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© 1989 British Society for Rheumatology


brief-report

THE EFFECT OF PREGNANCY ON THE ONSET OF PSORIATIC ARTHRITIS

N. J. McHUGH and M. R. LAURENT

Wellington Regional Rheumatic Diseases Unit, Hutt Hospital Lower Hutt, New Zealand

Correspondence to: Address for correspondence: Dr. N. J. McHugh, Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath BA1 1RL, UK

Pregnancy may be a risk factor for the development of arthritis. The effect of pregnancy and other hormone-associated events on the expression of psoriasis and arthritis was investigated retrospectively in 33 female patients with psoriatic arthritis. Eighteen per cent of patients or 30% of mothers had onset of arthritis within 3 months postpartum. Another 5 patients (15%) had penmenopausal onset of arthritis. No such temporal association was seen with the onset of skin psonasis. Hormone-associated events appear to be as important modifiers of the arthritis associated with psoriasis as they are for other forms of joint disease.

KEY WORDS: Skin, Joint disease, Hormones, Menopause


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