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Cilt Bulgusu Olmayan 29 Psöriyatik Artrit Hastasının Klinik Ve Demografik Özellikleri
2023
Journal:  
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Author:  
Abstract:

Giriş Psoriatik Artrit (PsA), sedef hastalığı (PsO) olan hastaların %10-30'unu etkileyen kronik ilerleyici inflamatuar bir hastalıktır. "PsA Sine sedef hastalığı" terimi, "cilt belirtileri olmadan PsA teşhisi konan hastaları" tanımlamak için kullanılır. Bu çalışmada “PsA” “sine psoriasis”in demografik ve klinik özelliklerinin CASPAR kriterlerine göre tanımlanması amaçlandı.   Gereç ve Yöntemler 2016-2022 yılları arasında CASPAR kriterlerine göre PsA sine psoriasis tanısı alan 29 hasta çalışmaya dahil edildi. Romatizmal hastalığı ve herhangi bir cilt tutulumu olan hastalar çalışma dışı bırakıldı.   Bulgular Çalışmaya dahil edilen 29 hastanın tamamına CASPAR kriterlerine göre PsA tanısı konuldu. Hastaların 16'sı kadındı. Hastaların ortalama (±SS) yaşı 45±11 idi. Hastaların ortalama (±SD) PsA süresi 6,2±3,0 yıldı. PsA'lı hastaların birinci derece akrabalarında psoriazis öyküsü %54,1; ikinci derece akrabalarında psöriazis öyküsü ise %45,9 olarak saptandı. Hastaların %39,4'ünde poliartiküler, %35,7'sinde oligoartiküler, %24,9'unda aksiyal tutulum vardı. Tüm hastaların 19'unda (%65,5) DİP tutulumu mevcuttu. Hastaların %88.9'unda tırnak bulguları mevcuttu. Ayrıca hastaların 17'sinde (%58,6) entezit, 18'inde (%62) daktilit saptandı.   Sonuç PsA'yı düşündüren klinik semptom ve bulguları olan ve ailede psöriazis öyküsü olan hastalar, PsA sine psoriasisi olarak sınıflandırılabilir. Daktilit ve DIP artritli hastalar, ailesel sedef hastalığı PsA'nın bir alt grubunu temsil edebilir.  

Keywords:

Clinical and demographic characteristics of 29 patients with psoriatic arthritis without skin findings
2023
Author:  
Abstract:

Introduction Psoriatic Arthritis (PsA) is a chronic progressive inflammatory disease that affects 10–30% of patients with psoriatic disease (PsO). The term "PsA Sine seafood disease" is used to define "patients diagnosed with PsA without skin symptoms". This study aimed at identifying the demographic and clinical characteristics of "PsA" "sine psoriasis" according to the CASPAR criteria.   The study included 29 patients diagnosed with PsA sinus psoriasis according to CASPAR criteria between 2016 and 2022. Patients with rheumatism disease and any skin shrinking were dismissed.   All 29 patients involved in the study were diagnosed with PsA according to CASPAR criteria. 16 of the patients were women. The average age of patients (±SS) was 45±11. The average (±SD) PSA duration of patients was 6.2±3 years. In the first-degree relatives of patients with PSA, the history of psoriasis was 54.1%, and in the second-degree relatives, the history of psoriasis was 45.9%. In 39.4 percent of patients there was polyarticular, in 35.7 percent oligoarticular, and in 24.9 percent actional attitude. In 19 of all patients (65,5%) there was a DIP constipation. 88.9 percent of patients had nails. In 17 patients (58.6%) enteritis was also detected, and in 18 (62) daktitis was detected.   Patients with clinical symptoms and findings that reflect on PSA and with a family history of psoriasis can be classified as psoriasis of PsA. Patients with Daktility and DIP arthritis can represent a subgroup of PsA of family seafood disease.

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Selçuk Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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