Nail involvement can predict enthesopathy in patients with psoriasis
Summary Background : Although subclinical enthesopathy is a well‐established diagnostic criterion for psoriatic arthritis (PsA), it is frequently overlooked, as many patients are asymptomatic. The possibility of finding a clinical clue predicting enthesopathy would help clinicians establish an early...
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| Veröffentlicht in: | Journal der Deutschen Dermatologischen Gesellschaft 2016-11, Vol.14 (11), p.1102-1107 |
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| container_title | Journal der Deutschen Dermatologischen Gesellschaft |
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| creator | Castellanos-González, Maria Joven, Beatriz Esther Sánchez, Julio Andrés-Esteban, Eva María Vanaclocha-Sebastián, Francisco Romero, Pablo Ortiz Díaz, Raquel Rivera |
| description | Summary
Background
: Although subclinical enthesopathy is a well‐established diagnostic criterion for psoriatic arthritis (PsA), it is frequently overlooked, as many patients are asymptomatic. The possibility of finding a clinical clue predicting enthesopathy would help clinicians establish an early diagnosis of PsA.
Material and methods
: A prospective single‐center study of a total of 90 patients with psoriasis was conducted to assess the presence of entheseal abnormalities as detected by ultrasound, and to determine any correlation with nail involvement.
Results
: Entheseal abnormalities were found in 23 patients (25.5 %), 19 (82.6 %) of whom showed nail involvement, whereas four (17.4 %) individuals did not. Enthesopathy was present in 31.1 % (19/61) of patients with onychopathy compared to 13.8 % (4/29) of those without nail involvement (p = 0.07). There was a significant correlation between target NAPSI score and evidence of enthesopathy. In addition, the number of nails affected also showed a significant correlation with the presence of enthesopathy (p = 0.035).
Conclusions
: Clinical evidence of onychopathy may be the clue to an early diagnosis of enthesopathy in psoriasis patients. |
| doi_str_mv | 10.1111/ddg.12989 |
| format | Article |
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Background
: Although subclinical enthesopathy is a well‐established diagnostic criterion for psoriatic arthritis (PsA), it is frequently overlooked, as many patients are asymptomatic. The possibility of finding a clinical clue predicting enthesopathy would help clinicians establish an early diagnosis of PsA.
Material and methods
: A prospective single‐center study of a total of 90 patients with psoriasis was conducted to assess the presence of entheseal abnormalities as detected by ultrasound, and to determine any correlation with nail involvement.
Results
: Entheseal abnormalities were found in 23 patients (25.5 %), 19 (82.6 %) of whom showed nail involvement, whereas four (17.4 %) individuals did not. Enthesopathy was present in 31.1 % (19/61) of patients with onychopathy compared to 13.8 % (4/29) of those without nail involvement (p = 0.07). There was a significant correlation between target NAPSI score and evidence of enthesopathy. In addition, the number of nails affected also showed a significant correlation with the presence of enthesopathy (p = 0.035).
