Olivieri Ignazio, Padula Angela, D'Angelo Salvatore, Cutro Maria Stefania
Rheumatology Department of Lucania, San Carlo Hospital of Potenza, 85100 Potenza, Italy.
J Rheumatol Suppl. 2009 Aug;83:28-9. doi: 10.3899/jrheum.090218.
In about 20% of patients with psoriatic arthritis (PsA) the rheumatological manifestations precede the onset of the cutaneous lesions. If there is a family history of psoriasis these patients are diagnosed as having psoriatic arthritis sine psoriasis. In the past, they were also classified among patients with undifferentiated spondyloarthritis. The clinical spectrum of PsA sine psoriasis is wide and identified by dactylitis and/or distal interphalangeal arthritis, HLA-Cw6, and a family history of psoriasis. The ClASiffication of Psoriatic ARthritis (CASPAR) criteria of PsA include PsA sine psoriasis.
在约20%的银屑病关节炎(PsA)患者中,风湿性表现先于皮肤病变出现。如果有银屑病家族史,这些患者被诊断为无银屑病的银屑病关节炎。过去,他们也被归类于未分化脊柱关节炎患者中。无银屑病的PsA临床谱广泛,通过指(趾)炎和/或远端指间关节炎、HLA - Cw6以及银屑病家族史来确定。PsA的银屑病关节炎分类(CASPAR)标准包括无银屑病的PsA。