A diagnostic challenge: foot and ankle tendinopathy or enthesopathy in patients with psoriasis who do not have psoriatic arthritis.
Reference1. Lewinson RT, Vallerand IA, Parsons LM, et al. Psoriasis and the risk of foot and ankle tendinopathy or enthesopathy in the absence of psoriatic arthritis: a population-based study. RMD Open. 2018;4:e000668.
Asymptomatic bone and tendon changes in the feet and ankles have been found on imaging studies in patients with cutaneous psoriasis. Lewinson and colleagues at the University of Calgary in Alberta, Canada, examined a medical records database from the UK to determine the incidence of tendinopathy or enthesopathy of the foot and ankle in patients with cutaneous psoriasis who do not have psoriatic arthritis.
Scroll through the slides for the details of the study and the take-home points for clinicians.
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After adjustments for covariates, patients with psoriasis remained at significantly increased risk for foot and ankle tendinopathy or enthesopathy (hazard ratio [HR], 1.25; 95% confidence interval [CI], 1.17 to 1.33; P < .0001).