Prevalence of ultrasound and clinical findings suggestive of inflammatory arthritis in children with skin psoriasis
Authors' conclusion
US abnormalities were higher in the Sy group, with synovitis and enthesitis as the most prevalent findings.
Study context
- Population
- Consecutive children with skin psoriasis (PsO)26 girls (46%)
- Participants
- 57 children
- Exposure
- Symptomatic vs asymptomatic children with PsO
- Asymptomatic (Asy)n = 42reference
- Symptomatic (Sy)n = 15
- Outcome
- Prevalence of clinical and US (grey-scale and Doppler) abnormalities in joints, periarticular structures and nails
Methodological detailsconsecutive children, independent examiners blinded to each other's assessment
- Consecutive children
- Independent examiners blinded to each other's assessment
Main finding
As reported in the abstract
Presence of US abnormalities
Observational data: associations, not effects.
Further findings
US synovitis
US enthesitis
Systemic treatment
P < 0.01
| Outcome | Asy | Sy | P value |
|---|---|---|---|
| Age | 9 (SD 3) years | — withheld: not confirmed against the abstract | P < 0.05 |
| Tender joint count (children with tender joints) | 0 events | — not stated in the abstract | P < 0.001 |
| Swollen joint count (children with swollen joints) | 0 events | 20% | P < 0.01 |
| Entheseal pain | 0 events | 66.7% | P < 0.001 |
| Classified with juvenile PsA (JPsA) | — not stated in the abstract | 3 events |
— not stated in the abstract
— withheld: the automatic checks could not confirm the value against the abstract
- PsO duration
- P < 0.001
US synovitis
- Statistically significant difference between Asy and Sy
US enthesitis
- Statistically significant difference between Asy and Sy
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Prevalence of ultrasound and clinical findings suggestive of inflammatory arthritis in children with skin psoriasis. Rheumatology (Oxford). Published 4 August 2023. doi:10. 1093/ rheumatology/ kead398
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