title: Fatigue in psoriasis with arthritis.
abstract: Patients have frequently described fatigue in association with chronic diseases, including cancer and a host of neurologic, metabolic, and psychiatric diseases. Fatigue can be influenced by factors such as the activity of the disease, medication, age, sex, and duration of symptoms. It presents a multidimensional influence with expression on physical, emotional, cognitive, and even social aspects of life. Fatigue also coexists and often interacts with other factors, including disturbance of mood, anemia, infections, fever, pain, sleep, and stress, making its evaluation complex. Psoriasis is a systemic inflammatory and chronic disease that can be widespread and recurrent. Patients with psoriatic arthritis have reduced physical activity (associated with pain, inflammation of joints, muscle hypotrophy, reduced muscular strength, and resistance), reduction of self-esteem, and depression and reduction of quality of life, leading to common somatic manifestations such as fatigue and sleep disturbances.
authors.affiliation: Sector of Dermatology and Post-Graduation Course in Dermatology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Claudio
authors.initials: C
authors.lastname: Carneiro
authors.forename: Mario
authors.initials: M
authors.lastname: Chaves
authors.forename: Gustavo
authors.initials: G
authors.lastname: Verardino
authors.forename: Alessandra
authors.initials: A
authors.lastname: Drummond
authors.forename: Marcia
authors.initials: M
authors.lastname: Ramos-e-Silva
authors.forename: Sueli
authors.initials: S
authors.lastname: Carneiro
mesh_terms: D015535:Arthritis, Psoriatic / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D005221:Fatigue / Q000150:complications* / Q000503:physiopathology* / Q000523:psychology; D006801:Humans