Características clínicas y radiológicas de la cohorte de artritis psoriásica atendida en la consulta del IRHED del 2017 al 2020.

Abstract

Introduction: Psoriatic Arthritis (PsA) is a spondyloarthropathy of chronic evolution, which mainly affects the musculoskeletal system in an inflammatory way and is considered in turn as the rheumatic manifestation of Psoriasis (1,2). Objective: To identify the clinical and radiological characteristics of the Psoriatic Arthritis cohort attended at the IRHED consultation from 2017 to 2020. Methodology: Observational, descriptive, cross-sectional and retrospective study. Results: A study population of 191 patients with PAs was obtained, with a mean age of 61.19 years, we found that the female sex predominated, with a ratio of 9:1. The personal pathological history of Psoriasis prevailed over the family history. Among the clinical characteristics, psoriatic onicopathy was found in 100% of our population, with pitting being the most frequent. Regarding radiographic alterations, it was found that the affectations in the hands are more frequent with 50.78%, and the most repetitive radiographic characteristic was bone erosion. Conclusion: In the Psoriatic Arthritis cohort attended at the IRHED consultation from 2017 to 2020, it was observed that it is women who suffer most from PAs, especially in the sixth decade of life. The predominant clinical feature (within CASPAR criteria) was psoriatic onychopathy, with nail pitting being the most common finding. Regarding to radiographic alterations, greater involvement of the hands was found in 50.78% of cases, with erosion as the predominant radiographic characteristic, followed by bone proliferation.