Clinical Study

Systemic Autoimmune, Rheumatic Diseases and Coinciding Psoriasis: Data from a Large Single-Centre Registry and Review of the Literature

Table 1

Patient characteristics with rheumatoid arthritis associated with psoriasis.

The age of RA onset Comorbidity Immunoserology Actual clinical status DMARD therapy Response to DMARD Corticosteroids (mg PED) Biological therapy Response to biology therapy Psoriatic arthritis

63 yrs Hypertension ANA, ACPA Remission Sulfasalazine-leukopenia, oral methotrexate-gastrointestinal side effect, cyclosporine-with golimumabNonresponder Golimumab Remission Axial

46 yrs RF, ACPA, ANA Remission Oral methotrexate-ineffective, sulfasalazine-gastrointestinal side effect Nonresponder Etanercept Remission Peripheral

59 yrs Systemic sclerosis RF, ACPA, ANA Remission Chloroquine-gastrointestinal side effect sulfasalazine Nonresponder Adalimumab-ineffective, rituximab Remission Peripheral

32 yrs Hypertension RF, ACPA, ANA Active polyarthritis Oral methotrexate-bone marrow toxicity azathioprine-ineffective cyclosporine-ineffective combination of chloroquine, sulfasalazine, oral methotrexate-GI side effect subcutaneous methotrexate Ineffective >7.5 continuously Adalimumab-ineffective etanercept-ineffective golimumab-ineffective Nonresponder Peripheral and axial

40 yrs Sjögren’s syndrome, neurofibromatosis RF, ACPA, ANA, aCL IgM Severe glandular symptoms, active polyarthritis Leflunomide-ineffective, oral methotrexate-hepatotoxicity Nonresponder Etanercept Just started Peripheral

RA: rheumatoid arthritis, ANA: anti-nuclear antibody, ACPA: anti-citrullinated peptide antibody, aCL IgM: anti-cardiolipin antibody immunoglobulin M, DMARD: disease-modifying antirheumatic drugs, and PED: prednisolone equivalent dose.