher occurrence in males. The maximum number of joints involved distal interphalangeal joint was 69.2 3%, and the minimum number of joints involved was significant joint 7.69%.

Conclusion: Psoriasis care is unbalanced, with men being more likely to undergo specialist treatment than women, causing higher distal interphalangeal (D.I.P.) joint arthropathy.

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References

Wagner EF, Schonthaler HB, Guinea-Viniegra J, Tschachler E. Psoriasis: what we have learned from mouse models. Nat Rev Rheumatol. 2010 Dec;6(12):704-14. doi: 10.1038/nrrheum.2010.157.

Al-Heresh AM, Proctor J, Jones SM, Dixey J, Cox B, Welsh K, et al. Tumour necrosis factor-alpha polymorphism and the HLA-Cw*0602 allele in psoriatic arthritis. Rheumatology (Oxford). 2002 May;41(5):525-30. doi: 10.1093/rheumatology/41.5.525.

Green L, Meyers OL, Gordon W, Briggs B. Arthritis in psoriasis. Ann Rheum Dis. 1981 Aug;40(4):366-9. doi: 10.1136/ard.40.4.366.

Scarpa R, Oriente P, Pucino A, Torella M, Vignone L, Riccio A, Biondi Oriente C. Psoriatic arthritis in psoriatic patients. Br J Rheumatol. 1984 Nov;23(4):246-50. doi: 10.1093/rheumatology/23.4.246.

Salvarani C, Lo Scocco G, Macchioni P, Cremonesi T, Rossi F, Mantovani W, Battistel B, Bisighini G, Portioli I. Prevalence of psoriatic arthritis in Italian psoriatic patients. J Rheumatol. 1995 Aug;22(8):1499-503.

Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H; CASPAR Study Group. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006 Aug;54(8):2665-73. doi: 10.1002/art.21972.

Zochling J, Smith EU. Seronegative spondyloarthritis. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):747-56. doi: 10.1016/j.berh.2011.02.002.

Queiro R, Sarasqueta C, Torre JC, Tinturé T, López-Lagunas I. Spectrum of psoriatic spondyloarthropathy in a cohort of 100 Spanish patients. Ann Rheum Dis. 2002 Sep;61(9):857-8. doi: 10.1136/ard.61.9.857.

Hotard RS, Feldman SR, Fleischer AB Jr. Sex-specific differences in the treatment of severe psoriasis. J Am Acad Dermatol. 2000 Apr;42(4):620-3.

Ormerod AD, Augustin M, Baker C, Chosidow O, Cohen AD, Dam TN, et al. Challenges for synthesising data in a network of registries for systemic psoriasis therapies. Dermatology. 2012;224(3):236-43. doi: 10.1159/000338572.

Gladman DD, Antoni C, Mease P, Clegg DO, Nash P. Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis. 2005 Mar;64 Suppl 2(Suppl 2):ii14-7. doi: 10.1136/ard.2004.032482.

Ash ZR, Tinazzi I, Gallego CC, Kwok C, Wilson C, Goodfield M, et al. Psoriasis patients with nail disease have a greater magnitude of underlying systemic subclinical enthesopathy than those with normal nails. Ann Rheum Dis. 2012 Apr;71(4):553-6. doi: 10.1136/annrheumdis-2011-200478.

Aydin SZ, Castillo-Gallego C, Ash ZR, Marzo-Ortega H, Emery P, Wakefield RJ, Wittmann M, McGonagle D. Ultrasonographic assessment of nail in psoriatic disease shows a link between onychopathy and distal interphalangeal joint extensor tendon enthesopathy. Dermatology. 2012;225(3):231-5. doi: 10.1159/000343607.

Simon D, Kleyer A, Faustini F, Englbrecht M, Haschka J, Berlin A, et al. Simultaneous quantification of bone erosions and enthesiophytes in the joints of patients with psoriasis or psoriatic arthritis - effects of age and disease duration. Arthritis Res Ther. 2018 Aug 31;20(1):203. doi: 10.1186/s13075-018-1691-z.

Narváez J, Narváez JA, de Albert M, Gómez-Vaquero C, Nolla JM. Can magnetic resonance imaging of the hand and wrist differentiate between rheumatoid arthritis and psoriatic arthritis in the early stages of the disease? Semin Arthritis Rheum. 2012 Dec;42(3):234-45. doi: 10.1016/j.semarthrit.2012.03.016.

Ory PA. Radiography in the assessment of musculoskeletal conditions. Best Pract Res Clin Rheumatol. 2003 Jun;17(3):495-512. doi: 10.1016/s1521-6942(03)00022-6.

Brown AK. How to interpret plain radiographs in clinical practice. Best Pract Res Clin Rheumatol. 2013 Apr;27(2):249-69. doi: 10.1016/j.berh.2013.03.004.

Paparo F, Revelli M, Semprini A, Camellino D, Garlaschi A, Cimmino MA, et al. Seronegative spondyloarthropathies: what radiologists should know. Radiol Med. 2014 Mar;119(3):156-63. doi: 10.1007/s11547-013-0316-5.

Coates LC, Hodgson R, Conaghan PG, Freeston JE. M.R.I. and ultrasonography for diagnosis and monitoring of psoriatic arthritis. Best Pract Res Clin Rheumatol. 2012 Dec;26(6):805-22. doi: 10.1016/j.berh.2012.09.004.

How to Cite
1.
Dr. Kamlesh Kumar Bhaskar, Dr. Rajesh Kumar Rai, Dr. Archana Mishra, Dr. Kavita Chawla, Dr. Rakesh Kumar Shukla. Psoriatic Arthritis in the Eastern Part of Uttar Pradesh. Int J Med Res Rev [Internet]. 2021Oct.29 [cited 2024Nov.22];9(5):315-21. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1324
Issue
Vol 9 No 5 (2021): Sep-Oct
Section
Original Article

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