Conclusions
: Clinical evidence of onychopathy may be the clue to an early diagnosis of enthesopathy in psoriasis patients.</description><identifier>ISSN: 1610-0379</identifier><identifier>EISSN: 1610-0387</identifier><identifier>DOI: 10.1111/ddg.12989</identifier><identifier>PMID: 27860304</identifier><language>eng</language><publisher>Germany: Blackwell Publishing Ltd</publisher><subject>Age Distribution ; Comorbidity ; Early Diagnosis ; Enthesopathy - diagnostic imaging ; Enthesopathy - epidemiology ; Female ; Humans ; Male ; Middle Aged ; Nail Diseases - diagnosis ; Nail Diseases - epidemiology ; Prevalence ; Prognosis ; Psoriasis - diagnosis ; Psoriasis - epidemiology ; Reproducibility of Results ; Risk Assessment - methods ; Risk Factors ; Sensitivity and Specificity ; Sex Distribution ; Spain - epidemiology</subject><ispartof>Journal der Deutschen Dermatologischen Gesellschaft, 2016-11, Vol.14 (11), p.1102-1107</ispartof><rights>2016 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3549-71871a2855721374e574ebc12b7125027da0045cd240f33333d9d50054cf2b603</citedby><cites>FETCH-LOGICAL-c3549-71871a2855721374e574ebc12b7125027da0045cd240f33333d9d50054cf2b603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fddg.12989$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fddg.12989$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27860304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Castellanos-González, Maria</creatorcontrib><creatorcontrib>Joven, Beatriz Esther</creatorcontrib><creatorcontrib>Sánchez, Julio</creatorcontrib><creatorcontrib>Andrés-Esteban, Eva María</creatorcontrib><creatorcontrib>Vanaclocha-Sebastián, Francisco</creatorcontrib><creatorcontrib>Romero, Pablo Ortiz</creatorcontrib><creatorcontrib>Díaz, Raquel Rivera</creatorcontrib><title>Nail involvement can predict enthesopathy in patients with psoriasis</title><title>Journal der Deutschen Dermatologischen Gesellschaft</title><addtitle>JDDG: Journal der Deutschen Dermatologischen Gesellschaft</addtitle><description>Summary
Background
: Although subclinical enthesopathy is a well‐established diagnostic criterion for psoriatic arthritis (PsA), it is frequently overlooked, as many patients are asymptomatic. The possibility of finding a clinical clue predicting enthesopathy would help clinicians establish an early diagnosis of PsA.
Material and methods
: A prospective single‐center study of a total of 90 patients with psoriasis was conducted to assess the presence of entheseal abnormalities as detected by ultrasound, and to determine any correlation with nail involvement.
Results
: Entheseal abnormalities were found in 23 patients (25.5 %), 19 (82.6 %) of whom showed nail involvement, whereas four (17.4 %) individuals did not. Enthesopathy was present in 31.1 % (19/61) of patients with onychopathy compared to 13.8 % (4/29) of those without nail involvement (p = 0.07). There was a significant correlation between target NAPSI score and evidence of enthesopathy. In addition, the number of nails affected also showed a significant correlation with the presence of enthesopathy (p = 0.035).
Conclusions
: Clinical evidence of onychopathy may be the clue to an early diagnosis of enthesopathy in psoriasis patients.</description><subject>Age Distribution</subject><subject>Comorbidity</subject><subject>Early Diagnosis</subject><subject>Enthesopathy - diagnostic imaging</subject><subject>Enthesopathy - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nail Diseases - diagnosis</subject><subject>Nail Diseases - epidemiology</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Psoriasis - diagnosis</subject><subject>Psoriasis - epidemiology</subject><subject>Reproducibility of Results</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Sensitivity and Specificity</subject><subject>Sex Distribution</subject><subject>Spain - epidemiology</subject><issn>1610-0379</issn><issn>1610-0387</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1PAjEQhhujEUUP_gGziRc9LEy7Le0eDShqCF5QuTVlt0hx2V3bBeTfW-TjYGLiJE1nmmfezPRF6AJDA_topul7A5NYxAfoBLcwhBAJfrjPeVxDp85NAQgTAMeoRrhoQQT0BHX6ymSByRdFttAznVdBovKgtDo1SRX4eqJdUapqsvJQ4BPj31ywNNUkKF1hjXLGnaGjscqcPt_edfRyfzdoP4S95-5j-7YXJhGjccix4FgRwRgnOOJUM39GCSYjjgkDwlMFQFmSEgrjaB1pnDIARpMxGfmB6-h6o1va4nOuXSVnxiU6y1Sui7mTWDDgMSEQ_wOlWEBE45ZHr36h02Juc7_ImqKCAAHqqZsNldjCOavHsrRmpuxKYpBrF6R3Qf644NnLreJ8NNPpntx9uweaG2BpMr36W0l2Ot2dZLjpMK7SX_sOZT9ki0ecybd-V_aHT6-9QW8gh9E3mTidQQ</recordid><startdate>201611</startdate><enddate>201611</enddate><creator>Castellanos-González, Maria</creator><creator>Joven, Beatriz