rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.47360/1995-4484-2025-79-85rsp-3703Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHАлгоритм диагностики поражения осевого скелета при псориатическом артритеDiagnostic algorithm for axial involvement in psoriatic arthritishttps://orcid.org/0000-0001-5015-7143ГубарьЕ. Е.GubarE. E.

Губарь Елена Ефимовна.

115522, Москва, Каширское шоссе, 34а

Elena E. Gubar.

115522, Moscow, Kashirskoye Highway, 34A

gubarelena@yandex.ruhttps://orcid.org/0000-0003-0579-1131КоротаеваТ. В.KorotaevaT. V.

115522, Москва, Каширское шоссе, 34а

Tatiana V. Korotaeva.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-8626-8419ВоробьеваЛ. Д.VorobyevaL. D.

115522, Москва, Каширское шоссе, 34а

Lyubov D. Vorobyeva.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-6875-4552ЛогиноваЕ. Ю.LoginovaE. Yu.

115522, Москва, Каширское шоссе, 34а

Elena Yu. Loginova.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-5968-2403КорсаковаЮ. Л.KorsakovaYu. L.

115522, Москва, Каширское шоссе, 34а

Yulia L. Korsakova.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0003-4005-1745ТремаскинаП. О.TremaskinaP. O.

115522, Москва, Каширское шоссе, 34а

Polina O. Tremaskina.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-7418-9369СмирновА. В.SmirnovA. V.

115522, Москва, Каширское шоссе, 34а

Alexander V. Smirnov.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-9755-5760УрумоваМ. М.UrumovaM. M.

115522, Москва, Каширское шоссе, 34а

Margarita M. Urumova.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-4285-0869ГлуховаС. И.GlukhovaS. I.

115522, Москва, Каширское шоссе, 34а

Svetlana I. Glukhova.

115522, Moscow, Kashirskoye Highway, 34A

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation2025020320256317985Copyright © Губарь Е.Е., Коротаева Т.В., Воробьева Л.Д., Логинова Е.Ю., Корсакова Ю.Л., Тремаскина П.О., Смирнов А.В., Урумова М.М., Глухова С.И., 20252025Губарь Е.Е., Коротаева Т.В., Воробьева Л.Д., Логинова Е.Ю., Корсакова Ю.Л., Тремаскина П.О., Смирнов А.В., Урумова М.М., Глухова С.И.Gubar E.E., Korotaeva T.V., Vorobyeva L.D., Loginova E.Y., Korsakova Y.L., Tremaskina P.O., Smirnov A.V., Urumova M.M., Glukhova S.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/3703

Цель – разработать алгоритм диагностики поражения позвоночника при псориатическом артрите (ПсА).

Материал и методы

Материал и методы. Обследовано 122 больных ПсА, соответствующих критериям CASPAR (The ClASsification for Psoriatic ARthritis), с длительностью ПсА до 10 лет, имеющих аксиальное поражение. Аксиальное поражение диагностировалось при наличии как минимум одного визуализационного признака: рентгенологически достоверного (р-д) сакроилиита (СИ; двусторонний СИ ≥II ст. или односторонний ≥III ст.), или активного СИ по данным магнитно-резонансной томографии (МРТ), или ≥1 синдесмофита (параспинального оссификата) в шейном и/или поясничном отделе позвоночника (ШОП и ПОП соответственно), и/или анкилоза дугоотростчатых суставов ШОП. Определяли воспалительную боль в спине (ВБС) по критериям ASAS (The Assessment of SpondyloArthritis international Society). Боль в спине/шее длительностью более трех месяцев, не соответствовавшую критериям ВБС ASAS, считали хронической (хрБС).

Результаты и обсуждение

Результаты и обсуждение. ВБС выявлена у 87 (71,3%), хрБС – у 35 (28,7%) больных, поздний возраст (после 40 лет) дебюта ВБС/хрБС – у 49 (40,2%), артрит – у 120 (98,4%), дактилит – у 75 (61,5%), энтезиты – у 69 (56,6%), псориаз – у 122 (100%), псориаз ногтей – у 90 (73,8%), изолированное аксиальное поражение без периферического артрита – у 2 (1,6%) пациентов. Р-дСИ обнаружен у 85 (69,7%) больных, у 28 (32,9%) из них р-дСИ сформировался без ВБС. Рентгенологические изменения в ШОП и/или ПОП обнаружены у 100 (82,0%); объемные некраевые синдесмофиты – у 60 (49,2%), асимметричные синдесмофиты в ПОП – у 22 (30,6%) из 72, параспинальные оссификаты – у 5 (4,1%) пациентов. Рентгенологические изменения в позвоночнике без р-дСИ выявлены у 37 (30,3%) больных, изменения в позвоночнике без изменений в крестцово-подвздошных суставах (КПС) по данным рентгенографии и МРТ – у 21 (17,2%) пациента. HLA-B27 обнаружен у 27 (31,4%) из 86 обследованных больных.

