psoriatic arthritis Flashcards
what is it?
inflammatory arthritis associated with psoriasis
what is psoriasis?
red scaly patches on skin
what are articular symptoms?
asymmetrical oligoarthritis - can affect hands in similar pattern to RA
affects joints of hands and feet
spondylitis, actylisis and enthesitis commonly occur
what are extra-articular symptoms?
eye disease
nail involvement - pitting, onycholysis
what is it confined too if a patient presents with “sausage fingers”?
DIP joints
what is arthritis mutilans?
rare, aggressive, destructive form of condition
what is the clinical sign for arthritis mutilans?
opera-glass hand
what investigations are used?
bloods
x-ray
what will bloods show?
raised inflammatory markers
how do we know it’s not RA from the blood results?
negative RF and anti-CCP
what will x-ray show?
marginal erosions and whiskering
pencil in cup deformity
what is osteolysis?
disappearance of bone tissue
what is enthesitis?
inflammation of site where ligament inserts into bone
what is non-pharmacological treatment?
physio
occupational therapy
orthotics
chiropodist
what is 1st line pharmacological treatment?
NSAIDs
