Psoriatic arthritis. Clinical guidelines for diagnosis and treatment
https://doi.org/10.14412/1996-7012-2018-2-22-35
Abstract
In recent years, there has been a considerable rise in the incidence of psoriatic arthritis (PsA) and an increase in the number of cases of its severe course, which leads to the marked deterioration of quality of life (QL), to disability and early disability.
PsA is characterized by its chronic progressive course, the development of joint destruction and ankylosis, multiple intra-articular osteolysis, spondylitis and frequently accompanied by various comorbidities. The important aspects of the prevention of joint functional disorders and erosion and their successful therapy are early diagnosis of PsA in patients with psoriasis (Ps) and timely consultation with a rheumatologist.
The early use of pathogenetically sound therapy for PsA reduces the likelihood of irreversible damage to the joints, spine, and viscera in these patients. The main goal of PsA pharmacotherapy is to achieve remission or minimal activity of a disease (arthritis, spondylitis, enthesitis, dactylitis, and Ps), to slow or prevent radiological progression, to increase life expectancy, to improve QL for patients, and to lower the risk of comorbidities.
These guidelines have been worked out jointly by rheumatologists and dermatovenereologists in order to improve the diagnosis of PsA in patients with Ps and to timely initiate adequate therapy.
About the Authors
T. V. Korotaeva
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
Yu. L. Korsakova
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
E. Yu. Loginova
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
E. E. Gubar
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
M. N. Chamurlieva
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
References
1. Коротаева ТВ. Псориатический артрит: классификация, клиническая картина, диагностика, лечение. Научно-практическая ревматология. 2014;52(6):650-9. [Korotaeva TV. Psoriatic arthritis: classification, clinical presentation, diagnosis, treatment. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2014;52(6):650-9. (In Russ.)]. doi: 10.14412/ 1995-4484-2014-650-659
2. Gladman DD, Antoni C, Mease P, et al. Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis. 2005 Mar;64 Suppl 2:ii14-7.
3. Мишина ОС, Коротаева ТВ. Заболеваемость псориатическим артритом в Российской Федерации: тенденции на современном этапе и перспективы. Научно-практическая ревматология. 2015;(53)3: 251-7. [Mishina OS, Korotaeva TV. Incidence of psoriatic arthritis in Russia: trends at the present stage and prospects. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2015;(53)3: 251-7. (In Russ.)]. doi: 10.14412/1995-4484-2015-251-257
4. Баткаева НВ, Коротаева ТВ, Баткаев ЭА. Структура кардиоваскулярной коморбидности у больных тяжелыми формами псориаза: данные ретроспективного анализа госпитальной когорты. Научно-практическая ревматология. 2017;55(5):493-9. [Batkaeva NV, Korotaeva TV, Batkaev EA. The pattern of cardiovascular comorbidity in patients with severe forms of psoriasis: data of retrospective analysis of a hospital cohort. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2017;55(5):493-9. (In Russ.)]. doi: 10.14412/1995-4484-2017-493-499
5. Kristensen LE, Jorgensen TD, Christensen R, et al Societal costs and patients‘ experience of health inequities before and after diagnosis of psoriatic arthritis: a Danish cohort study. Ann Rheum Dis. 2017 Sep;76(9):1495-1501. doi: 10.1136/ annrheumdis-2016-210579. Epub 2017 Jan 30.
6. Olivieri I, Padula A, D’Angelo S, et al. Psoriatic arthritis sine psoriasis. J Rheumatol Suppl. 2009 Aug;83:28-9. doi: 10.3899/jrheum. 090218.
7. Mease PJ. Psoriatic Arthritis: update on pathophysiology, assessement and management. Ann Rheum Dis. 2011 Mar;70 Suppl 1:i77-84. doi: 10.1136/ard.2010.140582..
8. Love TJ, Zhu Y, Zhang Y, et al. Obesity and the risk of psoriatic arthritis: a population-based study. Ann Rheum Dis. 2012 Aug; 71(8):1273-7. doi: 10.1136/annrheumdis2012-201299. Epub 2012 May 14.
9. Moll J, Wright V. Psoriatic arthritis. Semin Arthritis Rheum. 1973;3(1):55-78.
10. Sieper J, van der Heijde DM, Landewe R, et al. New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis. 2009 Jun; 68(6):784-8. doi: 10.1136/ard.2008.101501. Epub 2009 Jan 15.
11. Lubrano E, Marchesoni A, Olivieri I, et al. The radiological assessment of axial involvement in psoriatic arthritis: a validation study of the BASRI total and the modified SASSS scoring methods. Clin Exp Rheumatol. 2009 Nov-Dec;27(6):977-80.
12. Taylor W, Gladman D, Helliwell P, et al. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006 Aug;54(8):2665-73.
13. Ibrahim GH, Buch MH, Lawson C, et al. Evaluation of an existing screening tool for psoriatic arthritis in people with psoriasis and the development of a new instrument: the Psoriasis Epidemiology Screening Tool (PEST) questionnaire. Clin Exp Rheumatol. 2009 May-Jun;27(3):469-74.
14. Чамурлиева МН, Логинова ЕЮ, Коротаева ТВ, Баткаев ЭА. Особенности поражения костно-суставного аппарата у больных псориазом по данным скринингового опросника PEST (Psoriasis Epydemiology Screening Tool). Вестник последипломного медицинского образования. 2014;(2): 16-20. [Chamurlieva MN, Loginova EYu, Korotaeva TV, Batkaev EA. Features of lesions of the musculoskeletal system in patients with psoriasis according to the screening questionnaire PEST (Psoriasis Epydemiology Screening Tool). Vestnik poslediplomnogo meditsinskogo obrazovaniya. 2014;(2):16-20. (In Russ.)].