Разработан алгоритм диагностики поражения позвоночника при ПсА: всем больным с ПсА вне зависимости от наличия ВБС/хрБС необходимо проводить рентгенографию таза, ПОП с захватом двух нижнегрудных позвонков и ШОП. При отсутствии р-дСИ показана МРТ КПС. Диагноз аксПсА подтверждается данными визуализации: наличием р-дСИ и/или активного СИ по данным МРТ и/или ≥1 синдесмофита (параспинального оссификата) в ШОП и/или ПОП и/или анкилоза дугоотростчатых суставов ШОП.

The aim – to develop a unified diagnostic algorithm for axial psoriatic arthritis (axPsA).

Subjects and methods

Subjects and methods. 122 patients with psoriatic arthritis (PsA), duration less than 10 years, were included in the study according to CASPAR (The ClASsification for Psoriatic ARthritis) criteria, provided they also had axial involvement. Axial involvement was detected in case of radiographic sacroiliitis ((rSI); bilateral grade ≥2 or unilateral grade ≥3) or SI active according to magnetic resonance imaging (MRI) (MRI-SI), or ≥1 syndesmophyte(s) of the cervical and/or lumbar spine (CS/LS), or facet joints ankyloses of the CS. Patients were evaluated for the presence of inflammatory back pain (IBP) by ASAS (The Assessment of SpondyloArthritis international Society) criteria. Back pain lasting over three months, that did not meet ASAS criteria was considered chronic back pain (chrBP). HLA-B27 antigen status was observed.

Results and discussion

Results and discussion. IBP was identified in 87 (71.3%), chrBP – in 35 (28.7%) patients, 49 (40.2%) patients had older age (>40 years) at back pain onset. 120 (98.4%) patients had peripheral arthritis, 75 (61.5%) – dactylitis, 69 (56.6%) – enthesitis, 122 (100%) – psoriasis, 90 (73.8%) – nail psoriasis. Isolated axial disease without peripheral arthritis was found in 2 (1.6%) patients. RSI was detected in 85 (69.7%) patients, in 28 of 85 (32.9%) patients rSI developed without IBP. Spinal lesions of the LS and CS were found in 100 (82.0%) patients, chunky “non-marginal” syndesmophytes – in 60 (49.2%), asymmetrical syndesmophytes of the LS – in 22 of 72 (30.6%), paravertebral ossification – in 5 (4.1%) patients. Isolated spinal lesions without rSI were found in 37 (30.3%), isolated spinal lesions without rSI or MRI-SI – in 21 (17.2%) patients. HLA-B27 was observed in 27 of 86 (31.4%) examined patients. Diagnostic algorithm for axPsA was developed. All PsA patients, regardless whether they experienced IBP/chrBP or not, must undergo diagnostic imaging: pelvis, LS and CS X-ray. In patients without rSI, MRI of the sacroiliac joints should be performed. AxPsA diagnosis must be confirmed by imaging. Axial involvement is detected in case of rSI or MRI-SI, or ≥1 syndesmophyte(s) of the CS/LS, or facet joints ankyloses of the CS.

