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Epidemiology of Psoriasis and Psoriatic Arthritis

  • Rodolfo Perez-AlaminoEmail author
  • Hisham Sharlala
  • Ade Adebajo
  • Luis R. Espinoza
Chapter

Abstract

Psoriatic arthritis (PsA) is a unique type of chronic inflammatory arthritis that occurs in association with the skin manifestations of psoriasis, commonly presenting with extra articular manifestations which includes nail involvement, enthesitis and dactilitis. It is also important to note that like rheumatoid arthritis PsA has been shown to have significant cardiovascular comorbidities.

Studying the epidemiology of PsA has been limited by the lack of a universally agreed classification criteria. Since the introduction of the CASPAR classification criteria, we are seeing a promising trend towards the acceptance of this criteria as an internationally agreed method for present and future epidemiological and research work in the field of PsA.

In this chapter we present the available data on the incidence and prevalence of Psoriasis, PsA and the possible associated CVD comorbidities. The data show the extent of variabilities of PsA incidence and prevalance between different ethnic and population groups. The highest reported prevalence of Psoriasis worldwide (11.8 %) came from Kazakhastan, and generally believed to be higher in populations of European ethnicity and lowest in West Africa and East Asia.

The prevalance of PsA in the general population ranged from the highest reported in Italy 0.42 % to the lowest in Japan at 0.001 %. On the other hand the prevalence of PsA in Psoriasis patients increases to the range of 6–40 %.

The incidence of reported cases of PsA is gradually increasing due to the improved awareness of the condition amongst primary care physicians.

