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Rheumatism and psoriasis

A re-evaluation
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      Abstract

      One hundred fifty-four patients with psoriasis and various rheumatic complaints have been studied. In patients without erosive arthritis there were no unusual features of the skin or joint condition, and their association seemed fortuitous. There were 118 patients with psoriasis and erosive arthritis. They were contrasted with ninety-five patients with uncomplicated rheumatoid arthritis and a positive response to a sheep cell agglutination test and eighty-five with uncomplicated psoriasis. Twenty patients had psoriasis, erosive arthritis and a positive response to a sheep cell agglutination test. They did not differ from patients with uncomplicated rheumatoid arthritis and are thought to be examples of coincidental rheumatoid arthritis and psoriasis.
      Ninety-eight patients were thought to have psoriatic arthritis. The clinical features of this group have been analysed and compared. They were classified on clinical grounds into three groups (1) those with an arthritis involving primarily distal interphalangeal joints, (2) those with a severe deforming arthritis, (3) those with an arthritis clinically indistinguishable from rheumatoid arthritis
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