Öz
Psoriatic arthritis (PsA) is a clinically heterogeneous disease which can be seen in patients with psoriasis, affects the axial and peripheral joints and can involve skin, nail and enthesis. Therefore, PsA can be confused with many diseases. Skin involvement can be established after joint involvement in 15% of PsA patients. This creates difficulties in diagnosis and follow-up. We attempted to draw attention to the difficulties in the diagnosis of PsA in patients who present with polyarthritis and positive anti-cyclic citrullinated peptide (anti-ccp) antibody and also, we underline necessity of cautious and detailed history taking and good physical examination
Anahtar Kelimeler
Psoriatic arthritis anti-cyclic citrullinated peptide (anti-ccp) differential diagnosis
Kaynakça
- Haroon M, FitzGerald O. Psoriatic arthritis: complexities, comorbidities and implications for the clinic. Expert Rev Clin Immunol 2016;12(4):405-16.
- Fitzgerald O, Elmamoun M. Psoriatic arthritis. In: Firestein G, Budd R, Gabriel SE, McInnes IB, O’Dell J (Eds). Kelley & Firestein’s Textbook of Rheumatology. 10th ed. Philadelphia: Elsevier; 2016:1285-308.
- Gladman DD. Clinical features and diagnostic considerations in psoriatic arthritis. Rheum Dis Clin North Am 2015;41(4):569-79.
- Rich P. An atlas of diseases of the nail. http://file.zums.ac.ir/ebook/10-An Atlas of Diseases of the Nail-Phoebe Rich Richard K. Scher-185070595X-Taylor Francis-2003-1.pdf. Accessed September 30, 2018.
- Moll JM, Wright V. Familial occurrence of psoriatic arthritis. Ann Rheum Dis 1973;32(3):181-201. http://www.ncbi.nlm.nih.gov/pubmed/4715537. Accessed September 30, 2018.
- Helliwell PS, Porter G, Taylor WJ, CASPAR Study Group. Polyarticular psoriatic arthritis is more like oligoarticular psoriatic arthritis, than rheumatoid arthritis. Ann Rheum Dis 2006;66(1):113-7.
- Korendowych E, Owen P, Ravindran J, Carmichael C, McHugh N. The clinical and genetic associations of anti-cyclic citrullinated peptide antibodies in psoriatic arthritis. Rheumatology (Oxford) 2005;44(8):1056-60.
- Reparon-Schuijt CC, van Esch WJ, van Kooten C, et al. Secretion of anti-citrulline-containing peptide antibody by B lymphocytes in rheumatoid arthritis. Arthritis Rheum 2001;44(1):41-7.
Öz
Psoriatik artrit (PsA) aksiyal ve periferik eklemleri etkileyen, cilt, tırnak, entezis yerlerini tutabilen, psoriasis hastalarında görülebilen, klinik olarak heterojen bir hastalıktır. Bu nedenle de PsA birçok hastalık ile karışabilmektedir. Cilt tutulumu PsA hastalarının %15’inde eklem tutuluşundan sonra saptanabilmektedir. Bu da tanıda ve takipte zorluk yaratmaktadır. Periferik artrit ile başvuran ve anti siklik sitrüline peptit (anti-ccp) antikoru pozitif bir olgu ile PsA tanısının konulmasındaki zorluklara ve PsA’nın ayrıcı tanısını yapabilmek için de dikkatli ve detaylı bir anamnez ile iyi bir fizik muayene gerektiğine dikkat çekmeye çalıştık
Anahtar Kelimeler
Psoriatik artrit anti siklik sitrüline peptit antikor (anti-ccp) ayırıcı tanı
Kaynakça
- Haroon M, FitzGerald O. Psoriatic arthritis: complexities, comorbidities and implications for the clinic. Expert Rev Clin Immunol 2016;12(4):405-16.
- Fitzgerald O, Elmamoun M. Psoriatic arthritis. In: Firestein G, Budd R, Gabriel SE, McInnes IB, O’Dell J (Eds). Kelley & Firestein’s Textbook of Rheumatology. 10th ed. Philadelphia: Elsevier; 2016:1285-308.
- Gladman DD. Clinical features and diagnostic considerations in psoriatic arthritis. Rheum Dis Clin North Am 2015;41(4):569-79.
- Rich P. An atlas of diseases of the nail. http://file.zums.ac.ir/ebook/10-An Atlas of Diseases of the Nail-Phoebe Rich Richard K. Scher-185070595X-Taylor Francis-2003-1.pdf. Accessed September 30, 2018.
- Moll JM, Wright V. Familial occurrence of psoriatic arthritis. Ann Rheum Dis 1973;32(3):181-201. http://www.ncbi.nlm.nih.gov/pubmed/4715537. Accessed September 30, 2018.
- Helliwell PS, Porter G, Taylor WJ, CASPAR Study Group. Polyarticular psoriatic arthritis is more like oligoarticular psoriatic arthritis, than rheumatoid arthritis. Ann Rheum Dis 2006;66(1):113-7.
- Korendowych E, Owen P, Ravindran J, Carmichael C, McHugh N. The clinical and genetic associations of anti-cyclic citrullinated peptide antibodies in psoriatic arthritis. Rheumatology (Oxford) 2005;44(8):1056-60.
- Reparon-Schuijt CC, van Esch WJ, van Kooten C, et al. Secretion of anti-citrulline-containing peptide antibody by B lymphocytes in rheumatoid arthritis. Arthritis Rheum 2001;44(1):41-7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Ek |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Ekim 2019 |
| Gönderilme Tarihi | 19 Ekim 2018 |
| Yayımlandığı Sayı | Yıl 2019 |