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Early psoriatic arthritis

Lookup NU author(s): Dr David Kane

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Abstract

Studies of early and established PsA confirm that most patients with PsA have persistent inflammation, develop progressive joint damage and disability, and have reduced life expectancy [2,4,88]. Patients with RA and PsA who are matched for age, sex, and duration of disease have comparable radiologic severity [89]. Only 12% of patients with early PsA will be in DMARD-free remission at 2 years [16]. Whereas 18% of patients with established PsA experience remission at some point during the course of their disease, half of these will relapse. These data have lead to a change in clinical practice with the emphasis now on earlier diagnosis and more intensive treatment of patients with PsA. The introduction of biologic therapy provides clinicians with a treatment that finally targets all three sites of disease in the PsA: the skin, synovium, and enthesis. Long-term follow-up of cohorts who receive early diagnosis and intensive treatment are required to demonstrate that this approach will translate into improved outcomes for patients with PsA. © 2005 Elsevier Inc. All rights reserved.

Publication metadata

Author(s): Kane D, Pathare S

Publication type: Review

Publication status: Published

Journal: Rheumatic Disease Clinics of North America

Year: 2005

Volume: 31

Issue: 4

Pages: 641-657

ISSN (print): 0889-857X

ISSN (electronic): 1558-3163

URL: http://dx.doi.org/10.1016/j.rdc.2005.07.009

DOI: 10.1016/j.rdc.2005.07.009

PubMed id: 16287589

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