Keywords

Prevalence Subgroups Demographics Psoriasis Psoriatic arthritis 

References

  1. 1.
    Gladman DD, Antoni C, Mease P, et al. Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis. 2005;64 Suppl 2:ii14–7.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Cuchacovich R, Perez-Alamino R, Garcia-Valladares I, et al. Steps in the managament of psoriatic arthritis: a guide for clinicians. Ther Adv Chronic Dis. 2012;3(6):259–69.PubMedPubMedCentralCrossRefGoogle Scholar
  3. 3.
    Fox DM. Evidence of evidence-based health policy: the politics of systematic reviews in coverage decisions. Health Aff. 2005;24(1):114–22.CrossRefGoogle Scholar
  4. 4.
    Mallen C, Peat G, Croft P. Quality assessment of observational studies is not common place in systematic reviews. J Clin Epidemiol. 2006;59(8):765–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Moll JM, Wright V. Psoriatic arthritis. Semin Arthritis Rheum. 1973;3(1):55–78.PubMedCrossRefGoogle Scholar
  6. 6.
    Helliwell PS, Taylor WJ. Classification and diagnostic criteria for psoriatic arthritis. Ann Rheum Dis. 2005;64(2):ii3–8.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Taylor W, Gladman D, Helliwell P, et al. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006;54(8):2665–73.PubMedCrossRefGoogle Scholar
  8. 8.
    Gladman D. Epidemiology. Psoriatic arthritis. In: Gordon GB, Ruderman E, editors. Psoriasis and psoriatic arthritis: an integrated approach. Heidelberg: Springer; 2005. p. 57–65.CrossRefGoogle Scholar
  9. 9.
    Gladman D, Shuckett R, Russell M, et al. Psoriatic arthritis PsA- an analysis of 220 patients. Q J Med. 1987;62:127.PubMedGoogle Scholar
  10. 10.
    Torre-Alonso JC, Rodriguez-Perez A, Arribas-Castrillo JM, et al. Psoriatic arthritis (PA): a clinical, immunological and radiological study of 180 patients. Br J Rheumatol. 1991;30:245–50.PubMedCrossRefGoogle Scholar
  11. 11.
    Boyer G, Templin D, Cornoni-Huntley J, et al. Prevalence of spondyloarthropathies in Alaskan Eskimos. J Rheumatol. 1994;21(12):2292–7.PubMedGoogle Scholar
  12. 12.
    Alexeeva L, Krylov M, Vturin V, et al. Prevalence of spondyloarthropathies and HLA-B27 in the native population of Chukotka, Russia. J Rheumatol. 1994;21(12):2298–300.PubMedGoogle Scholar
  13. 13.
    Braun J, Bollow M, Remlinger G, et al. Prevalence of spondylarthropathies in HLAB27 positive and negative blood donors. Arthritis Rheum. 1998;41(1):58–67.PubMedCrossRefGoogle Scholar
  14. 14.
    Shbeeb M, Uramoto KM, Gibson LE, et al. The epidemiology of psoriatic arthritis in Olmsted County, Minnesota, USA, 1982–1991. J Rheumatol. 2000;27(5):1247–50.PubMedGoogle Scholar
  15. 15.
    Taylor WJ, Marchesoni A, Arreghini M, et al. A comparison of the performance characteristics of classification criteria for the diagnosis of psoriatic arthritis. Semin Arthritis Rheum. 2004;34:575–84.PubMedCrossRefGoogle Scholar
  16. 16.
    Hukuda S, Minami M, Saito T, et al. Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. J Rheumatol. 2001;28(3):554–9.PubMedGoogle Scholar
  17. 17.
    Saraux A, Guillemin F, Guggenbuhl P, et al. Prevalence of spondyloarthropathies in France: 2001. Ann Rheum Dis. 2005;64(10):1431–5.PubMedPubMedCentralCrossRefGoogle Scholar
  18. 18.
    Trontzas P, Andrianakos A, Miyakis S, et al. Seronegative spondyloarthropathies in Greece: a population-based study of prevalence, clinical pattern, and management. The ESORDIG study. Clin Rheumatol. 2005;24(6):583–9.PubMedCrossRefGoogle Scholar
  19. 19.
    Madland TM, Apalset EM, Johannessen AE, et al. Prevalence, disease manifestations, and treatment of psoriatic arthritis in Western Norway. J Rheumatol. 2005;32(10):1918–22.PubMedGoogle Scholar
  20. 20.
    De Angelis R, Salaffi F, Grassi W. Prevalence of spondyloarthropathies in an Italian population sample: a regional community-based study. Scand J Rheumatol. 2007;36(1):14–21.PubMedCrossRefGoogle Scholar
