Evaluation of labor loss and related conditions in psoriatic arthritis patients

Aim: Psoriatic arthritis (PsA) is a chronic inflammatory disease associated with psoriasis capable of musculoskeletal involvement in the form of sacroiliitis, spondylitis, enthesitis, dactylitis and arthritis. Managing patients with psoriatic arthritis is one of the most important problems. Especially due to musculoskeletal involvement, palpo-plantor region involvement, fatigue, itching symptoms and insomnia, loss of labor is expected for this patient. We evaluated the loss of labor and the situations that caused it in arthritis patients Material and Method: 50 PsA patients, 50 control groups were taken. All patients were evaluated in terms of insomnia severity index, VAS pain scoring, FACİT, DAPSA, PASI, NAPSI, LEI, HAD and loss of labor. The erythrocyte sedimentation rate, which is one of the routine examinations, was measured as Westergren method (mm/hour), and CRP was measured as nephelometric (mg/dl). Results: There was no significant difference in terms of the percentage of work and overall unemployment in the patient and control groups (p>0,05). A significant difference was found in the patient and control groups in the percentage of efficiency loss (p=0,024) and the percentage of health-related activity (p=0,00). Percent reduction in daily activities and the number of sensitive joints (p=0,002), Doctor VAS score (p=0,001), patient VAS score (p=0,000), DAPSA (p=0,005), LEI (p=0,002) and there was a significant difference between sedimentation (p=0,044). Conclusion: In our study, we observed mostly effects on daily activities. The loss in work time was limited. However, in patients with insomnia, fatigue and enthesitis, we observed a decrease in work efficiency as well as being affected by their daily work Keywords: psoriatic arthritis, loss of labor, productivity