псориатический артритаксиальное поражениеpsoriatic arthritisaxial involvementReferencesCoates LC, Helliwell PS. Psoriatic arthritis: State of the art review. Clin Med (Lond). 2017;17(1):65-70. doi: 10.7861/clinmedicine.17-1-65Coates LC, Helliwell PS. Psoriatic arthritis: State of the art review. Clin Med (Lond). 2017;17(1):65-70. doi: 10.7861/clinmedicine.17-1-65Губарь ЕЕ, Логинова ЕЮ, Корсакова ЮЛ, Коротаева ТВ, Глухова СИ, Седунова МВ, и др. Особенности поражения аксиального скелета при псориатическом артрите: данные реальной клинической практики. Научно-практическая ревматология. 2020;58(4):401-406. doi: 10.47360/1995-4484-2020-401-406Gubar EE, Loginova EYu, Kоrsakova YuL, Korotayeva TV, Glukhova SI, Sedunova MV, et al. Specific features of axial involvement in psoriatic arthritis: Data from real clinical practice. Nauchno-Prakticheskaya Revmatologia = Rheumatology Science and Practice. 2020;58(4):401-406 (In Russ.). doi: 10.47360/1995-4484-2020-401-406Chandran V. Psoriatic spondylitis or ankylosing spondylitis with psoriasis: Same or different? Curr Opin Rheumatol. 2019;31(4):329-334. doi: 10.1097/BOR.0000000000000609Chandran V. Psoriatic spondylitis or ankylosing spondylitis with psoriasis: Same or different? Curr Opin Rheumatol. 2019;31(4):329-334. doi: 10.1097/BOR.0000000000000609Jadon DR, Sengupta R, Nightingale A, Lindsay M, Korendowych E, Robinson G, et al. Axial disease in psoriatic arthritis study: Defining the clinical and radiographic phenotype of psoriatic spondyloarthritis. Ann Rheum Dis. 2017;76(4):701-707. doi: 10.1136/annrheumdis-2016-209853Jadon DR, Sengupta R, Nightingale A, Lindsay M, Korendowych E, Robinson G, et al. Axial disease in psoriatic arthritis study: Defining the clinical and radiographic phenotype of psoriatic spondyloarthritis. Ann Rheum Dis. 2017;76(4):701-707. doi: 10.1136/annrheumdis-2016-209853Feld J, Ye JY, Chandran V, Inman RD, Haroon N, Cook R, Gladman DD. Axial disease in psoriatic arthritis: The presence and progression of unilateral grade 2 sacroiliitis in a psoriatic arthritis cohort. Semin Arthritis Rheum. 2021;51(2):464-468. doi: 10.1016/j.semarthrit.2021.03.007Feld J, Ye JY, Chandran V, Inman RD, Haroon N, Cook R, Gladman DD. Axial disease in psoriatic arthritis: The presence and progression of unilateral grade 2 sacroiliitis in a psoriatic arthritis cohort. Semin Arthritis Rheum. 2021;51(2):464-468. doi: 10.1016/j.semarthrit.2021.03.007Kwok TSH, Sutton M, Pereira D, Cook RJ, Chandran V, Haroon N, et al. Isolated axial disease in psoriatic arthritis and ankylosing spondylitis with psoriasis. Ann Rheum Dis. 2022;81(12):1678-1684. doi: 10.1136/ard-2022-222537Kwok TSH, Sutton M, Pereira D, Cook RJ, Chandran V, Haroon N, et al. Isolated axial disease in psoriatic arthritis and ankylosing spondylitis with psoriasis. Ann Rheum Dis. 2022;81(12):1678-1684. doi: 10.1136/ard-2022-222537Puche-Larrubia MÁ, Ladehesa-Pineda L, Vázquez-Mellado J, Escudero-Contreras A, Gratacós J, Juanola X, et al. Identification of the first signs or symptoms in different spondyloarthritis subtypes and their association with HLA-B27: Data from REGISPONSER and RESPONDIA registries. RMD Open. 2023;9(3):e003235. doi: 10.1136/rmdopen-2023-003235Puche-Larrubia MÁ, Ladehesa-Pineda L, Vázquez-Mellado J, Escudero-Contreras A, Gratacós J, Juanola X, et al. Identification of the first signs or symptoms in different spondyloarthritis subtypes and their association with HLA-B27: Data from REGISPONSER and RESPONDIA registries. RMD Open. 2023;9(3):e003235. doi: 10.1136/rmdopen-2023-003235Mease PJ, Palmer JB, Liu M, Kavanaugh A, Pandurengan R, Ritchlin CT, et al. Influence of axial involvement on clinical characteristics of psoriatic arthritis: Analysis from the Corrona psoriatic arthritis/spondyloarthritis registry. J Rheumatol. 