Аннотация:To the Editor: I read with interest the editorial by Lubrano, et al 1 recently published in The Journal , and I fully agree with the authors about the clinical complexity usually provided by the natural course of psoriatic arthritis. Lubrano, et al expressed the idea that, when compared with the term psoriatic disease , that of psoriatic syndrome should better explain this complexity. This approach could seem a step back. Indeed, the real “syndromic phenotype” is enclosed in the spondyloarthritis (SpA) complex, in which articular involvement may exist with psoriasis, inflammatory bowel disease, uveitis, or alone. The SpA syndrome in the presence of familiarity and/or overt skin or nail psoriasis constitutes a disease usually named psoriatic arthritis , which is characterized by a distinct profile … Address correspondence to Dr. R. Scarpa, Rheumatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Via S. Pansini 5, 80131 Naples, Italy. E-mail: rscarpa{at}unina.it
