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Classification Criteria for Psoriasis and Psoriatic Arthritis

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Psoriatic Arthritis and Psoriasis

Abstract

Classification criteria are primarily for assembling meaningfully homogenous groups of patients for the purpose of clinical research. They are not for diagnosis in clinical interactions between physicians and patients. The classification criteria most commonly used for psoriatic arthritis currently are the CASPAR criteria, which demonstrate high levels of accuracy in a variety of contexts. Classification criteria do not resolve challenges to disease concept but simply reflect current understanding and may evolve with greater knowledge of the pathophysiological basis of psoriatic arthritis. Recent classification criteria for spondyloarthritis, among which psoriatic arthritis is included, has identified additional challenges for disease concept.

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References

  1. Langley RG, Elewski BE, Lebwohl M, et al. Secukinumab in plaque psoriasis--results of two phase 3 trials. N Engl J Med. 2014;371:326–38.

    Article  PubMed  Google Scholar 

  2. Gladman DD, Shuckett R, Russell ML, Thorne JC, Schachter RK. Psoriatic arthritis (PSA)--an analysis of 220 patients. Q J Med. 1987;62:127–41.

    PubMed  CAS  Google Scholar 

  3. Bennett RM. Psoriatic arthritis. In: McCarty DJ, editor. Arthritis and related conditions. 9th ed. Philadelphia: Lea & Febiger; 1979. p. 645.

    Google Scholar 

  4. Vasey F, Espinoza LR. Psoriatic arthropathy. In: Calin A, editor. Spondyloarthropathies. Orlando, Florida: Grune & Stratton; 1984. p. 151–85.

    Google Scholar 

  5. Dougados M, van der Linden S, Juhlin R, et al. The European Spondyloarthropathy Study Group preliminary criteria for the classification of spondyloarthropathy. Arthritis Rheum. 1991;34:1218–27.

    Article  PubMed  CAS  Google Scholar 

  6. McGonagle D, Conaghan PG, Emery P. Psoriatic arthritis: a unified concept twenty years on. Arthritis Rheum. 1999;42:1080–6.

    Article  PubMed  CAS  Google Scholar 

  7. Taylor WJ, Marchesoni A, Arreghini M, Sokoll K, Helliwell PS. A comparison of the performance characteristics of classification criteria for the diagnosis of psoriatic arthritis. Semin Arthritis Rheum. 2004;34:575–84.

    Article  PubMed  Google Scholar 

  8. Taylor WJ, Gladman DD, Helliwell PS, Marchesoni A, Mease PJ, Mielants H. Classification criteria for psoriatic arthritis: new criteria from a large international study. Arthritis Rheum. 2006;54:2665–73.

    Article  PubMed  Google Scholar 

  9. Congi L, Roussou E. Clinical application of the CASPAR criteria for psoriatic arthritis compared to other existing criteria. Clin Exp Rheumatol. 2010;28:304–10.

    PubMed  Google Scholar 

  10. Leung YY, Tam LS, Ho KW, et al. Evaluation of the CASPAR criteria for psoriatic arthritis in the Chinese population. Rheumatology (Oxford). 2010;49:112–5.

    Article  Google Scholar 

  11. Zlatkovic-Svenda M, Kerimovic-Morina D, Stojanovic RM. Psoriatic arthritis classification criteria: moll and wright, ESSG and CASPAR – a comparative study. Acta Reumatol Port. 2013;38:172–8.

    PubMed  Google Scholar 

  12. Coates LC, Conaghan PG, Emery P, et al. Sensitivity and specificity of the classification of psoriatic arthritis criteria in early psoriatic arthritis. Arthritis Rheum. 2012;64:3150–5.

    Article  PubMed  Google Scholar 

  13. Tillett W, Costa L, Jadon D, et al. The ClASsification for Psoriatic ARthritis (CASPAR) criteria--a retrospective feasibility, sensitivity, and specificity study. J Rheumatol. 2012;39:154–6.

    Article  PubMed  Google Scholar 

  14. D’Angelo S, Mennillo GA, Cutro MS, et al. Sensitivity of the classification of psoriatic arthritis criteria in early psoriatic arthritis. J Rheumatol. 2009;36:368–70.

