Patients with Psoriatic Arthritis Fulfilling the Minimal Disease Activity Criteria Do Not Have Swollen and Tender Joints, but Have Active Skin

被引:17
作者
Marin, Josefina [1 ,2 ]
Acosta Felquer, Maria Laura [1 ,2 ]
Ferreyra Garrot, Leandro [1 ,2 ]
Ruta, Santiago [1 ,2 ]
Rosa, Javier [1 ,2 ,3 ]
Soriano, Enrique R. [1 ,2 ]
机构
[1] Hosp Italiano Buenos Aires, Internal Med Serv, Rheumatol Unit, Buenos Aires, DF, Argentina
[2] Hosp Italiano Buenos Aires, Univ Inst, Buenos Aires, DF, Argentina
[3] Fdn Dr Pedro M Catoggio Progreso Reumatol, Buenos Aires, DF, Argentina
关键词
PSORIATIC ARTHRITIS; MINIMAL DISEASE ACTIVITY; REMISSION; OUTCOME MEASURES; DEFINING REMISSION; ACTIVITY STATE; PREDICTORS; VALIDATION; COHORT; TRIAL;
D O I
10.3899/jrheum.151101
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To evaluate components of the minimal disease activity (MDA) criteria in psoriatic arthritis (PsA). Methods. In patients achieving and not achieving MDA, fulfillment of each of the 7 criteria was evaluated. Results. Among 41 patients with MDA, 7.4% did not fulfill the tender/swollen joint count whereas 49% did not fulfill the skin criteria. Of the 42 patients not fulfilling MDA, 100%, 76.5%, and 65% did not fulfill the patient pain score, the patient's global assessment, and the Psoriasis Area and Severity Index (PASI), respectively. Conclusion. A minority of patients with PsA fulfilling the MDA criteria presented active joints, but half had active skin. Visual analog scale scores and the PASI prevented patients from achieving MDA.
引用
收藏
页码:907 / 910
页数:4
相关论文
共 20 条
[1]   Remission criteria and activity indices in psoriatic arthritis [J].
Acosta Felquer, M. L. ;
Ferreyra Garrott, L. ;
Marin, J. ;
Catay, E. ;
Scolnik, M. ;
Scaglioni, V. ;
Ruta, S. ;
Rosa, J. ;
Soriano, E. R. .
CLINICAL RHEUMATOLOGY, 2014, 33 (09) :1323-1330
[2]   Predictors for radiological damage in psoriatic arthritis: results from a single centre [J].
Bond, Simon J. ;
Farewell, Vernon T. ;
Schentag, Catherine T. ;
Gladman, Dafna D. .
ANNALS OF THE RHEUMATIC DISEASES, 2007, 66 (03) :370-376
[3]   Validation and crosscultural adaptation of an Argentine Spanish version of the Health Assessment Questionnaire disability index [J].
Citera, G ;
Arriola, MS ;
Maldonado-Cocco, JA ;
Rosemffet, MG ;
Sánchez, MM ;
Goñi, MA ;
Spindler, A ;
Lucero, E ;
Berman, A .
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2004, 10 (03) :110-115
[4]   Defining minimal disease activity in psoriatic arthritis: a proposed objective target for treatment [J].
Coates, L. C. ;
Fransen, J. ;
Helliwell, P. S. .
ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (01) :48-53
[5]   Effect of tight control of inflammation in early psoriatic arthritis (TICOPA): a UK multicentre, open-label, randomised controlled trial [J].
Coates, Laura C. ;
Moverley, Anna R. ;
McParland, Lucy ;
Brown, Sarah ;
Navarro-Coy, Nuria ;
O'Dwyer, John L. ;
Meads, David M. ;
Emery, Paul ;
Conaghan, Philip G. ;
Helliwell, Philip S. .
LANCET, 2015, 386 (10012) :2489-2498
[6]   Validation of Minimal Disease Activity Criteria for Psoriatic Arthritis Using Interventional Trial Data [J].
Coates, Laura C. ;
Helliwell, Philip S. .
ARTHRITIS CARE & RESEARCH, 2010, 62 (07) :965-969
[7]   Frequency, Predictors, and Prognosis of Sustained Minimal Disease Activity in an Observational Psoriatic Arthritis Cohort [J].
Coates, Laura C. ;
Cook, Richard ;
Lee, Ker-Ai ;
Chandran, Vinod ;
Gladman, Dafna D. .
ARTHRITIS CARE & RESEARCH, 2010, 62 (07) :970-976
[8]   Metabolic syndrome and its relationship with the achievement of minimal disease activity state in psoriatic arthritis patients: an observational study [J].
Costa, Luisa ;
Caso, Francesco ;
Ramonda, Roberta ;
Del Puente, Antonio ;
Cantarini, Luca ;
Darda, Md Abud ;
Caso, Paolo ;
Lorenzin, Mariagrazia ;
Fiocco, Ugo ;
Punzi, Leonardo ;
Scarpa, Raffaele .
IMMUNOLOGIC RESEARCH, 2015, 61 (1-2) :147-153
[9]   Obesity is associated with a lower probability of achieving sustained minimal disease activity state among patients with psoriatic arthritis [J].
Eder, Lihi ;
Thavaneswaran, Arane ;
Chandran, Vinod ;
Cook, Richard J. ;
Gladman, Dafna D. .
ANNALS OF THE RHEUMATIC DISEASES, 2015, 74 (05) :813-817
[10]   Predictors for clinical outcome in psoriatic arthritis - what have we learned from cohort studies? [J].
Eder, Lihi ;
Gladman, Dafna D. .
EXPERT REVIEW OF CLINICAL IMMUNOLOGY, 2014, 10 (06) :763-770