71 psoriatic arthropathy. Flashcards
Definition of psoriatic arthropathy
It is a part of JIA
Scaly red rash that develop on the behind the ears eyelids elbows. Knees buttocks
Puts our ridges in finger balls
What is the age of onset of psoriatic arthropathy
7-10 years old
No male or female preference
Extra articular clinical manifestations
Uveitis
Psoriatic skin disease usually presents before the onset of arthritis
Nail disease characterized by onycholysis, pitting, and splinter hemorrhages
Joints it affects
Symmetrical - both knees or wrist
Asymmetrical- usually affects fingers and toes - oligoarthritis sausage appearance
DIP predominant - may result in changes to nails
Spondylitis inflammation of spinal column - stiffness and pain in neck lower back spinal vertebrae , sacroiliac region
Arthritis Mutians - most severe
Small joints of fingers and toes closes to nails
Affects the neck and lower back
Diagnosis of psoriatic throat
Arthritis and psoriatic with 2 of the following
Dactylitis
Nail putting and oncolytis
Family history of psoriatic
No Lab test specific for psoriatic arthritis
Serology negative
Rheumatoid factor negative.
HLAB27
Treatment
physical therapy / warm up stretching/ applying heat to muscles before exercise Nsaidss Dmards Tnf inhibitors - abatacept, or Corticosteroids
What causes psoriatic arthritis
HLAB27