College of Health Sciences

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Browsing College of Health Sciences by Author "Ababiya Tafesse"

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    Magnitude and Pattern of Psoriatic Arthritis Using PEST Questionnaire among Patient with Psoriasis Attending at ALERT Hospital, Dermatology OPD Addis Ababa 2023: Prospective Single Centered Cross Sectional Study.
    (Addis Ababa University, 2024-01-05) Ababiya Tafesse; Amel Beshir
    Background: Psoriatic arthritis is the most common extra-cutaneous manifestation of psoriasis, and affects musculoskeletal structures mainly joints and entheses, where tendons and ligaments attach to the bone. It is a chronic immune-mediated, seronegative arthritis with a heterogeneous presentation. Its prevalence ranges from 3.2 to 41% among psoriatic patients with equal sex prevalence. Most of the PsA patients were first evaluated for skin psoriasis 10 years before PsA onset and PsA is often undiagnosed and unrecognized among patients followed at dermatology clinics. So, we have to equip dermatologists with tools that can easily assist in identifying PsA. The psoriasis epidemiologic screening tool (PEST) is a validated screening tool for psoriatic arthritis (PsA) that was developed to detect and study the prevalence of PsA. Since it has only five questions, it is easy to use in routine OPD setup. Objective: To determine the magnitude of PsA among PsO patients at ALERT Hospital. Methods: Cross-sectional study single centered hospital-based prospective study design. Result: There were 65 patients with psoriasis involved in the study with a 99.9% response rate, among those involved in this study, there were 44(67.7%) male and 21(32.3%) female participants, with a mean age of 40.3 year with a standard deviation of 14.88 years. We have 13.9 % of patients with PsA, among these 5(55.5%%) were male and 4(44.444%) were female with p(0.455).The pattern of PsA in our patient according to Moll’s classification were (44.4%) 4, (22%) 3,(33.3%%) ,(22%) 2, and 0% for oligoarthritis, polyarthritis, predominantly hand joint, spondyloarthritis and arthritis mutilans respectively and 66% had psoriasis skin manifestation precedes joint symptoms of PsA and 33% had concurrent onset between psoriasis skin manifestation and PsA. Conclusion: We found out that 13.8% were patients with PsA among total psoriasis participants which indicates it is not rare despite the limitation of the study..Also the underdiagnosed rate in our study also 13.8% since all patients were not classified as PsA before. Not all patients with psoriasis having joint symptoms are PsA patients. The commonest pattern of PsA found to be oligoarthritis