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Rheumatology 2003; 42: 909-911
© 2003 British Society for Rheumatology
Letters to the Editor |
Asymptomatic erosive peripheral psoriatic arthritis: a frequent finding in Italian patients
Division of Rheumatology, Villa Pini Clinic, Chieti and
1 First Division of Internal Medicine, Spirito Santo Hospital, Pescara, Italy
| The first 10% of the full text of this article appears below. |
SIR, Painless spondylitis [1], sacroiliac joint involvement [2] and enthesitis [3] have been well described in patients suffering from psoriatic arthritis (PsA). Two years ago we first described the occurrence of two cases of asymptomatic erosive psoriatic polyarthritis [4]. That report demonstrated that in the peripheral joints the inflammatory process of PsA can also induce bone damage without occurrence of pain, swelling and other clinical signs of arthritis. Furthermore, we showed that silent PsA can occur in a destructive manner