2018;45(10):1389-1396. doi: 10.3899/jrheum.171094Mease PJ, Palmer JB, Liu M, Kavanaugh A, Pandurengan R, Ritchlin CT, et al. Influence of axial involvement on clinical characteristics of psoriatic arthritis: Analysis from the Corrona psoriatic arthritis/spondyloarthritis registry. J Rheumatol. 2018;45(10):1389-1396. doi: 10.3899/jrheum.171094Коротаева ТВ, Губарь ЕЕ, Логинова ЕЮ, Корсакова ЮЛ, Василенко ЕА, Ильевский ИЮ, и др. Результаты неинтервенционного наблюдательного многоцентрового исследования тактики ведения пациентов с аксиальным псориатическим артритом в условиях реальной клинической практики (NiSaXPA). Современная ревматология. 2023;17(6):22-30. doi: 10.14412/1996-7012-2023-6-22-30Korotaeva TV, Gubar EE, Loginova EY, Korsakova YL, Vasilenko EA, Ilyevsky IY, et al. Results of a non-interventional observational multicenter study of the management of patients with axial psoriatic arthritis in real-life clinical practice (NiSaXPA). Modern Rheumatology Journal. 2023;17(6):22-30 (In Russ.). doi: 10.14412/1996-7012-2023-6-22-30Poddubnyy D. Managing psoriatic arthritis patients presenting with axial symptoms. Drugs. 2023;83:497-505. doi: 10.1007/s40265-023-01857-wPoddubnyy D. Managing psoriatic arthritis patients presenting with axial symptoms. Drugs. 2023;83:497-505. doi: 10.1007/s40265-023-01857-wGossec L, Kerschbaumer A, Ferreira RJO, Aletaha D, Baraliakos X, Bertheussen H, et al. EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2023 update. Ann Rheum Dis. 2024;83(6):706-719. doi: 10.1136/ard-2024-225531Gossec L, Kerschbaumer A, Ferreira RJO, Aletaha D, Baraliakos X, Bertheussen H, et al. EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2023 update. Ann Rheum Dis. 2024;83(6):706-719. doi: 10.1136/ard-2024-225531Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H; CASPAR Study Group. Classification criteria for psoriatic arthritis: Development of new criteria from a large international study. Arthritis Rheum. 2006;54(8):2665-2673. doi: 10.1002/art.21972Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H; CASPAR Study Group. Classification criteria for psoriatic arthritis: Development of new criteria from a large international study. Arthritis Rheum. 2006;54(8):2665-2673. doi: 10.1002/art.21972Sieper J, van der Heijde D, Landewé R, Brandt J, Burgos-Vagas R, Collantes-Estevez E, et al. New criteria for inflammatory back pain in patients with chronic back pain: A real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis. 2009;68(6):784-788. doi: 10.1136/ard.2008.101501Sieper J, van der Heijde D, Landewé R, Brandt J, Burgos-Vagas R, Collantes-Estevez E, et al. New criteria for inflammatory back pain in patients with chronic back pain: A real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis. 2009;68(6):784-788. doi: 10.1136/ard.2008.101501Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL, Calin A. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol. 1994;21(9):1694-1698.Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL, Calin A. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol. 1994;21(9):1694-1698.van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis: A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27(4):361-368. doi: 10.1002/art.1780270401van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis: A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27(4):361-368. doi: 10.1002/art.1780270401Maksymowych WP, Lambert RG, Østergaard M, Pedersen SJ, Machado PM, Weber U, et al. MRI lesions in the sacroiliac joints of patients with spondyloarthritis: An update of definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2019;78(11):1550-1558. doi: 10.1136/annrheumdis-2019-215589Maksymowych WP, Lambert RG, Østergaard M, Pedersen SJ, Machado PM, Weber U, et al. MRI lesions in the sacroiliac joints of patients with spondyloarthritis: An update of definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2019;78(11):1550-1558. doi: 10.1136/annrheumdis-2019-215589Chandran V, Barrett J, Schentag CT, Farewell VT, Gladman DD. Axial psoriatic arthritis: Update on a longterm prospective study. J Rheumatol. 