7: Psoriatic Arthritis Flashcards
T/F Psoriatic arthritis can have asymmetric oligoarthritis.
True. Especially the DIPs.
Is psoriatic arthritis a symmetric or asymmetric polyarthritis?
Symmetric
Psoriatic arthritis is associated with _____ and extensive skin disease.
Nail pitting
T/F Psoriatic arthritis is seropositive.
False. It is mostly a seronegative oligoarthritis in patients with psoriasis.
If patients with psoriatic arthritis develop spinal involvement, what is it called?
Spondylitis
What is management for psoriatic arthritis (4)?
- NSAIDs
- Steroid Injections
- Methotrexate (helps skin and joints)
- Anti-TNFs (Adalimumab, Etanercept, Golimumb, Infliximab)
Why is hydroxychloroquine not an appealing treatment for psoriatic arthritis?
Usually for RA and SLE. It has a risk of causing a psoriasis flare.
Why is ibuprofen not an appealing treatment for psoriatic arthritis?
May reduce symptoms, but no effect on joint damage.
Why is prednisone not an appealing treatment for psoriatic arthritis?
Tapers are associated with skin flares.
Why is sulfasalazine not an appealing treatment for psoriatic arthritis?
It has modest benefit and is less effective than methotrexate.
T/F Psoriatic arthritis is associated with sausage digits (dactylitis) and tenosynovitis.
True
What joints are involved in psoriatic arthritis that are usually spared in RA?
Distal Interphalangeal Joints (DIPs)
