Spondyloarthritis & psoriatic arthritis

Comparison of patients with axial psoriatic arthritis (PsA) and patients with axial spondyloarthritis (axSpA) and concomitant psoriasis: an analysis of the German register RABBIT-SpA

RMD OpenPublished Prospective cohort study

Authors' conclusion

AxPsA differs from axSpA+pso in its clinical manifestations, irrespective of whether axPsA is defined clinically or by imaging.

Study context

Population
Patients with PsA and axSpA in the German register RABBIT-SpA1,428 axSpA
Exposure
Axial PsA vs axSpA with concomitant psoriasis
  • axPsAn = 359
  • axSpA+pson = 181reference
Outcome
Demographic and disease-specific parameters of axPsA vs axSpA+pso
Methodological detailsprospective longitudinal, register-based (RABBIT-SpA)
  • Prospective longitudinal
  • Register-based (RABBIT-SpA)

Main finding

As reported in the abstract

  • AxSpA+pso differed from axPsA regardless of whether clinical or imaging definition was used
  • axPsA patients older, more often female and less often HLA-B27+
  • Peripheral manifestations more often in axPsA than axSpA+pso
  • Uveitis and inflammatory bowel disease more common in axSpA+pso
  • Burden of disease (patient global, pain, physician global) similar in axPsA and axSpA+pso

Observational data: associations, not effects.

Further findings

Psoriasis among axSpA patients — axSpA+pso
13%
  • Psoriasis among axSpA patients: 181/1428 axSpA patients
  • Axial involvement among PsA patients: PsA 26%
  • Axial involvement among PsA patients: of 1395 PsA patients
  • Axial manifestation of PsA, clinical definition: PsA 21%
  • Axial manifestation of PsA, imaging definition: PsA 14%

Burden of disease (patient global, pain, physician global)

Similar among axPsA and axSpA+pso patients

Original publication

Comparison of patients with axial PsA and patients with axSpA and concomitant psoriasis: an analysis of the German register RABBIT-SpA. RMD Open. Published 10 March 2023. doi:10.1136/rmdopen-2022-002837

Composed by AI from the published abstract and checked against it. How Briefs are made →

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