2009;36(12):2744-2750. doi: 10.3899/jrheum.090412Chandran V, Barrett J, Schentag CT, Farewell VT, Gladman DD. Axial psoriatic arthritis: Update on a longterm prospective study. J Rheumatol. 2009;36(12):2744-2750. doi: 10.3899/jrheum.090412Aydin SZ, Kucuksahin O, Kilic L, Dogru A, Bayindir O, Ozisler C, et al. Axial psoriatic arthritis: The impact of underdiagnosed disease on outcomes in real life. Clin Rheumatol. 2018;37(12):3443-3448. doi: 10.1007/s10067-018-4173-4Aydin SZ, Kucuksahin O, Kilic L, Dogru A, Bayindir O, Ozisler C, et al. Axial psoriatic arthritis: The impact of underdiagnosed disease on outcomes in real life. Clin Rheumatol. 2018;37(12):3443-3448. doi: 10.1007/s10067-018-4173-4Ogdie A, Blachley T, Glynn M, Rebello S, Dube B, Mclean R, et al. Comparison of patients with psoriatic arthritis (PsA) and investigator-defined axial PsA to patients with PsA and elevated patient-reported spine pain: Findings from the Corrona psoriatic arthritis/ spondyloarthritis (PsA/SpA) registry. Ann Rheum Dis. 2020;79 (Suppl 1):34-35. doi: 10.1136/annrheumdis-2020-eular.1072Ogdie A, Blachley T, Glynn M, Rebello S, Dube B, Mclean R, et al. Comparison of patients with psoriatic arthritis (PsA) and investigator-defined axial PsA to patients with PsA and elevated patient-reported spine pain: Findings from the Corrona psoriatic arthritis/ spondyloarthritis (PsA/SpA) registry. Ann Rheum Dis. 2020;79 (Suppl 1):34-35. doi: 10.1136/annrheumdis-2020-eular.1072Schmidt CO, Günther KP, Goronzy J, Albrecht K, Chenot JF, Callhoff J, et al. Häufigkeiten muskuloskelettaler Symptome und Erkrankungen in der bevölkerungsbezogenen NAKO Gesundheitsstudie [Frequencies of musculoskeletal symptoms and disorders in the population-based German National Cohort (GNC)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020;63(4):415-425 (In German). doi: 10.1007/s00103-020-03110-1Schmidt CO, Günther KP, Goronzy J, Albrecht K, Chenot JF, Callhoff J, et al. Häufigkeiten muskuloskelettaler Symptome und Erkrankungen in der bevölkerungsbezogenen NAKO Gesundheitsstudie [Frequencies of musculoskeletal symptoms and disorders in the population-based German National Cohort (GNC)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020;63(4):415-425 (In German). doi: 10.1007/s00103-020-03110-1de Souza IMB, Sakaguchi TF, Yuan SLK, Matsutani LA, do Espírito-Santo AS, Pereira CAB, et al. Prevalence of low back pain in the elderly population: A systematic review. Clinics (Sao Paulo). 2019;74:e789. doi: 10.6061/clinics/2019/e789de Souza IMB, Sakaguchi TF, Yuan SLK, Matsutani LA, do Espírito-Santo AS, Pereira CAB, et al. Prevalence of low back pain in the elderly population: A systematic review. Clinics (Sao Paulo). 2019;74:e789. doi: 10.6061/clinics/2019/e789Poddubnyy D, Weineck H, Diekhoff T, Redeker I, Gobejishvili N, Llop M, et al. Clinical and imaging characteristics of osteitis condensans ilii as compared with axial spondyloarthritis. Rheumatology (Oxford). 2020;59(12):3798-3806. doi: 10.1093/rheumatology/keaa175Poddubnyy D, Weineck H, Diekhoff T, Redeker I, Gobejishvili N, Llop M, et al. Clinical and imaging characteristics of osteitis condensans ilii as compared with axial spondyloarthritis. Rheumatology (Oxford). 