Abstract
We aimed to investigate the relationship between nail involvement and joint manifestations and whether there was a correlation between nail psoriasis severity and bone manifestations in psoriatic patients without symptomatic psoriatic arthritis in plaque type psoriasis. Thirty-one patients with nail involvement (16 men, 15 women, mean age 45.29 ± 18.73) and 39 patients without nail involvement (16 men, 23 women, mean age 38.41 ± 17.33) were enrolled in the study. X-ray of the hands and feet with magnification were performed. The distal interphalangeal (DIP) joint and bone (tuft of terminal phalanx) were evaluated. A scoring method was performed on the patients with nail involvement. There was no difference in DIP joint involvement in patients with or without finger- and toenail involvement (p = 0.085 and p = 0.062, respectively). However, the prevalence of bone involvement was higher in patients with finger- and toenail involvement than without finger- and toenail involvement (p = 0.039 and p = 0.021, respectively). A positive correlation was also determined between finger- and toenail psoriasis severity and bone involvement severity (r = 0.379, p = 0.001 and r = 0.288, p = 0.015).
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Braun-Falco O, Plewig G, Wolff HH, Burgdorf WHC (eds) (2000) Dermatology, second completely revised edition. Springer, Berlin Heidelberg New York
Jones SM, Armas JB, Cohen MG, Lovell CR, Evison G, McHugh NJ (1994) Psoriatic arthritis: outcome of disease subsets and relationship of joint disease to nail and skin disease. Br J Rheumatol 33:834–839
Williamson L, Dalbeth N, Dockerty JL, Gee BC, Weatherall R, Wordsworth BP (2004) Extended report: nail disease in psoriatic arthritis—clinically important, potentially treatable and often overlooked. Rheumatology 43:790–794
Rich P, Scher RK (2003) Nail severity index: a useful tool for evaluation of nail psoriasis. J Am Acad Dermatol 49:206–212
Scarpa R, Manguso F, Oriente A, Peluso R, Atteno M, Oriente P (2004) Is the involvement of the distal interphalangeal joint in psoriatic patients related to nail psoriasis? Clin Rheumatol 23:27–30
Palazzi C, D’Agostino L, D’Amico E, Penese E, Petricca A (2003) Asymptomatic erosive peripheral psoriatic arthritis: a frequent finding in Italian patients. Rheumatology 43:909–911
Gladman DD, Shuckett R, Russel ML, Thorne JC, Schachter RK (1987) Psoriatic arthritis —an analysis of 220 patients. Q J Med 62:127–141
Elkayam O, Ophir J, Yaron M, Caspi D (2000) Psoriatic arthritis: interrelationships between skin and joint manifestations related to onset, course and distribution. Clin Rheumatol 19:301–305
Kane D, Stafford L, Bresnihan B, FitzGerald O (2003) A classification study of clinical subsets in an inception cohort of early psoriatic peripheral arthritis—‘DIP or not DIP revisited’. Rheumatology 42:1469–1476
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Serarslan, G., Güler, H. & Karazincir, S. The relationship between nail- and distal phalangeal bone involvement severity in patients with psoriasis. Clin Rheumatol 26, 1245–1247 (2007). https://doi.org/10.1007/s10067-006-0476-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-006-0476-y