Disease characteristics of psoriatic arthritis patients may differ according to age at psoriasis onset: cross-sectional data from the Psoriatic Arthritis-International Database

To explore the impact of early versus late-onset psoriasis (PsO) on the disease characteristics of psoriatic arthritis (PsA) in a large-multicentre cohort. The data from a multicentre psoriatic arthritis database was analysed. Patients were grouped according to age at psoriasis onset (early onset; 4...

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Veröffentlicht in:Clinical and Experimental Rheumatology 2021-05, Vol.39 (3), p.532-536
Hauptverfasser: Bilgin, Emre, Aydin, Sibel Zehra, Tinazzi, Ilaria, Bayindir, Özün, Kimyon, Gezmiş, Özişler, Cem, Doğru, Atalay, Dalkiliç, Ediz, Aksu, Kenan, Yildirim Çetin, Gözde, Yilmaz, Sema, Solmaz, Dilek, Omma, Ahmet, Can, Meryem, Küçükşahin, Orhan, Yavuz, Şule, Ersözlü, Emine Duygu, Kiliç, Levent, Tarhan, Emine Figen, Aydin Tufan, Müge, Akyol, Lütfi, Çinar, Muhammet, Erden, Abdulsamet, Gönüllü, Emel, Yildiz, Fatih, Bakirci, Sibel, Erbasan, Funda, Ergülü Eşmen, Serpil, Küçük, Adem, Tufan, Abdurrahman, Balkarli, Ayşe, Mercan, Rıdvan, Erten, Şükran, Akar, Servet, Kaşifoğlu, Timuçin, Duruöz, Tuncay, Yazisiz, Veli, Kalyoncu, Umut
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container_title Clinical and Experimental Rheumatology
container_volume 39
creator Bilgin, Emre
Aydin, Sibel Zehra
Tinazzi, Ilaria
Bayindir, Özün
Kimyon, Gezmiş
Özişler, Cem
Doğru, Atalay
Dalkiliç, Ediz
Aksu, Kenan
Yildirim Çetin, Gözde
Yilmaz, Sema
Solmaz, Dilek
Omma, Ahmet
Can, Meryem
Küçükşahin, Orhan
Yavuz, Şule
Ersözlü, Emine Duygu
Kiliç, Levent
Tarhan, Emine Figen
Aydin Tufan, Müge
Akyol, Lütfi
Çinar, Muhammet
Erden, Abdulsamet
Gönüllü, Emel
Yildiz, Fatih
Bakirci, Sibel
Erbasan, Funda
Ergülü Eşmen, Serpil
Küçük, Adem
Tufan, Abdurrahman
Balkarli, Ayşe
Mercan, Rıdvan
Erten, Şükran
Akar, Servet
Kaşifoğlu, Timuçin
Duruöz, Tuncay
Yazisiz, Veli
Kalyoncu, Umut
description To explore the impact of early versus late-onset psoriasis (PsO) on the disease characteristics of psoriatic arthritis (PsA) in a large-multicentre cohort. The data from a multicentre psoriatic arthritis database was analysed. Patients were grouped according to age at psoriasis onset (early onset; 40 years of age) and disease characteristics of the groups were compared by adjusting for BMI and PsA duration, where necessary. At the time of analyses, 1634 patients were recruited [62.8% females; early onset 1108 (67.8%); late-onset, 526 (32.2%)]. The late-onset group was more over-weight [66.8% vs. 86.8%, p
doi_str_mv 10.55563/clinexprheumatol/ert0p7
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The data from a multicentre psoriatic arthritis database was analysed. Patients were grouped according to age at psoriasis onset (early onset; &lt;40 years of age, late-onset; &gt;40 years of age) and disease characteristics of the groups were compared by adjusting for BMI and PsA duration, where necessary. At the time of analyses, 1634 patients were recruited [62.8% females; early onset 1108 (67.8%); late-onset, 526 (32.2%)]. The late-onset group was more over-weight [66.8% vs. 86.8%, p&lt;0.001; adjusted for age - aOR 1.55 (1.11-2.20; 95% CI)]. The early onset group had more scalp psoriasis at onset (56.7% vs. 43.0%, p&lt;0.001), whereas extremity lesions were more common in the late-onset group (63.8% vs. 74.2%, p&lt;0.001). Axial disease in males and psoriatic disease family history in females were significantly higher in the early onset group [38.0% vs. 25.4%; p=0.005; adjusted for PsA duration - aOR 1.76 (1.19-2.62; 95% CI) / 39.5% vs. 30.1%; p=0.003; OR 1.51 (1.15-1.99; 95% CI), respectively]. Psoriatic disease activity parameters, patient-physician reported outcomes and HAQ-DI scores were similar in both groups. Clinical features of PsA may be affected by the age at onset of PsO. 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Axial disease in males and psoriatic disease family history in females were significantly higher in the early onset group [38.0% vs. 25.4%; p=0.005; adjusted for PsA duration - aOR 1.76 (1.19-2.62; 95% CI) / 39.5% vs. 30.1%; p=0.003; OR 1.51 (1.15-1.99; 95% CI), respectively]. Psoriatic disease activity parameters, patient-physician reported outcomes and HAQ-DI scores were similar in both groups. Clinical features of PsA may be affected by the age at onset of PsO. 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The data from a multicentre psoriatic arthritis database was analysed. Patients were grouped according to age at psoriasis onset (early onset; &lt;40 years of age, late-onset; &gt;40 years of age) and disease characteristics of the groups were compared by adjusting for BMI and PsA duration, where necessary. At the time of analyses, 1634 patients were recruited [62.8% females; early onset 1108 (67.8%); late-onset, 526 (32.2%)]. The late-onset group was more over-weight [66.8% vs. 86.8%, p&lt;0.001; adjusted for age - aOR 1.55 (1.11-2.20; 95% CI)]. The early onset group had more scalp psoriasis at onset (56.7% vs. 43.0%, p&lt;0.001), whereas extremity lesions were more common in the late-onset group (63.8% vs. 74.2%, p&lt;0.001). Axial disease in males and psoriatic disease family history in females were significantly higher in the early onset group [38.0% vs. 25.4%; p=0.005; adjusted for PsA duration - aOR 1.76 (1.19-2.62; 95% CI) / 39.5% vs. 30.1%; p=0.003; OR 1.51 (1.15-1.99; 95% CI), respectively]. Psoriatic disease activity parameters, patient-physician reported outcomes and HAQ-DI scores were similar in both groups. Clinical features of PsA may be affected by the age at onset of PsO. Different genetic backgrounds in early and late-onset PsO may be driving the differences in psoriasis and PsA phenotypes.</abstract><cop>Italy</cop><pmid>32662407</pmid><doi>10.55563/clinexprheumatol/ert0p7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source Alma/SFX Local Collection
title Disease characteristics of psoriatic arthritis patients may differ according to age at psoriasis onset: cross-sectional data from the Psoriatic Arthritis-International Database
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