2020;59(12):3798-3806. doi: 10.1093/rheumatology/keaa175Wang W, Lee YH, Wei JC, Mease P. Similarities and differences between axial spondyloarthritis and axial psoriatic arthritis. Int J Rheum Dis. 2023;26(3):407-409. doi: 10.1111/1756-185X.14537Wang W, Lee YH, Wei JC, Mease P. Similarities and differences between axial spondyloarthritis and axial psoriatic arthritis. Int J Rheum Dis. 2023;26(3):407-409. doi: 10.1111/1756-185X.14537Клинические рекомендации. Псориаз артропатический. Псориатический артрит. 2021. URL: https://cr.minzdrav.gov.ru/recomend/562_2 (Accessed: 13th July 2022).Clinical recommendations. Arthropathic psoriasis. Psoriatic arthritis. 2021 (In Russ.). URL: https://cr.minzdrav.gov.ru/recomend/562_2 (Accessed: 13th July 2022).Helliwell PS. Axial disease in psoriatic arthritis. Rheumatology (Oxford). 2020;59(6):1193-1195. doi: 10.1093/rheumatology/kez629Helliwell PS. Axial disease in psoriatic arthritis. Rheumatology (Oxford). 2020;59(6):1193-1195. doi: 10.1093/rheumatology/kez629Губарь ЕЕ, Коротаева ТВ, Корсакова ЮЛ, Логинова ЕЮ, Смирнов АВ, Сухинина АВ, и др. Клинико-инструментальная характеристика поражения позвоночника при псориатическом артрите в реальной клинической практике. Научно-практическая ревматология. 2022;60(4):465-472. doi: 10.47360/1995-4484-2022-465-472Gubar EE, Korotaeva TV, Korsakova YuV, Loginova EYu, Smirnov AV, Sukhinina AV, et al. Clinical and instrumental characteristics of axial involvement in psoriatic arthritis in real-life clinical practice. Nauchno-Prakticheskaya Revmatologia = Rheumatology Science and Practice. 2022;60(4):465-472 (In Russ.). doi: 10.47360/1995-4484-2022-465-472Губарь ЕЕ, Коротаева ТВ, Корсакова ЮЛ, Логинова ЕЮ, Смирнов АВ, Сухинина АВ, и др. Оценка возможности применения критериев аксиального спондилоартрита и анкилозирующего спондилита для диагностики поражения позвоночника при псориатическом артрите. Научно-практическая ревматология. 2023;61(4):493-500. doi: 10.47360/1995-4484-2023-493-500Gubar EE, Korotaeva TV, Korsakova YuL, Loginova EYu, Smirnov AV, Sukhinina AV, et al. Evaluation of the possibility of axial psoriatic arthritis patients meet classification criteria for axial spondyloarthritis and ankylosing spondylitis. Nauchno-Prakticheskaya Revmatologia = Rheumatology Science and Practice. 2023;61(4):493-500. (In Russ.). doi: 10.47360/1995-4484-2023-493-500Губарь ЕЕ, Коротаева ТВ, Дубинина ТВ, Воробьева ЛД, Тремаскина ПО, Агафонова ЕМ, и др. Сравнительная характеристика аксиального спондилоартрита и псориатического артрита с поражением позвоночника. Научно-практическая ревматология. 2024;62(2):168-175. doi: 10.47360/1995-4484-2024-168-175Gubar EE, Korotaeva TV, Dubinina TV, Vorobyeva LD, Tremaskina PO, Agafonova EM, et al. Comparative characteristics of axial spondyloarthritis and psoriatic arthritis with axial involvement. Nauchno-Prakticheskaya Revmatologia = Rheumatology Science and Practice. 2024;62(2):168-175 (In Russ.). doi: 10.47360/1995-4484-2024-168-175Poddubnyy D, Jadon DR, van den Bosch F, Mease PJ, Gladman DD. Axial involvement in psoriatic arthritis: An update for rheumatologists. Semin Arthritis Rheum. 2021;51(4):880-887. doi: 10.1016/j.semarthrit.2021.06.006Poddubnyy D, Jadon DR, van den Bosch F, Mease PJ, Gladman DD. Axial involvement in psoriatic arthritis: An update for rheumatologists. Semin Arthritis Rheum. 2021;51(4):880-887. doi: 10.1016/j.semarthrit.2021.06.006Feld J, Chandran V, Haroon N, Inman R, Gladman D. Axial disease in psoriatic arthritis and ankylosing spondylitis: A critical comparison. Nat Rev Rheumatol. 2018;14(6):363-371. doi: 10.1038/s41584-018-0006-8Feld J, Chandran V, Haroon N, Inman R, Gladman D. Axial disease in psoriatic arthritis and ankylosing spondylitis: A critical comparison. Nat Rev Rheumatol. 2018;14(6):363-371. doi: 10.1038/s41584-018-0006-8Feld J, Ye JY, Chandran V, Inman RD, Haroon N, Cook R, Gladman DD. Is axial psoriatic arthritis distinct from ankylosing spondylitis with and without concomitant psoriasis? Rheumatology (Oxford). 