Vestnik dermatologii i venerologiiVestnik dermatologii i venerologiiВестник дерматологии и венерологии0042-46092313-6294Rossijskoe Obschestvo Dermatovenerologov i Kosmetologov37610.25208/0042-4609-2018-94-1-38-50SHORT COMMUNICATIONКРАТКИЕ СООБЩЕНИЯENTHESITIS AND PSORIATIC ONYCHOPATHY AS A FACTOR FOR PREDICTION OF PSORIATIC ARTHRITIS IN PSORIASISЭНТЕЗИТ И ПСОРИАТИЧЕСКАЯ ОНИХОПАТИЯ КАК ПРЕДРАСПОЛАГАЮЩИЕ ФАКТОРЫ ПСОРИАТИЧЕСКОГО АРТРИТА У ПАЦИЕНТОВ, БОЛЬНЫХ ПСОРИАЗОМSidorcikaTatyana G.СидорчикТ. Г.
Russian Federation

Tatyana G. Sidorcika — Clinical Dermatovenerologist.

Dzirciema str., 16, Riga, LV-1007

Татьяна Григорьевна Сидорчик — врач-дерматолог, венеролог, Рижский университет имени Паула Страдыня.

LV-1007 Латвия, Рига, ул. Дзирциема, д. 16

tatiana.sidorcika@gmail.comLinovsViktor A.ЛиневВ. А.
Russian Federation

Viktor A. Linovs — Researcher, Radiological Research Laboratory.

Gardenes str., 13, Riga, LV-1083

Виктор Александрович Линев — научный сотрудник радиологической научной лаборатории.

LV-1083, Латвия, г. Рига, ул. Гарденес, д. 13

viktor.linjov@gmail.comRadzinaMaya A.РадзыняМ. А.
Russian Federation

Maya A. Radzina — Dr. Sci. (Med.), Senior Researcher, Director, Radiological Research Laboratory.

Gardenes str., 13, Riga, LV-1083

Мая Алдовна Радзыня — доктор медицинских наук, старший научный сотрудник, директор радиологической научной.

LV-1083, Латвия, г. Рига, ул. Гарденес, д. 13

mradzina@gmail.comRubinsAndris J.РубинсА. Я.
Russian Federation

Andris Ya. Rubins — Dr. Sci. (Med.), Prof., Departmental Head, Department of Dermatovenerology of the Faculty of Medicine.

Raina blvd., 19, Riga, LV-1586

Андрис Янович Рубинс — доктор медицинских наук, профессор, заведующий кафедрой дерматовенерологии медицинского факультета.

LV-1586, Латвия, г. Рига, б-р Райниса, д. 19

andris.rubins@lu.lvRubinsSylvester A.РубинсС. А.
Russian Federation

Sylvester A. Rubins — Researcher, Ass. Prof., Department of Dermatovenerology of the Faculty of Medicine.

Raina blvd., 19, Riga, LV-1586

Силвестр Андрисович Рубинс — доктор медицинских наук, доцент кафедры дерматовенерологии медицинского факультета.

LV-1586, Латвия, г. Рига, б-р Райниса, д. 19

silvestrs.rubins@gmail.comRiga Stradiņš UniversityРижский университет имени Паула СтрадыняUniversity of LatviaЛатвийский университет2404201894138502404201824042018Copyright ©; 2018, Sidorcika T.G., Linovs V.A., Radzina M.A., Rubins A.J., Rubins S.A.Copyright ©; 2018, Сидорчик Т.Г., Линев В.А., Радзыня М.А., Рубинс А.Я., Рубинс С.А.2018Sidorcika T.G., Linovs V.A., Radzina M.A., Rubins A.J., Rubins S.A.Сидорчик Т.Г., Линев В.А., Радзыня М.А., Рубинс А.Я., Рубинс С.А.https://creativecommons.org/licenses/by/4.0https://vestnikdv.ru/jour/article/view/376

Psoriatic arthritis is a psoriasis-related spondyloarthropathy that occurs in 20–30 % of patients with psoriasis. Psoriatic arthritis affects the patient’s quality of life indicators and are more often associated with disabilities of working age than psoriasis skin form. Nail psoriasis has been proposed as a predictor for the development of psoriatic arthritis. The inflammation involving the entheses, called enthesitis, is an early inflammatory change seen in psoriatic arthritis, and nail changes appear to result from the close relationship between the nail and the enthesis of the distal interphalangeal extensor tendon, one of the main entheseal compartments affected in psoriatic arthritis. Various imaging studies have demonstrated that there is a considerable proportion of undiagnosed psoriatic arthritis among patients with psoriasis. Since early detection and treatment of psoriatic arthritis could, ultimately, allow the prevention of clinical and radiologic progression of the disease, there is the need to establish clinical indicators to detect this risk.

Псориатический артрит — это псориатическая спондилоартропатия, которая встречается у 20–30 % пациентов с псориазом. Псориатический артрит влияет на качество жизни пациентов и приводит к инвалидизации чаще, чем кожная форма псориаза. Псориаз ногтевых пластин считается прогностическим фактором в развитии псориатического артрита. Энтезит, — это раннее воспалительное изменение, которое наблюдается при псориатическом артрите, а изменения в ногтевой пластине являются результатом тесной взаимосвязи между ногтем и энтезисом дистального межфалангового сухожилия разгибателя, одним из основных энтезийных элементов, пораженным при псориатическом артрите. Различные визуализирующие исследования показали, что среди пациентов с псориазом присутствует существенное число случаев недиагностированного псориатического артрита. Поскольку раннее выявление и лечение псориатического артрита могло бы в конечном счете позволить предотвратить клиническое и радиологическое развитие болезни, существует необходимость установить клинические параметры определения риска заболевания.

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