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Psoriatic arthritis and the dermatologist: An approach to screening and clinical evaluation

机译：银屑病关节炎和皮肤科医生：筛选和临床评价的方法

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摘要

Psoriatic arthritis is a common form of inflammatory arthritis that frequently accompanies psoriasis of the skin-up to 30% of patients with psoriasis are affected. Recognition of the clinical features of psoriatic arthritis is critical, as delayed detection and untreated disease may result in irreparable joint injury, impaired physical function, and a significantly reduced quality of life. Recent epidemiologic studies have also supported that psoriatic arthritis is associated with cardiometabolic and cerebrovascular comorbidities, including coronary heart disease, diabetes mellitus, hypertension, dyslipidemia, and cerebrovascular accidents, further highlighting the importance of identifying affected patients. Dermatologists are poised for the early detection of psoriatic arthritis, as psoriasis predates its development in as many as 80% of patients. In an effort to further acquaint dermatologists and other clinicians with psoriatic arthritis, this review provides a detailed overview, emphasizing its salient clinical features, and discusses classification criteria, validated screening tools, and simple musculoskeletal examination maneuvers that may facilitate earlier detection and treatment of the disorder. (C) 2018 Elsevier Inc. All rights reserved.
机译：银屑病关节炎是一种常见的炎症性关节炎的形式，常伴的牛皮癣伴有30％的牛皮癣患者受到影响。识别银屑病关节炎的临床特征至关重要，因为延迟检测和未经治疗的疾病可能导致无法弥补的关节损伤，物理功能受损，生命质量显着降低。最近的流行病学研究还支持银屑病关节炎与心肌植物和脑血管血管血管性质有关，包括冠心病，糖尿病，高血压，血脂血症和脑血管事故，进一步突出了识别受影响患者的重要性。皮肤科医生准备早日发现银屑病关节炎，因为牛皮癣在多达80％的患者中预测其发展。努力进一步熟悉皮肤科医生和其他临床医生具有银屑病关节炎，提供了详细的概述，强调其突出临床特征，并讨论了可以促进早期检测和治疗的分类标准，验证的筛选工具和简单的肌肉骨骼检查机动。紊乱。 （c）2018年Elsevier Inc.保留所有权利。

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