Oligoarticular vs polyarticular psoriatic arthritis: A longitudinal study showing similar characteristics
The Journal of Rheumatology Dec 07, 2021
Gladman DD, Ye JY, Chandran V, et al. - In this study population of psoriatic arthritis (PsA) patients, oligoarticular disease was evident in 47% of cases and was similar to polyarticular disease. SF-36 MCS (36-item Short Form Health Survey mental component summary) was the sole predictor for progression to polyarthritis.
PsA patients with oligoarticular presentation were compared with those with polyarticular disease in this study.
A total of 407 PsA patients with ≥ 2 clinic visits were included, 192 (47%) had oligoarthritis.
Despite similar demographic features, dactylitis and enthesitis was present in more patients with polyarthritis.
Similar joint distribution, most often involving small joints of the hands and feet, was evident.
Higher Health Assessment Questionnaire and lower SF-36 scores were detected in polyarthritis cases.
61% of patients with oligoarticular disease remained oligoarticular and 39% progressed to polyarthritis.
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