Spondyloarthritis & psoriatic arthritis

Familial Aggregation in Psoriatic Arthritis: Phenotypic Differences in Patients With and Without a Family History of Psoriatic Disease

Arthritis RheumatolPublished Observational longitudinal registry study

Authors' conclusion

In this cohort, patients with PsA with a family history of psoriatic disease were diagnosed with psoriasis and PsA earlier and were more likely to have entheseal involvement compared to those without a family history.

Study context

Population
Patients with PsA enrolled in an observational, longitudinal registry
Participants
843 patients
Exposure
PsA with vs without a family history of psoriatic disease
  • Family historyn = 379
Outcome
Differences in onset, domain involvement and disease activity by family history of psoriatic disease

Main finding

As reported in the abstract

Age at psoriasis onset

P < 0.01

Observational data: associations, not effects.

Further findings

Age at PsA onset

P < 0.01

Entheseal involvement

P < 0.05

OutcomeFamily historyNo family historyP value
Age at psoriasis diagnosis by relative's disease (FDR/SDR with PsA vs psoriasis alone vs none)Across the three groupsP < 0.01
Age at PsA diagnosis by relative's disease (FDR/SDR with PsA vs psoriasis alone vs none)Across the three groups— not stated in the abstractmean 40.3 yearsP = 0.01

— not stated in the abstract

  • Age at psoriasis diagnosis by relative's disease (first-degree relative (FDR)/second-degree relative (SDR) with PsA vs psoriasis alone vs none): FDR/SDR with PsA mean 26.3 years
  • Age at psoriasis diagnosis by relative's disease (FDR/SDR with PsA vs psoriasis alone vs none): FDR/SDR with psoriasis alone mean 27.8 years
  • Age at PsA diagnosis by relative's disease (FDR/SDR with PsA vs psoriasis alone vs none): FDR/SDR with PsA mean 36.5 years
  • Age at PsA diagnosis by relative's disease (FDR/SDR with PsA vs psoriasis alone vs none): FDR/SDR with psoriasis alone mean 37.9 years

Original publication

Familial Aggregation in Psoriatic Arthritis: Phenotypic Differences in Patients With and Without a Family History of Psoriatic Disease. Arthritis Rheumatol. Published 21 September 2025. doi:10.1002/art.43325

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