• Psoriatic Arthritis

    by  • 28/06/2013 • Rheumatology

    1. Inflammatory arthritis associated to psoriasis (40% of psoriasis pts have PA)
    2. Men = women, 75% have psoriasis before arthropathy, in 10% arthropathy precedes.
    3. Presentations variable:
    4. Distal = DIP swelling, nail dystrophy, flexion deformities, dactylitis
    5. Rheumatoid-like = polyarthropathy but less symmetrical and RhF-ve
    6.  
    1. Mutilans = severe psoriasis, erosions, bone dissolves, progressive deformity
    2. Ankylsoing spondylitis/sacriliitis = HLA B27+ve
    3. Ix: raised WCC, high ESR/CRP, RhF-ve, Xray can be diagnostic.
    4. Mx: education, NSAIDs, physio, refer to rheum, methotrexate may be of final use. 
    VN:F [1.9.22_1171]
    Rating: 0 (from 0 votes)