Table 1.
Criterion | Description |
---|---|
1. Evidence of psoriasis | |
Current psoriasis | Psoriatic skin or scalp disease as judged by rheumatologist or dermatologist |
Personal history of psoriasis | History of psoriasis that may be obtained from patient, family physician, dermatologist, rheumatologist |
Family history of psoriasis | History of psoriasis in first- or second-degree relative according to patient |
2. Psoriatic nail dystrophy | Onycholysis, pitting, and hyperkeratosis |
3. Negative test for rheumatoid factor | Determined by any method, except latex, but preferably by enzyme-linked immunosorbent assay or nephelometry; based on reference range of local laboratory |
4. Dactylitis | |
Current dactylitis | Swelling of entire digit |
History of dactylitis | History as recorded by rheumatologist |
5. Radiographic evidence of juxtaarticular new bone formation | Ill-defined ossification near joint margins (excluding osteophyte formation) on radiographs of hands or feet |
A patient must have inflammatory articular disease (joint, spine, or entheseal) with a score of ≥ 3 points of the following 5 criteria. Current psoriasis is assigned a score of 2, while all other features are assigned a score of 1.