title: Patients with Psoriatic Arthritis Fulfilling the Minimal Disease Activity Criteria Do Not Have Swollen and Tender Joints, but Have Active Skin.
abstract: To evaluate components of the minimal disease activity (MDA) criteria in psoriatic arthritis (PsA).
  
  
  
  In patients achieving and not achieving MDA, fulfillment of each of the 7 criteria was evaluated.
  
  
  
  Among 41 patients with MDA, 7.4% did not fulfill the tender/swollen joint count whereas 49% did not fulfill the skin criteria. Of the 42 patients not fulfilling MDA, 100%, 76.5%, and 65% did not fulfill the patient pain score, the patient's global assessment, and the Psoriasis Area and Severity Index (PASI), respectively.
  
  
  
  A minority of patients with PsA fulfilling the MDA criteria presented active joints, but half had active skin. Visual analog scale scores and the PASI prevented patients from achieving MDA.
authors.affiliation: From the Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires; University Institute from Hospital Italiano de Buenos Aires; Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología, Buenos Aires, Argentina.J. Marin, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; M.L. Acosta Felquer, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; L. Ferreyra Garrot, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; S. Ruta, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; J. Rosa, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología; E.R. Soriano, MD, MSc, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología.
authors.forename: Josefina
authors.initials: J
authors.lastname: Marin
authors.affiliation: From the Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires; University Institute from Hospital Italiano de Buenos Aires; Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología, Buenos Aires, Argentina.J. Marin, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; M.L. Acosta Felquer, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; L. Ferreyra Garrot, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; S. Ruta, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; J. Rosa, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología; E.R. Soriano, MD, MSc, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología.
authors.forename: María Laura
authors.initials: ML
authors.lastname: Acosta Felquer
authors.affiliation: From the Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires; University Institute from Hospital Italiano de Buenos Aires; Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología, Buenos Aires, Argentina.J. Marin, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; M.L. Acosta Felquer, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; L. Ferreyra Garrot, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; S. Ruta, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; J. Rosa, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología; E.R. Soriano, MD, MSc, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología.
authors.forename: Leandro
authors.initials: L
authors.lastname: Ferreyra Garrot
authors.affiliation: From the Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires; University Institute from Hospital Italiano de Buenos Aires; Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología, Buenos Aires, Argentina.J. Marin, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; M.L. Acosta Felquer, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; L. Ferreyra Garrot, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; S. Ruta, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; J. Rosa, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología; E.R. Soriano, MD, MSc, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología.
authors.forename: Santiago
authors.initials: S
authors.lastname: Ruta
authors.affiliation: From the Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires; University Institute from Hospital Italiano de Buenos Aires; Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología, Buenos Aires, Argentina.J. Marin, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; M.L. Acosta Felquer, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; L. Ferreyra Garrot, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; S. Ruta, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; J. Rosa, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología; E.R. Soriano, MD, MSc, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología.
authors.forename: Javier
authors.initials: J
authors.lastname: Rosa
authors.affiliation: From the Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires; University Institute from Hospital Italiano de Buenos Aires; Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología, Buenos Aires, Argentina.J. Marin, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; M.L. Acosta Felquer, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; L. Ferreyra Garrot, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; S. Ruta, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires; J. Rosa, MD, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología; E.R. Soriano, MD, MSc, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, and the University Institute from Hospital Italiano de Buenos Aires, and Fundación Dr. Pedro M. Catoggio para el Progreso de la Reumatología. enrique.soriano@hospitalitaliano.org.ar.
authors.forename: Enrique R
authors.initials: ER
authors.lastname: Soriano
mesh_terms: D000328:Adult; D000368:Aged; D015535:Arthritis, Psoriatic / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D007596:Joints / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010808:Physical Examination; D012720:Severity of Illness Index; D012867:Skin / Q000473:pathology*
keywords: MINIMAL DISEASE ACTIVITY; OUTCOME MEASURES; PSORIATIC ARTHRITIS; REMISSION