  21. 21.
    Love TJ, Gudbjornsson B, Gudjonsson JE, et al. Psoriatic arthritis in Reykjavik, Iceland: prevalence, demographics, and disease course. J Rheumatol. 2007;34(10):2082–8.PubMedGoogle Scholar
  22. 22.
    Liao ZT, Pan YF, Huang JL, et al. An epidemiological survey of low back pain and axial spondyloarthritis in a Chinese Han population. Scand J Rheumatol. 2009;38(6):455–9.PubMedCrossRefGoogle Scholar
  23. 23.
    Wilson FC, Icen M, Crowson CS, et al. Time trends in epidemiology and characteristics of psoriatic arthritis over 3 decades: a population-based study. J Rheumatol. 2009;36(2):361–7.PubMedPubMedCentralCrossRefGoogle Scholar
  24. 24.
    Hanova P, Pavelka K, Holcatova I, et al. Incidence and prevalence of psoriatic arthritis, ankylosing spondylitis, and reactive arthritis in the first descriptive population-based study in the Czech Republic. Scand J Rheumatol. 2010;39(4):310–7.PubMedCrossRefGoogle Scholar
  25. 25.
    Haglund E, Bremander AB, Petersson IF, et al. Prevalence of spondyloarthritis and its subtypes in southern Sweden. Ann Rheum Dis. 2011;70(6):943–8.PubMedCrossRefGoogle Scholar
  26. 26.
    Soriano ER, Rosa J, Velozo E, et al. Incidence and prevalence of psoriatic arthritis in Buenos Aires, Argentina: a 6-year health management organization based study. Rheumatology (Oxford). 2011;50(4):729–34.CrossRefGoogle Scholar
  27. 27.
    Alvarez-Nemegyei J, Pelaez-Ballestas I, Sanin LH, et al. Prevalence of Musculoskeletal pain and rheumatic diseases in the southeastern region of Mexico. A COPCORD-based community survey. J Rheumatol Suppl. 2011;86:21–5.PubMedCrossRefGoogle Scholar
  28. 28.
    Zacharie H. Prevalence of joint disease in patients with psoriasis: implications for therapy. Am J Clin Dermatol. 2003;4:441.CrossRefGoogle Scholar
  29. 29.
    Gelfand JM, Gladman DD, Mease PJ, et al. Epidemiology of psoriatic arthritis in the population of the United States. J Am Acad Dermatol. 2005;53:573.PubMedCrossRefGoogle Scholar
  30. 30.
    Tam LS, Leung YY, Li EK. Psoriatic arthritis in Asia. Rheumatology (Oxford). 2009;48(12):1473–7.CrossRefGoogle Scholar
  31. 31.
    Yang Q, Qu L, Tian H, et al. Prevalence and characteristics of psoriatic arthritis in Chinese patients with psoriasis. J Eur Acad Dermatol Venereol. 2011;25(12):1409–14.PubMedCrossRefGoogle Scholar
  32. 32.
    Alamanos Y, Voulgari PV, Drossos AA. Incidence and prevalence of psoriatic arthritis: a systematic review. J Rheumatol. 2008;35(7):1354–8.PubMedGoogle Scholar
  33. 33.
    Christophers E, Barker JN, Griffiths CE, et al. The risk of psoriatic arthritis remains constant following initial diagnosis of psoriasis among patients seen in European dermatology clinics. J Eur Acad Dermatol Venereol. 2010;24:548.PubMedCrossRefGoogle Scholar
  34. 34.
    Reich K, Kruger K, Mossner R, et al. Epidemiology and clinical pattern of psoriatic arthritis in Germany: a prospective interdisciplinary epidemiological study of 1511 patients with plaque-type psoriasis. Br J Dermatol. 2009;160:1040.PubMedCrossRefGoogle Scholar
  35. 35.
    Ibrahim G, Waxman R, Helliwell PS. The prevalence of psoriatic arthritis in people with psoriasis. Arthritis Rheum. 2009;61:1373.PubMedCrossRefGoogle Scholar
  36. 36.
    Kane D, Stafford L, Bresnihan B, et al. A prospective, clinical and radiological study of early psoriatic arthritis: an early synovitis clinic experience. Rheumatology (Oxford). 2003;42:1460.CrossRefGoogle Scholar
  37. 37.
    Haroon M, Kirby B, Fitzgerald O. High prevalence of psoriatic arthritis in patients with severe psoriasis with suboptimal performance of screening questionnaires. Ann Rheum Dis. 2013;72(5):736–40.PubMedCrossRefGoogle Scholar
  38. 38.
    Maldonado-Ficco H, Citera G, Maldonado-Cocco JA. Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria. Clin Rheumatol. 2014;33:1489–93.CrossRefGoogle Scholar
