Should children with psoriasis be consulted to a rheumatologist? Result from pediatric rheumatology-dermatology collaboration.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI:10.14744/nci.2021.77785
Serife Gul Karadag, Figen Cakmak, Zeynep Topkarci, Hafize Emine Sonmez, Ayse Tanatar, Muge Kepekci Erdugan, Esin Aldemir, Neval Topal, Mustafa Cakan, Nuray Aktay Ayaz
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Abstract

Objective: The objectives of this study were to determine the musculoskeletal (MSK) conditions associated with pediatric psoriasis (Pso) and to evaluate the thickness of Achilles tendon of children with Pso and healthy controls (HCs).

Methods: Pso patients who were followed-up in dermatology outpatient clinic were referred to a pediatric rheumatology center. All patients and healthy peers were evaluated with standardized forms. Both patients and controls underwent ultrasonographic evaluation for Achilles tendon thickness.

Results: A total of 55 pediatric Pso and 46 healthy children were included in the study. Of patients with Pso 56.4% had arthralgia, 25.5% had lower back pain, 18.2% had heel pain, 12.7% had hip pain, and 10.9% described morning stiffness. Arthritis was detected in 7.3%, sacroiliac tenderness in 12.7%, and enthesitis in 9.1% of the patients. Arthralgia, lower back pain, and heel pain were significantly frequent in Pso group than healthy children median left and right Achilles tendon thicknesses of Pso patients who were significantly greater than that of HCs prevalence of psoriatic arthritis (PsA) among Pso patients was 7.3%.

Conclusion: Evaluation of a child with Pso regularly for the MSK complaints is critical for the early recognition of PsA. Ultrasonography is a useful technique for screening Pso patients for early detection of enthesopaty.

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患有牛皮癣的儿童是否应该咨询风湿病专家?结果来自儿科风湿病-皮肤病学合作。
目的:本研究的目的是确定与小儿牛皮癣(Pso)相关的肌肉骨骼(MSK)状况,并评估患有Pso的儿童和健康对照(hc)的跟腱厚度。方法:在皮肤科门诊随访的Pso患者转介至儿科风湿病中心。采用标准化表格对所有患者和健康同伴进行评估。患者和对照组均行超声检查跟腱厚度。结果:共纳入55例小儿Pso和46例健康儿童。在Pso患者中,56.4%有关节痛,25.5%有腰痛,18.2%有足跟痛,12.7%有髋部痛,10.9%有晨僵。7.3%的患者有关节炎,12.7%的患者有骶髂压痛,9.1%的患者有胃炎。关节痛、腰痛、足跟痛在Pso组明显多于健康儿童,Pso患者左、右跟腱中位厚度明显大于hc患者,Pso患者银屑病关节炎(PsA)患病率为7.3%。结论:定期评估患有Pso的儿童的MSK投诉对于PsA的早期识别至关重要。超声检查是筛查Pso患者早期发现内窥镜的一种有用技术。
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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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