    Article  PubMed  Google Scholar 

  15. Chandran V, Schentag CT, Gladman DD. Sensitivity and specificity of the CASPAR criteria for psoriatic arthritis in a family medicine clinic setting. J Rheumatol. 2008;35:2069–70; author reply 70.

    PubMed  Google Scholar 

  16. Chandran V, Schentag CT, Gladman DD. Sensitivity of the classification of psoriatic arthritis criteria in early psoriatic arthritis. Arthritis Rheum. 2007;57:1560–3.

    Article  PubMed  Google Scholar 

  17. Hernan MF, Gustavo C, Jose Antonio MC. Prevalence of psoriatic arthritis in psoriasis patients according to newer classification criteria. Clin Rheumatol. 2014;33:243–6.

    Article  Google Scholar 

  18. Coates LC, Aslam T, Al Balushi F, et al. Comparison of three screening tools to detect psoriatic arthritis in patients with psoriasis (CONTEST study). Br J Dermatol. 2013;168:802–7.

    Article  PubMed  CAS  Google Scholar 

  19. Rudwaleit M, Landewe R, van der Heijde D, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part I): classification of paper patients by expert opinion including uncertainty appraisal. Ann Rheum Dis. 2009;68:770–6.

    Article  PubMed  CAS  Google Scholar 

  20. Rudwaleit M, van der Heijde D, Landewe R, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann Rheum Dis. 2009;68:777–83.

    Article  PubMed  CAS  Google Scholar 

  21. Braun J, Baraliakos X, Kiltz U, Heldmann F, Sieper J. Classification and diagnosis of axial spondyloarthritis – what is the clinically relevant difference? J Rheumatol. 2014;42(1):31–8.

    Article  PubMed  Google Scholar 

  22. Rudwaleit M, Taylor WJ. Classification criteria for psoriatic arthritis and ankylosing spondylitis/axial spondyloarthritis. Bailliere’s Best Pract Res Clin Rheumatol. 2010;24:589–604.

    Article  Google Scholar 

  23. Battistone MJ, Manaster BJ, Reda DJ, Clegg DO. Radiographic diagnosis of sacroiliitis – are sacroiliac views really better? J Rheumatol. 1998;25:2395–401.

    PubMed  CAS  Google Scholar 

  24. van den Berg R, van Gaalen F, van der Helm-van Mil A, Huizinga T, van der Heijde D. Performance of classification criteria for peripheral spondyloarthritis and psoriatic arthritis in the Leiden early arthritis cohort. Ann Rheum Dis. 2012;71:1366–9.

    Article  PubMed  Google Scholar 

  25. Sieper J, van der Heijde D, Dougados M, et al. Efficacy and safety of adalimumab in patients with non-radiographic axial spondyloarthritis: results of a randomised placebo-controlled trial (ABILITY-1). Ann Rheum Dis. 2013;72:815–22.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  26. Taylor WJ, Robinson PC. Classification criteria: peripheral spondyloarthropathy and psoriatic arthritis. Curr Rheumatol Rep. 2013;15:1–7.

    Article  Google Scholar 

  27. Pedersen OB, Junker P. On the applicability of the CASPAR criteria in psoriatic arthritis. Ann Rheum Dis. 2008;67:1495–6.

    Article  PubMed  CAS  Google Scholar 

  28. Zlatkovic, Svenda MI, Kerimovic, Morina D, Stojanovic RM. Psoriatic arthritis criteria evaluation: CASPAR and Modified CASPAR. Clin Exp Rheumatol 2011;29:899-900

    Google Scholar 

  29. Mease PJ, Garg A, Helliwell PS, Park JJ, Gladman DD. Development of criteria to distinguish inflammatory from noninflammatory arthritis, enthesitis, dactylitis, and spondylitis: a report from the GRAPPA 2013 Annual Meeting. J Rheumatol. 2014;41:1249–52.

    Article  PubMed  Google Scholar 

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Correspondence to William J. Taylor MBChB, PhD, FAFRM, FRACP .

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Taylor, W.J. (2016). Classification Criteria for Psoriasis and Psoriatic Arthritis. In: Adebajo, A., Boehncke, WH., Gladman, D., Mease, P. (eds) Psoriatic Arthritis and Psoriasis. Springer, Cham. https://doi.org/10.1007/978-3-319-19530-8_3

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  • DOI: https://doi.org/10.1007/978-3-319-19530-8_3

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