Psoriatic Arthritis (2)

Question 1

What is it?

What are its 3 common presenting patterns?

Answer 1

➊ Inflammatory arthritis associated with Psoriasis - 10-40% of psoriasis pts

➋ • Symmetrical polyarthritis - similar to RA
• Asymmetrical oligoarthritis
• Spondylitis +/– sacroiliitis

Question 2

What are the features of it?

Answer 2

• Psoriatic skin plaques
• Nail changes - Koilonychia and Onycholysis
• Dactylitis - distinctive features, occuring in 25% of pts

Question 3

How is it managed?

Answer 3

• Steroids/NSAIDs for symptomatic relief
• DMARDS (Methotrexate, Sulfasalazine, Hydroxychlowoquine)
• Biologics (Infliximab)