THE RELATIONSHIP BETWEEN ANTI-CCP POSITIVITY AND CLINICAL/RADIOLOGICAL
FINDINGS IN PATIENTS WITH PSORIATIC ARTHRITIS
Abstract
Psoriatic arthritis (PsA) is a chronic inflammatory disease in the
spondyloarthropathy group with the history of psoriasis. Although some
PsA findings are similar to rheumatoid arthritis (RA), rheumatoid factor
negativity, some radiological and clinical findings are different in
PsA. There is no spesific laboratory examination for diagnosis of PsA.
On the other hand, anti-CCP antibody positivity is a spesific finding
for the diagnosis of RA. Objectives: We aimed in this study to analyse
the frequency of anti-CCP positivity in PsA and the association with
clinical and radiological findings. Methods: The study group is
consisted of 100 PsA patients, who fulfilled the CASPAR cirteria for PsA
and 100 healthy controls (HC). We filled a form for all patients, which
included clinical and laboratory findings of patients. We analyzed
anti-CCP antibody with micro ELISA in the sera of patients. Results: In
our study, the anti-CCP positivity was detected in 15% of PsA group and
4% of healthy controls. The difference was statistically significant
(p=0,014; OR=4.24, 95% CI=1.35–13.25). Nine out of 15 anti-CCP
positive patients were female, the remaining 6 were male. Thirteen
patients (86,7%) had peripheral arthritis, 1 patient (6,7%)had
sacroiliitis, 1 patient (6,7%) had peripheral arthritis and
sacroiliitis. 42,8% of PsA patients with peripheral arthritis had
asymetric olygoarthritis (6/14), 28,5% had monoarthritis (4/14) and
28,5% had symetric polyarthritis (4/14). Anti-CCP antibody positivity
had no effect on the involvement of peripheral arthritis. Sacroiliitis
and dactilitis were more frequent in the anti-CCP negative group. No
patient with dactylitis had anti-CCP positivity (p=0.005). While, 43,5%
of RF positive patients were detected anti-CCP positivity, 6,5% of RF
negative patients were detected anti-CCP positivity (p=0,000).
Conclusions: Our data reveals that anti-CCP positivity is more frequent
in PsA compared to HC. We found no statisticall association between
anti-CCP positivity and clinical or radiological findings