2020;59(6):1340-1346. doi: 10.1093/rheumatology/kez457Feld J, Ye JY, Chandran V, Inman RD, Haroon N, Cook R, Gladman DD. Is axial psoriatic arthritis distinct from ankylosing spondylitis with and without concomitant psoriasis? Rheumatology (Oxford). 2020;59(6):1340-1346. doi: 10.1093/rheumatology/kez457Baraliakos X, Østergaard M, Lambert RG, Eshed I, Machado PM, Pedersen SJ, et al. MRI lesions of the spine in patients with axial spondyloarthritis: An update of lesion definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2022;81(9):1243-1251. doi: 10.1136/annrheumdis-2021-222081Baraliakos X, Østergaard M, Lambert RG, Eshed I, Machado PM, Pedersen SJ, et al. MRI lesions of the spine in patients with axial spondyloarthritis: An update of lesion definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2022;81(9):1243-1251. doi: 10.1136/annrheumdis-2021-222081McGonagle D, David P, Macleod T, Watad A. Predominant ligament-centric soft-tissue involvement differentiates axial psoriatic arthritis from ankylosing spondylitis. Nat Rev Rheumatol. 2023;19(12):818-827. doi: 10.1038/s41584-023-01038-9McGonagle D, David P, Macleod T, Watad A. Predominant ligament-centric soft-tissue involvement differentiates axial psoriatic arthritis from ankylosing spondylitis. Nat Rev Rheumatol. 2023;19(12):818-827. doi: 10.1038/s41584-023-01038-9Diaz P, Feld J,Eshed I, Eder L. Characterising axial psoriatic arthritis: Correlation between whole spine MRI abnormalities and clinical, laboratory and radiographic fndings. RMD Open. 2022;8:e002011. doi: 10.1136/rmdopen-2021-002011Diaz P, Feld J,Eshed I, Eder L. Characterising axial psoriatic arthritis: Correlation between whole spine MRI abnormalities and clinical, laboratory and radiographic fndings. RMD Open. 2022;8:e002011. doi: 10.1136/rmdopen-2021-002011Poddubnyy D, Baraliakos X, van den Bosch F, Braun J, Coates LC. Axial Involvement in Psoriatic Arthritis cohort (AXIS): The protocol of a joint project of the Assessment of SpondyloArthritis international Society (ASAS) and the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA). Ther Adv Musculoskel Dis. 2021;13:1-11. doi: 10.1177/1759720X211057975Poddubnyy D, Baraliakos X, van den Bosch F, Braun J, Coates LC. Axial Involvement in Psoriatic Arthritis cohort (AXIS): The protocol of a joint project of the Assessment of SpondyloArthritis international Society (ASAS) and the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA). Ther Adv Musculoskel Dis. 2021;13:1-11. doi: 10.1177/1759720X211057975Poddubnyy D, Protopopov M. Radiographic progression in non-radiographic axial spondyloarthritis. Expert Rev Clin Immunol. 2018;14(6):525-533. doi: 10.80/1744666X.2018.1477591Poddubnyy D, Protopopov M. Radiographic progression in non-radiographic axial spondyloarthritis. Expert Rev Clin Immunol. 2018;14(6):525-533. doi: 10.80/1744666X.2018.1477591Coates LC, Baraliakos X, Blanco FJ, Blanco-Morales EA, Braun J, Chandran V, et al. The phenotype of axial spondyloarthritis: Is it dependent on HLA-B27 status? Arthritis Care Res (Hoboken). 2021;73(6):856-860. doi: 10.1002/acr.24174Coates LC, Baraliakos X, Blanco FJ, Blanco-Morales EA, Braun J, Chandran V, et al. The phenotype of axial spondyloarthritis: Is it dependent on HLA-B27 status? Arthritis Care Res (Hoboken). 2021;73(6):856-860. doi: 10.1002/acr.24174Eder L, Chandran V, Gladman DD. What have we learned about genetic susceptibility in psoriasis and psoriatic arthritis? Curr Opin Rheumatol. 2015;27(1):91-98. doi: 10.1097/BOR.0000000000000136Eder L, Chandran V, Gladman DD. What have we learned about genetic susceptibility in psoriasis and psoriatic arthritis? Curr Opin Rheumatol. 2015;27(1):91-98. doi: 10.1097/BOR.0000000000000136

The authors declare that there are no conflicts of interest present.