Key clinical point: Regular assessment of bone mineral density and initiation of primary prevention should be considered in patients with psoriatic arthritis (PsA) as they are predisposed to falls and fractures because of reduced bone density, particularly those with late-onset psoriasis involving scalp.
Major finding: Patients with PsA were at a significantly higher risk for osteopenia or osteoporosis (odds ratio [OR] 21.9; CI 7.1-67.7) and prevalent fractures (OR 3.42; P = .002) compared with control individuals, with scalp involvement ( P = .0049) and late onset of psoriasis ( P = .029) being significantly associated with greater number of prevalent fractures.
Study details: Findings are from an observational cohort study including 61 patients with PsA and 69 age-matched control individuals.
Disclosures: This study did not report the source of funding. The authors reported no conflicts of interest.
Source: Halasi A et al. Psoriatic arthritis and its special features predispose not only for osteoporosis but also for fractures and falls. J Dermatol. 2023 (Jan 17). Doi: 10.1111/1346-8138.16710