ENTHESITIS AND PSORIATIC ONYCHOPATHY AS A FACTOR FOR PREDICTION OF PSORIATIC ARTHRITIS IN PSORIASIS

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Abstract

Psoriatic arthritis is a psoriasis-related spondyloarthropathy that occurs in 20–30 % of patients with psoriasis. Psoriatic arthritis affects the patient’s quality of life indicators and are more often associated with disabilities of working age than psoriasis skin form. Nail psoriasis has been proposed as a predictor for the development of psoriatic arthritis. The inflammation involving the entheses, called enthesitis, is an early inflammatory change seen in psoriatic arthritis, and nail changes appear to result from the close relationship between the nail and the enthesis of the distal interphalangeal extensor tendon, one of the main entheseal compartments affected in psoriatic arthritis. Various imaging studies have demonstrated that there is a considerable proportion of undiagnosed psoriatic arthritis among patients with psoriasis. Since early detection and treatment of psoriatic arthritis could, ultimately, allow the prevention of clinical and radiologic progression of the disease, there is the need to establish clinical indicators to detect this risk.

About the authors

Tatyana G. Sidorcika

Riga Stradiņš University

Email: tatiana.sidorcika@gmail.com

Tatyana G. Sidorcika — Clinical Dermatovenerologist.

Dzirciema str., 16, Riga, LV-1007

Russian Federation

Viktor A. Linovs

Riga Stradiņš University

Email: viktor.linjov@gmail.com

Viktor A. Linovs — Researcher, Radiological Research Laboratory.

Gardenes str., 13, Riga, LV-1083

Russian Federation

Maya A. Radzina

Riga Stradiņš University

Author for correspondence.
Email: mradzina@gmail.com

Maya A. Radzina — Dr. Sci. (Med.), Senior Researcher, Director, Radiological Research Laboratory.

Gardenes str., 13, Riga, LV-1083

Russian Federation

Andris J. Rubins

University of Latvia

Email: andris.rubins@lu.lv

Andris Ya. Rubins — Dr. Sci. (Med.), Prof., Departmental Head, Department of Dermatovenerology of the Faculty of Medicine.

Raina blvd., 19, Riga, LV-1586

Russian Federation

Sylvester A. Rubins

University of Latvia

Email: silvestrs.rubins@gmail.com

Sylvester A. Rubins — Researcher, Ass. Prof., Department of Dermatovenerology of the Faculty of Medicine.

Raina blvd., 19, Riga, LV-1586

Russian Federation

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