Zusammenfassung
Die klinischen Erscheinungsformen der Psoriasisarthritis (PsA) sind ausgesprochen vielfältig. Dies spiegelt sich in einer epidemiologisch heterogenen Datenlage bezüglich der Häufigkeit im Allgemeinen, der prädisponierten Altersgruppe sowie der Häufigkeit von Gelenk-, Wirbelsäulen-, Enthesen- und extraartikulären Manifestationen wider. Jedoch ist selbst für den Spezialisten die Differenzierung von PsA-Formen, anderen überlappenden oder klinisch ähnlich imponierenden Krankheitsbildern nicht immer eindeutig möglich. In diesem Beitrag sollen Anregungen und Hilfestellungen für eine sinnvolle und systematische Vorgehensweise zum Screening und zur Frühdiagnose einer PsA bei Patienten mit Psoriasis gegeben werden. Der Mainzer PsA-Screening- und -Frühdiagnostik-Algorithmus wird vorgestellt.
Abstract
Psoriasis arthritis (PsA) encompasses many diverse clinical symptoms. Epidemiological data about the prevalence in general, predisposed age groups, prevalence of joint, spine, enthesis, and extra-articular manifestations are very heterogeneous. Even for the PsA specialist the clinical picture is not always easy to differentiate from other overlapping or clinically similar disease entities. This paper tries to give some guidance on how to screen for and how to detect PsA early in the population of psoriasis patients on the basis of the Mainz PsA screening and early diagnosis algorithm.
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Interessenkonflikt. P. Härle gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Härle, P. Screening und Frühdiagnostik der Psoriasisarthritis . Z. Rheumatol. 72, 764–770 (2013). https://doi.org/10.1007/s00393-013-1187-9
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DOI: https://doi.org/10.1007/s00393-013-1187-9