Esther</creator><creator>Sánchez, Julio</creator><creator>Andrés-Esteban, Eva María</creator><creator>Vanaclocha-Sebastián, Francisco</creator><creator>Romero, Pablo Ortiz</creator><creator>Díaz, Raquel Rivera</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201611</creationdate><title>Nail involvement can predict enthesopathy in patients with psoriasis</title><author>Castellanos-González, Maria ; Joven, Beatriz Esther ; Sánchez, Julio ; Andrés-Esteban, Eva María ; Vanaclocha-Sebastián, Francisco ; Romero, Pablo Ortiz ; Díaz, Raquel Rivera</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3549-71871a2855721374e574ebc12b7125027da0045cd240f33333d9d50054cf2b603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age Distribution</topic><topic>Comorbidity</topic><topic>Early Diagnosis</topic><topic>Enthesopathy - diagnostic imaging</topic><topic>Enthesopathy - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nail Diseases - diagnosis</topic><topic>Nail Diseases - epidemiology</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Psoriasis - diagnosis</topic><topic>Psoriasis - epidemiology</topic><topic>Reproducibility of Results</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Sensitivity and Specificity</topic><topic>Sex Distribution</topic><topic>Spain - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Castellanos-González, Maria</creatorcontrib><creatorcontrib>Joven, Beatriz Esther</creatorcontrib><creatorcontrib>Sánchez, Julio</creatorcontrib><creatorcontrib>Andrés-Esteban, Eva María</creatorcontrib><creatorcontrib>Vanaclocha-Sebastián, Francisco</creatorcontrib><creatorcontrib>Romero, Pablo Ortiz</creatorcontrib><creatorcontrib>Díaz, Raquel Rivera</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal der Deutschen Dermatologischen Gesellschaft</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Castellanos-González, Maria</au><au>Joven, Beatriz Esther</au><au>Sánchez, Julio</au><au>Andrés-Esteban, Eva María</au><au>Vanaclocha-Sebastián, Francisco</au><au>Romero, Pablo Ortiz</au><au>Díaz, Raquel Rivera</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nail involvement can predict enthesopathy in patients with psoriasis</atitle><jtitle>Journal der Deutschen Dermatologischen Gesellschaft</jtitle><addtitle>JDDG: Journal der Deutschen Dermatologischen Gesellschaft</addtitle><date>2016-11</date><risdate>2016</risdate><volume>14</volume><issue>11</issue><spage>1102</spage><epage>1107</epage><pages>1102-1107</pages><issn>1610-0379</issn><eissn>1610-0387</eissn><abstract>Summary
Background
: Although subclinical enthesopathy is a well‐established diagnostic criterion for psoriatic arthritis (PsA), it is frequently overlooked, as many patients are asymptomatic. The possibility of finding a clinical clue predicting enthesopathy would help clinicians establish an early diagnosis of PsA.
Material and methods
: A prospective single‐center study of a total of 90 patients with psoriasis was conducted to assess the presence of entheseal abnormalities as detected by ultrasound, and to determine any correlation with nail involvement.
Results
: Entheseal abnormalities were found in 23 patients (25.5 %), 19 (82.6 %) of whom showed nail involvement, whereas four (17.4 %) individuals did not. Enthesopathy was present in 31.1 % (19/61) of patients with onychopathy compared to 13.8 % (4/29) of those without nail involvement (p = 0.07). There was a significant correlation between target NAPSI score and evidence of enthesopathy. In addition, the number of nails affected also showed a significant correlation with the presence of enthesopathy (p = 0.035).
Conclusions
: Clinical evidence of onychopathy may be the clue to an early diagnosis of enthesopathy in psoriasis patients.</abstract><cop>Germany</cop><pub>Blackwell Publishing Ltd</pub><pmid>27860304</pmid><doi>10.1111/ddg.12989</doi><tpages>6</tpages></addata></record> |
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| subjects | Age Distribution Comorbidity Early Diagnosis Enthesopathy - diagnostic imaging Enthesopathy - epidemiology Female Humans Male Middle Aged Nail Diseases - diagnosis Nail Diseases - epidemiology Prevalence Prognosis Psoriasis - diagnosis Psoriasis - epidemiology Reproducibility of Results Risk Assessment - methods Risk Factors Sensitivity and Specificity Sex Distribution Spain - epidemiology |
| title | Nail involvement can predict enthesopathy in patients with psoriasis |
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