In the US, the prevalence of psoriatic arthritis (PsA) is between 0.05% and 0.25% and the incidence is between 3.6 and 7.2 per 100,000 patient-years in the general population.[5]Ogdie A, Weiss P. The epidemiology of psoriatic arthritis. Rheum Dis Clin North Am. 2015 Nov;41(4):545-68.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610151
http://www.ncbi.nlm.nih.gov/pubmed/26476218?tool=bestpractice.com
While PsA is uncommon in the general population, it occurs frequently in patients with psoriasis. According to a large meta-analysis of psoriasis patients, the prevalence of concurrent PsA is around 20%, rising to 25% in patients with moderate-to-severe disease.[6]Alinaghi F, Calov M, Kristensen LE, et al. Prevalence of psoriatic arthritis in patients with psoriasis: a systematic review and meta-analysis of observational and clinical studies. J Am Acad Dermatol. 2019 Jan;80(1):251-65.e19.
http://www.ncbi.nlm.nih.gov/pubmed/29928910?tool=bestpractice.com
PsA occurs equally in men and women, although earlier disease onset is observed in men. The incidence of PsA in women peaks in the 6th decade, mirroring an age-specific rise in the incidence of the skin disease in women. It is hypothesized that hormonal factors influence this sex difference.[7]Wilson FC, Icen M, Crowson CS, et al. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum. 2009 Feb 15;61(2):233-9.
http://www.ncbi.nlm.nih.gov/pubmed/19177544?tool=bestpractice.com
[8]Wilson FC, Icen M, Crowson CS, et al. Time trends in epidemiology and characteristics of psoriatic arthritis over 3 decades: a population-based study. J Rheumatol. 2009 Feb;36(2):361-7.
http://www.ncbi.nlm.nih.gov/pubmed/19208565?tool=bestpractice.com
PsA has been much less studied in black people and Asian people, compared with white people.[9]Ritchlin CT, Colbert RA, Gladman DD. Psoriatic arthritis. N Engl J Med. 2017 Mar 9;376(10):957-70.
http://www.ncbi.nlm.nih.gov/pubmed/28273019?tool=bestpractice.com