15. Чамурлиева МН, Логинова ЕЮ, Коротаева ТВ. Выявляемость псориатического артрита у больных псориазом в дерматологической и ревматологической клинике. Современная ревматология. 2016;10(4): 47-50. [Chamurlieva MN, Loginova EYu, Korotaeva TV. Detection rates of psoriatic arthritis in patients with psoriasis in a dermatology and rheumatology clinic. Sovremennaya revmatologiya = Modern Rheumatology Journal. 2016;10(4):47-50. (In Russ.)]. doi: 10.14412/1996-7012-2016-4-47-50
16. Gladman DD, Helliwell P, Mease PJ, et al. Assessment of Patients With Psoriatic Arthritis. Arthritis Rheum. 2004 Jan;50(1):24-35.
17. Schoels MM, Aletaha D, Alasti F, et al. Disease activity in psoriatic arthritis (PsA): defining remission and treatment success using the DAPSA score. Ann Rheum Dis. 2016 May;75(5):811-8. doi: 10.1136/annrheumdis2015-207507. Epub 2015 Aug 12.
18. Gossec L, Smolen J, Gaujoux-Viala C, et al. European League Against Rheumatism recommendations for the management of psoriatic arthritis with pharmacological therapies. Ann Rheum Dis. 2012 Jan;71(1):4-12. doi: 10.1136/annrheumdis-2011-200350. Epub 2011 Sep 27.
19. Fries JF, Spitz PW, Kraines RG, et al. Measurement of patient outcome in arthritis. Arthritis Rheum. 1980 Feb;23(2):137-45.
20. Felson DT, Andersen JJ, Boers M, et al. American College of Rheumatology preliminary definition of improvement in rheumatoid arthritis. Arthritis Rheum. 1995 Jun;38(6): 727-35.
21. Clegg DO, Reda DJ, Mejias E, et al. Comparison of sulfasalazine and placebo in the treatment of psoriatic arthritis: a Department Veterans Affairs Cooperative Study. Arthritis Rheum. 1996 Dec;39(12):2013-20.
22. Garret SL, Jenkinson TR, Whitelock HC, et al. A new approach to defining disease status in ankylosing spondylitis: Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). J Rheumatol. 1994 Dec;21(12):2286-91.
23. Healy PJ, Helliwell PS. Measuring clinical enthesitis in psoriatic arthritis: assessment of existing measures and development of an instrument specific to psoriatic arthritis. Arthritis Rheum. 2008 May 15;59(5):686-91. doi: 10.1002/art.23568.
24. Coates LC, Kavanaugh A, Mease PJ, et al. Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 Treatment Recommendations for Psoriatic Arthritis. Arthritis Rheumatol. 2016 May;68(5): 1060-71. doi: 10.1002/art.39573. Epub 2016 Mar 23.
25. Kavanaugh A, Mease PJ, Gomez-Reino JJ, et al. Treatment of psoriatic arthritis in a phase 3 randomised, placebo-controlled trial with apremilast, an oral phosphodiesterase 4 inhibitor. Ann Rheum Dis. 2014 Jun;73(6):1020-6. doi: 10.1136/annrheumdis2013-205056. Epub 2014 Mar 4.
26. Корсакова ЮЛ, Денисов ЛН. Эффективность и безопасность нового препарата для лечения псориаза и псориатического артрита – апремиласта. Научно-практическая ревматология. 2016;(54)5:572-8. [Korsakova YuL, Denisov LN. The efficacy and safety of the new drug apremilast for the treatment of psoriasis and psoriatic arthritis. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2016;(54) 5:572-8. (In Russ.)]. doi: 10.14412/1995-4484-2016-572-577
27. Mease P, Hall S, FitzGerald O, et al. Tofacitinib or Adalimumab versus Placebo for Psoriatic Arthritis. N Engl J Med. 2017 Oct 19; 377(16):1537-1550. doi: 10.1056/NEJMoa 1615975.
28. Gladman D, Rigby W, Azevedo VF, et al. Tofacitinib for Psoriatic Arthritis in Patients with an Inadequate Response to TNF Inhibitors. N Engl J Med. 2017 Oct 19;377(16):1525-1536.
29. Mease PJ. Biologic therapy for psoriatic arthritis. Rheum Dis Clin North Am. 2015 Nov; 41(4):723-38. doi: 10.1016/j.rdc.2015.07. 010. Epub 2015 Sep 7.
30. McInnes IB, Sieper J, Braun J, et al. Efficacy and safety of secukinumab, a fully human anti-interleukin-17A monoclonal antibody, in patients with moderate-to-severe psoriatic arthritis: a 24-week, randomised, double-blind, placebo-controlled, phase II proof-of-concept trial. Ann Rheum Dis. 2014 Feb;73(2):349-56. doi: 10.1136/annrheumdis2012-202646. Epub 2013 Jan 29.
Review
For citations:
Korotaeva TV, Korsakova YL, Loginova EY, Gubar EE, Chamurlieva MN. Psoriatic arthritis. Clinical guidelines for diagnosis and treatment. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2018;12(2):22-35. (In Russ.) https://doi.org/10.14412/1996-7012-2018-2-22-35
Views:
8651
Email this article 