{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:03:11Z","timestamp":1792648991621,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"s5","license":[{"start":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T00:00:00Z","timestamp":1404172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006483","name":"AbbVie","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006483","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Psoriatic arthritis (PsA) is associated with psoriasis with a prevalence varying from 5.94% to 23.9%. The aim of this study was to assess if some psoriatic skin features are associated with a higher risk of PsA. A systematic literature search was carried out from 1980 to January 2013, in the Embase and Pubmed databases, using a combination of keywords including (Psoriasis)<jats:styled-content style=\"fixed-case\">AND<\/jats:styled-content>(PsA). Of the 2746 articles retrieved, 25 references were selected. Meta\u2010analysis was performed when possible. Mean age at psoriasis onset appeared to be similar among patients with skin disease alone and in those with PsA. There was no clinical type of psoriasis specifically associated with PsA, including pustular psoriasis of palms and soles. Nonetheless specific psoriasis localizations were significantly associated with an increased risk of developing PsA in one cohort study: scalp lesions [Hazard Ratio (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>) 3.89 (95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>):2.18\u20136.94)] and intergluteal\/perianal lesions [<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>2.35 (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>:1.32\u20134.19)]. A similar association was found in two cross\u2010sectional studies. Nail involvement was significantly associated with PsA in the meta\u2010analysis [Odds Ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 2.92 (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>2.34\u20133.64)], particularly onycholysis [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>2.38 (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>1.74\u20133.26)]. Moreover, nail psoriasis was also associated with distal interphalangeal joint arthritis. The extent of psoriasis appeared to be associated with PsA in one cohort study [\u22653 sites:<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>2.24 (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>1.23\u20134.08)], one case\u2013control study [body surface area &gt;75%:<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>2.52 (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>1.33\u20134.75)] and three cross\u2010sectional studies. The meta\u2010analysis suggested a trend for an association between high PASI and PsA risk [mean difference 3.39 (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>0.94\u20135.83)]. Therefore, psoriasis patients with such clinical features may require a particular attention for early and close detection of PsA during the course of the cutaneous disease.<\/jats:p>","DOI":"10.1111\/jdv.12562","type":"journal-article","created":{"date-parts":[[2014,7,2]],"date-time":"2014-07-02T07:54:27Z","timestamp":1404287667000},"page":"17-26","source":"Crossref","is-referenced-by-count":81,"title":["Is there a psoriasis skin phenotype associated with psoriatic arthritis? 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