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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ44637

An Overview about Clinical Findings of Psoriatic Arthritis and Its Ocular Manifestations

Aya Mohammed Said El-Sheshtawy, Salah Ahmed Al-baioumy, Shimaa Mostafa Abdelwahab, Haitham Younes El-Nashar

Abstract

Psoriatic arthritis (PSA) is a psoriasis-related axial and/or peripheral inflammatory arthritis. Its symptoms include distal interphalangeal joint involvement, asymmetric arthritic distribution, dactylitis, enthesitis, spinal involvement, and frequent connection with HLA-B27. PSA can cause considerable disability, as well as a reduction in life quality and expectancy. Early diagnosis and treatment lead to improved outcomes, and this has become an apparent issue since the introduction of effective medicines. Many people have psoriasis for several years before to or concurrently with the onset of arthritis. The ocular manifestations of psoriasis can almost affect any part of the eye. There is a significant impact of disease severity on patient- reported psychosocial and physical quality of life, including loss of work productivity. However, eye affection in psoriatic patients are easily overlooked without a dedicated ocular examination. Also, surveys into the quality-of-life implications of psoriasis do not give much importance to ocular manifestations. Therefore, it is important to recognize the incidence and varied presentation of eye diseases in psoriasis patients, in order to make an early diagnosis and prevent ocular morbidity. Prevalence of ocular affection is variable among studies in the literature. It varies according to the population sampling, methods of studying, demographic data of patients, severity and duration of psoriasis The eye affection in psoriasis can lead to various complications including vision loss. These manifestations or complications may be seen more in psoriasis patients with arthritis but have also been occurred in psoriasis patients without arthritis. These affections are usually neglected by the physician who is not specifically looking for them.

Keywords

Psoriatic Arthritis, Ocular Manifestations

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