RT Journal Article
SR Electronic
T1 The Definition and Measurement of Axial Psoriatic Arthritis
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 40
OP 42
DO 10.3899/jrheum.150634
VO 93
A1 Ennio Lubrano
A1 Wendy Joanne Parsons
A1 Antonio Marchesoni
A1 Ignazio Olivieri
A1 Salvatore D’Angelo
A1 Alberto Cauli
A1 Francesco Caso
A1 Luisa Costa
A1 Raffaele Scarpa
A1 Luca Brunese
YR 2015
UL http://www.jrheum.org/content/93/40.abstract
AB This review seeks to update the state of the art of axial psoriatic arthritis (axPsA). The definition and assessment of axPsA can be problematic because no agreement and no definitive data on this topic have been published, resulting in uncertainty as to the best approach to deal with these patients. A few recent scientific reports show new data on the possible coincidence of diffuse idiopathic skeletal hyperostosis and axPsA, as well as on the radiological assessment as measured with the validated instruments for axPsA. Moreover, the role of magnetic resonance imaging has also been evaluated for this intriguing subset. All data confirmed that radiological assessment is a useful tool to detect typical findings of axPsA, while other imaging techniques remain to be validated. Finally, there is no evidence to support treatment of axPsA with traditional disease-modifying antirheumatic drugs, while a “leap” to biologic agents is the only treatment after failure with nonsteroidal antiinflammatory drugs.