{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:05:50Z","timestamp":1777514750132,"version":"3.51.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T00:00:00Z","timestamp":1425513600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Med Surg"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nail changes are common in psoriatic arthritis (PsA), with varying relationships existing between skin, nail, and joint disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To further characterize relationships between nail changes, psoriasis, and joint involvement in PsA patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>One hundred eighty-eight PsA patients had skin, fingernail, and rheumatological assessments completed. Hand and fingernail photographs were taken and reviewed by a dermatologist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Higher swollen joint counts were associated with distal interphalangeal (DIP)\/periungual psoriasis ( P = .001), more splinter hemorrhages ( P = .006), and any nail bed change ( P = .03). Higher tender joint counts were associated with rough onychorrhexis ( P &lt; .001), DIP\/periungual psoriasis ( P = .03), red lunula ( P = .001), nail crumbling ( P = .046), any nail matrix ( P = .03), and nail bed change ( P = .03). Joint involvement was associated with same-digit nail changes; strongest association was swollen or tender DIP with subungual hyperkeratosis, odds ratio = 26.6 (95% CI, 5.1-139.1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The DIP\/periungual psoriasis and specific nail changes were associated with higher joint counts and certain nail changes with same-digit joint involvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1203475415573663","type":"journal-article","created":{"date-parts":[[2015,3,10]],"date-time":"2015-03-10T17:54:37Z","timestamp":1426010077000},"page":"367-376","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Psoriatic Nail Changes Are Associated With Clinical Outcomes in Psoriatic Arthritis"],"prefix":"10.1177","volume":"19","author":[{"given":"Matthew K.","family":"Sandre","sequence":"first","affiliation":[{"name":"Michael G. 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