斑块状银屑病患者发生银屑病关节炎风险的评估：文献系统综述。
Assessment of risk of psoriatic arthritis in patients with plaque psoriasis: a systematic review of the literature.
机构信息
Dermatology Department, Paul Sabatier University, Larrey Hospital, Toulouse, France.
出版信息
J Eur Acad Dermatol Venereol. 2010 Apr;24 Suppl 2:31-5. doi: 10.1111/j.1468-3083.2009.03565.x.
OBJECTIVE
The aim of this study was to determine the prevalence of psoriatic arthritis (PsA) in the patients with plaque psoriasis and to give recommendation for the diagnosis of PsA for dermatologists.
METHODS
A systematic search was performed in Pubmed, Cochrane and Embase databases. The key-words used from the Medical Searching Heading (MeSH) were: 'Psoriasis', 'Arthritis, Psoriatic', 'Uveitis' and 'Dactylitis'. We selected cross-sectional epidemiological studies written in English or French between January 1980 and October 2009.
RESULTS
The initial literature search identified 2171 references. Based on abstract reading and exclusion of studies not written in English or French, and without control group, the final selection included 20 epidemiological studies. With the eight studies using rheumatologically validated criteria, the prevalence of PsA among psoriasis patient spanned a wide range from 7% to 26%.
CONCLUSION
Psoriasis arthritis may affect up to 24% of psoriasis patients. Dermatologist should be aware of main clinical sign of PsA to promote earlier recognition and treatment of PsA.
目的
本研究旨在确定斑块型银屑病患者中银屑病关节炎（PsA）的患病率，并为皮肤科医生诊断 PsA 提供建议。
方法
在 Pubmed、Cochrane 和 Embase 数据库中进行系统检索。使用的医学主题词（MeSH）关键词是：“银屑病”、“关节炎，银屑病”、“葡萄膜炎”和“指（趾）炎”。我们选择了 1980 年 1 月至 2009 年 10 月间以英文或法文发表的横断面流行病学研究。
结果
最初的文献检索确定了 2171 篇参考文献。根据摘要阅读和排除未用英文或法文撰写且无对照组的研究，最终选择了 20 项流行病学研究。在使用经风湿病学验证的标准的 8 项研究中，银屑病关节炎在银屑病患者中的患病率范围很宽，为 7%至 26%。
结论
银屑病关节炎可能影响多达 24%的银屑病患者。皮肤科医生应了解银屑病关节炎的主要临床特征，以促进更早地识别和治疗银屑病关节炎。
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