  39. 39.
    Kaipiainen-Seppanen O. Incidence of psoriatic arthritis in Finland. Br J Rheumatol. 1996;35(12):1289–91.PubMedCrossRefGoogle Scholar
  40. 40.
    Soderlin MK, Borjesson O, Kautiainen H, et al. Annual incidence of inflammatory joint diseases in a population based study in southern Sweden. Ann Rheum Dis. 2002;61(10):911–5.PubMedPubMedCentralCrossRefGoogle Scholar
  41. 41.
    Savolainen E, Kaipiainen-Seppanen O, Kroger L, et al. Total incidence and distribution of inflammatory joint diseases in a defined population: results from the Kuopio 2000 arthritis survey. J Rheumatol. 2003;30(11):2460–8.PubMedGoogle Scholar
  42. 42.
    Alamanos Y, Papadopoulos NG, Voulgari PV, et al. Epidemiology of psoriatic arthritis in northwest Greece, 1982–2001. J Rheumatol. 2003;30(12):2641–4.PubMedGoogle Scholar
  43. 43.
    Eder L, Chandran V, Shen H, et al. Incidence of arthritis in a prospective cohort of psoriasis patients. Arthritis Care Res (Hoboken). 2011;63:619.CrossRefGoogle Scholar
  44. 44.
    Raychaudhuri SP, Farber EM. The prevalence of psoriasis in the world. J Eur Acad Dermatol Venereol. 2001;15:16–7.PubMedCrossRefGoogle Scholar
  45. 45.
    Gutierrez E, Galarza C, Ramos W, et al. Skin diseases in the Peruvian Amazonia. Int J Dermatol. 2010;49:794–800.PubMedCrossRefGoogle Scholar
  46. 46.
    Farber EM, Nall L. Epidemiology: natural history and genetics. In: Roenigk Jr HH, Maibach HI, editors. Psoriasis. New York: Dekker; 1998. p. 107–57.Google Scholar
  47. 47.
    Lomholt G. Psoriasis: prevalence, spontaneous course and genetics: a census study on the prevalence of skin diseases on the Faroe Islands. GEC Gad: Copenhagen; 1963.Google Scholar
  48. 48.
    Gudjonsson JE, Elder JT. Psoriasis: epidemiology. Clin Dermatol. 2007;25:535e46.CrossRefGoogle Scholar
  49. 49.
    Olsen AO, Grjibovski A, Magnus P, et al. Psoriasis in Norway as observed in a population-based Norwegian twin panel. Br J Dermatol. 2005;153:346e51.CrossRefGoogle Scholar
  50. 50.
    Schäfer T. Epidemiology of psoriasis. Review and the German perspective. Dermatology. 2006;212:327e37.Google Scholar
  51. 51.
    Saraceno R, Mannheimer R, Chimenti S. Regional distribution of psoriasis in Italy. J Eur Acad Dermatol Venereol. 2008;22:324–9.PubMedCrossRefGoogle Scholar
  52. 52.
    Wolkenstein P, Grob JJ, Bastuji-Garin S, et al. French people and skin diseases: results of a survey using a representative sample. Arch Dermatol. 2003;139:1614–9.PubMedGoogle Scholar
  53. 53.
    Wolkenstein P, Revuz J, Roujeau JC, et al. Psoriasis in France and associated risk factors: results of a case–control study based on a large community survey. Dermatology. 2009;218:103–9.PubMedCrossRefGoogle Scholar
  54. 54.
    Ferrándiz C, Bordas X, García-Patos V, et al. Prevalence of psoriasis in Spain (Epiderma Project: phase I). J Eur Acad Dermatol Venereol. 2001;15:20e.CrossRefGoogle Scholar
  55. 55.
    Stern RS, Nijsten T, Feldman SR, et al. Psoriasis is common, carries a substantial burden even when not extensive, and is associated with widespread treatment dissatisfaction. J Investig Dermatol Symp Proc. 2004;9:136–9.PubMedCrossRefGoogle Scholar
  56. 56.
    Koo J. Population-based epidemiologic study of psoriasis with emphasis on quality of life assessment. Dermatol Clin. 1996;14:485–96.PubMedCrossRefGoogle Scholar
  57. 57.
    Kurd SK, Gelfand JM. The prevalence of previously diagnosed and undiagnosed psoriasis in US adults: results from NHANES 2003–2004. J Am Acad Dermatol. 2009;60:218–24.PubMedCrossRefGoogle Scholar
  58. 58.
    Gelfand J, Stern R, Nijsten T, et al. The prevalence of psoriasis in African-Americans: results from a population-based study. J Am Acad Dermatol. 2005;52:23–6.PubMedCrossRefGoogle Scholar
  59. 59.
    Ogunbiyi A, Daramola O, Alese O. Prevalence of skin diseases in Ibadan, Nigeria. Int J Dermatol. 2004;43:31–6.PubMedCrossRefGoogle Scholar
