Table 2.

The CASPAR criteria for classifying psoriatic arthritis

Inflammatory articular disease (joint, spine or entheseal), with three or more points from the following:
1. Evidence of psoriasis(a) Current psoriasis* orPsoriatic skin or scalp disease present today as judged by a rheumatologist or dermatologist
(b) Personal history of psoriasis orA history of psoriasis that may be obtained from patient, family doctor, dermatologist, rheumatologist or other qualified healthcare provider
(c) Family history of psoriasisA history of psoriasis in a first- or second-degree relative according to patient report
2. Psoriatic nail dystrophy
Typical psoriatic nail dystrophy including onycholysis, pitting and hyperkeratosis observed on current physical examination
3. A negative test for rheumatoid factor
By any method except latex but preferably by ELISA or nephelometry, according to the local laboratory reference range
4. Dactylitis(a) Current orSwelling of an entire digit
(b) HistoryA history of dactylitis recorded by a rheumatologist
5. Radiological evidence of juxta-articular new bone formationIll-defined ossification near joint margins (but excluding osteophyte formation) on plain radiographs of hand or foot
  • *Current psoriasis scores 2 points. CASPAR = Classification Criteria for Psoriatic Arthritis; ELISA = enzyme-linked immunosorbent assay