Volume 51, Issue 12 pp. 1607-1614
ORIGINAL ARTICLE

Individual joints involvement pattern in psoriatic arthritis: A cross-sectional study in China

Jiashuai Li

Jiashuai Li

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

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Jingge Xiao

Jingge Xiao

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

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Xiaoyun Xie

Xiaoyun Xie

Department of rheumatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Sichun Deng

Sichun Deng

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

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Guo Zhou

Guo Zhou

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

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Ruixuan Wang

Ruixuan Wang

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

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Qianzi Liu

Qianzi Liu

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

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Mi Zhang

Mi Zhang

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

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Mingliang Chen

Corresponding Author

Mingliang Chen

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

Correspondence

Mingliang Chen, Junchen Chen and Yehong Kuang, Department of Dermatology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan 410000, China.

Email: [email protected], [email protected] and [email protected]

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Junchen Chen

Corresponding Author

Junchen Chen

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

Correspondence

Mingliang Chen, Junchen Chen and Yehong Kuang, Department of Dermatology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan 410000, China.

Email: [email protected], [email protected] and [email protected]

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Yehong Kuang

Corresponding Author

Yehong Kuang

Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

Xiangya Clinical Research Center for Cancer Immunotherapy, Central South University, Changsha, Hunan, China

Correspondence

Mingliang Chen, Junchen Chen and Yehong Kuang, Department of Dermatology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan 410000, China.

Email: [email protected], [email protected] and [email protected]

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First published: 12 July 2024

Jiashuai Li and Jingge Xiao have contributed equally to this work and share the first authorship.

Mingliang Chen, Junchen Chen and Yehong Kuang have contributed equally to this work and share corresponding authorship.

Abstract

Psoriatic arthritis (PsA) is characterized by multi-joint involvement, primarily affecting the small joints in the hands and feet. However, the specific pattern of joint involvement at an individual level remains uncertain. This study aimed to elucidate the pattern of joint involvement in a PsA cohort. Patients diagnosed with PsA were recruited for this cross-sectional study. Demographic, clinical, laboratory, personal and family history, and comorbidity data were collected. Descriptive statistical analysis was performed, and univariate and multivariate regression models were used to examine baseline factors influencing joint involvement. A total of 264 PsA patients (156 males) were included in the study. The results revealed a predominant involvement of peripheral facet joints. The second proximal interphalangeal joint (PIP) of the right hand exhibited the highest prevalence of swelling (18.9%), while the right knee joint had the highest prevalence of tenderness (24.2%). Older age and earlier onset of PsA were identified as independent factors associated with the swelling of the second PIP of the right hand. Older age, earlier onset of PsA, lower Psoriasis Area and Severity Index and higher Dermatology Life Quality Index scores were identified as independent factors associated with the tenderness of the right knee joint. In conclusion, the most commonly affected joints in PsA are the second PIP of the right hand and the right knee joint.

CONFLICT OF INTEREST STATEMENT

None declared.

DATA AVAILABILITY STATEMENT

The original datasets used for analysis in the current study can be provided on reasonable request by contacting the corresponding author.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.