  60. 60.
    Doe PT, Asiedu A, Acheampong JW, et al. Skin diseases in Ghana and the UK. Int J Dermatol. 2001;40:323–6.PubMedCrossRefGoogle Scholar
  61. 61.
    Chandran V, Raychaudhuri S. Geoepidemiology and environmental factors of psoriasis and psoriatic arthritis. J Autoimmun. 2010;34:J314–21.PubMedCrossRefGoogle Scholar
  62. 62.
    Chang Y, Chen T, Liu P, et al. Epidemiological study of psoriasis in the national health insurance database in Taiwan. Acta Derm Venereol. 2009;89:262–6.PubMedCrossRefGoogle Scholar
  63. 63.
    Kaur I, Handa S, Kumar B. Natural history of psoriasis: a study from the Indian subcontinent. J Dermatol. 1997;24:230–4.PubMedCrossRefGoogle Scholar
  64. 64.
    Fatani M, Abdulghani M, Al-Afif K. Psoriasis in the eastern Saudi Arabia. Saudi Med J. 2002;23:213–7.PubMedGoogle Scholar
  65. 65.
    Toloza S, Vega-Hinojosa O, Chandran V, et al. Psoriasis and psoriatic arthritis in peruvian aborigines: a report from the GRAPPA 2011 annual meeting. J Rheumatol. 2012;39:2216–9.PubMedCrossRefGoogle Scholar
  66. 66.
    Baker H, Golding DN, Thompson M. Psoriasis and arthritis. Ann Intern Med. 1963;58:909–25.PubMedCrossRefGoogle Scholar
  67. 67.
    Rahman P, Schentag CT, Gladman DD. Excessive paternal transmission in psoriatic arhritis. Arthritis Rheum. 1999;42:1228–31.PubMedCrossRefGoogle Scholar
  68. 68.
    Ogdie A. Prevalence and treatment patterns of PsA in the UK. Rheumatology. 2013;52(3):568–75.PubMedPubMedCentralCrossRefGoogle Scholar
  69. 69.
    Mease P. Prevalence of rheumatologist diagnosed PsA in patients with psoriasis. J Am Acad Dermatol. 2013;69:729–35.PubMedCrossRefGoogle Scholar
  70. 70.
    Roussou E, Chopra S, Ngandu DL. Phenotypic and clinical differences between Caucasian and South Asian patients with PsA living in North East London. Clin Rheumatol. 2013;32:591–9.PubMedCrossRefGoogle Scholar
  71. 71.
    Marsal S, Martinez M, Armadans-Gil L, Gallado D, Ribera A, Lience E. Clinical, radiological and HLA associations as markers for different patterns of PsA. Rheumatology. 1999;38:332–7.PubMedCrossRefGoogle Scholar
  72. 72.
    Queiro R, Tejon P, Coto P, Alonso S, Alperi M, Sarasqueta C, Gonzalez S, Martinez-Borra J, Lopez-Larrea C, Ballina J. Clinical differences between men and women with PsA. Clin Dev Immunol. 2013;article ID 482691:7.Google Scholar
  73. 73.
    Li W, Han J, Qureshi AA. Smokingand the risk of incident psoriatic arthritis in US women. Ann Rheum Dis. 2012;71:804–8.PubMedPubMedCentralCrossRefGoogle Scholar
  74. 74.
    Soloman DM, Love TJ, Canning C, Scheeweiss S. Risk of diabetes among patients with rheumatoid arthritis, PsA and psoriasis. Ann Rheum Dis. 2010;69:2114–7.CrossRefGoogle Scholar
  75. 75.
    Miller IM, Ellervik C, Yazdanyar S, Gregor B, Jemec E. Meta-analysis of psoriasis, CVD and associated risk factors. J Am Acad Dermatol. 2013;69(6):1014–24.PubMedCrossRefGoogle Scholar
  76. 76.
    Gelfand JM, Neimann AL, Shin DB. Risk of myocardial infarction inpatients with psoriasis. JAMA. 2006;296:1735–41.PubMedCrossRefGoogle Scholar
  77. 77.
    Eder L, Chander V, Gladman DD. The Framingham risk score underestimates the extent of subclinical atherosclerosis in patients with psoriatic disease. Ann Rheum Dis. 2014;73:1990–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Rodolfo Perez-Alamino
    • 1
    Email author
  • Hisham Sharlala
    • 2
  • Ade Adebajo
    • 3
  • Luis R. Espinoza
    • 4
  1. 1.Department of RheumatologyHospital AvellanedaSan Miguel De TucumanArgentina
  2. 2.Department of RheumatologyBarnsley District General HospitalBarnsley, South YorkshireUK
  3. 3.Faculty of Medicine, Dentistry and HealthUniversity of SheffieldSheffieldUK
  4. 4.Internal Medicine, Section of RheumatologyLSU Health Sciences CenterNew OrleansUSA

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