Scarpa R, Peluso R, Atteno M
Rheumatology Research Unit, University Federico II, Naples, Italy.
Reumatismo. 2007;59 Suppl 1:49-51. doi: 10.4081/reumatismo.2007.1s.49.
Psoriatic arthritis is a spondyloarthropathy which occurs in patients with skin and/or nail psoriasis. Basing its characterization on morphological purposes, several types of arthritis have been described. Alternatively, we propose a simplified classification into three subsets, focusing on the levels of expression of cutaneous and articular elements which devise this syndrome. The first is established psoriatic arthritis which occurs in patients with evident or remittent skin and/or nail psoriasis. Its clinical spectrum consists of the five subsets classically described by Moll and Wright in 1973. The second is psoriatic arthritis "sine psoriasis" which occurs in subjects without psoriasis but with a family history of the disease in first or second-degree relatives. The third is early psoriatic arthritis which consists of an articular involvement of recent onset, occurring in subjects belonging to established or sine psoriasis subsets.
银屑病关节炎是一种发生于患有皮肤和/或指甲银屑病患者的脊柱关节炎。基于形态学目的对其进行特征描述后，已描述了几种类型的关节炎。另外，我们提出一种简化分类，分为三个亚组，重点关注构成该综合征的皮肤和关节成分的表达水平。第一种是确诊的银屑病关节炎，发生于有明显或缓解期皮肤和/或指甲银屑病的患者。其临床谱包括1973年莫尔（Moll）和赖特（Wright）经典描述的五个亚组。第二种是“无银屑病”的银屑病关节炎，发生于无银屑病但一级或二级亲属有该病家族史的个体。第三种是早期银屑病关节炎，由近期发病的关节受累组成，发生于确诊或“无银屑病”亚组的个体。
