Diagnostic symptoms of psoriatic arthritis

A panel of dermatology experts in France has determined a set of four items for dermatologists to use to help improve the early diagnosis of psoriatic arthritis (PsA) in patients with psoriasis

Early diagnosis of PsA is important to attain better outcomes. Dermatologists are best placed to identify early PsA and will be familiar with its skin and nail predictors, but may be less familiar with the joint symptoms associated with the condition.

This study aimed to develop a concise list of signs and symptoms for dermatologists to investigate in patients with psoriasis, in addition to the skin and nail predictors of PsA.

It involved a systematic search of the literature to identify key symptoms of PsA, which were submitted to a panel of 43 experts. They then selected the symptoms they believed dermatologists should screen for in patients with psoriasis to improve detection of PsA.

The four items that received the highest scores were peripheral inflammatory pain, axial inflammatory pain, dactylitis, and buttock and sciatic pain.

The study authors recommend that dermatologists should routinely screen patients with psoriasis for these four items.

Villani AP, Rouzaud M, Sevrain M et al. Symptoms dermatologists should look for in daily practice to improve detection of psoriatic arthritis in psoriasis patients: an expert group consensus. J Eur Acad Dermatol Venereol 2014; 28(Suppl 5): 27-32


Read these next

2 CPD credits: Clinical Review: Psoriasis

2 CPD credits: Clinical Review: Psoriasis

This condition can have a significant psychological...

Efficacy and safety of etanercept

Etanercept was the first TNF-alpha inhibitor to be...

1 CPD credit: Second-line treatment for patients with psoriasis

1 CPD credit: Second-line treatment for patients with psoriasis

Options include phototherapy and non-biological systemic...


MIMS Clinics

Prescribing news and resources for key therapeutic areas, collated by the MIMS editors.

Register or Subscribe to MIMS

GPs can get MIMS print & online and GPonline for free when they register online – take 2 minutes, and make sure you get your free MIMS access! If you're not a GP, you can subscribe to MIMS for full access.

Register or subscribe

MIMS bulletins

News and updates straight to your inbox.

Prescribing Update: Fortnightly news bulletin
Alert:
Urgent prescribing updates
Spotlight: Disease-themed monthly round-up

Sign me up

MIMS Dermatology

Read the latest issue online exclusively on MIMS Learning.

Read MIMS Dermatology

Mobile apps

MIMS: access the full drug database and quick-reference tables on the go

MIMS Diagnosis and Management: concise information on signs and symptoms, investigations and diseases

Promo Image

Clinical calculators

Handy calculators and conversions for primary care.