A genetic predisposition and a triggering event are thought to cause certain types of arthritis.

Twin studies in psoriasis have demonstrated a high rate of concordance among identical twins versus fraternal twins.

Identifying genes that are associated with susceptibility to a specific disease is no small task.

Doctor Treating Patient

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It may involve:

Sound complicated and confusing?

It is, as can be the nomenclature.

But, let’s peek at what has been found.

Several genetic factors have been identified.

The frequency of HLA-B27 is higher inankylosing spondylitisand reactive arthritis compared to psoriatic arthritis.

It is also worth mentioning that many people who have psoriasis and one of thespondyloarthropathiesare negative for HLA-B27.

Also, many people with psoriatic arthritis who are positive for HLA-B27 do not exhibit spinal involvement.

The reverse is true for HLA-DRB1*0402, which is more frequent in psoriatic arthritis than rheumatoid arthritis.

Other genes within the MHC region have been studied as well.

And, of course, keep open communication with your healthcare professional.

Gladman DD, Anhorn KA, Schachter RK, Mervart H.HLA antigens in psoriatic arthritis.J Rheumatol.

1986 Jun;13(3):586-592.

Rahman P, Elder JT.Genetic epidemiology of psoriasis and psoriatic arthritis.Ann Rheum Dis.

2005;64 Suppl 2(Suppl 2):ii37ii41.

doi:10.1136/ard.2004.030775

Chandran V, Schentag CT, Brockbank JE, et al.Familial aggregation of psoriatic arthritis.Ann Rheum Dis.

2014;28(5):673-85. doi:10.1016/j.berh.2014.10.010

Chandran V.Genetics of psoriasis and psoriatic arthritis.Indian J Dermatol.

2010;55(2):151156. doi:10.4103/0019-5154.62751

Firestein G, Kelly WN.

In: Kelley’s Textbook of Rheumatology (9th ed).

Pennsylvania, PA; 2012:Elsevier/Saunders.

Gladman DD, Ritchlin C.Pathogenesis of psoriatic arthritis.

Matthews AG, Finkelstein DM, Betensky RA.Analysis of familial aggregation studies with complex ascertainment schemes.Stat Med.

2008;27(24):50765092. doi:10.1002/sim.3327