Psoriatic arthritis Flashcards
1
Q
what joints in psoriatic arthritis
A
DIPs
2
Q
associated with what gene psoriatic arthritis
A
HLA-B27
3
Q
what appearance on hand xray
A
‘pencil in cup’ pencil: medial phalynx narrows towards top to look like a pencil point
distal phalynx provides curve into which the pencil points
4
Q
nail changes psoriasis
A
pitting, yellowing, transverse ridges or destruction (onycholysis)
5
Q
rx psoriatic arhtritis
A
NSAIDs
corticosteroid injections
DMARDs
anti-TNF
6
Q
examples of DMARDs
A
methotrexate
ciclosporin
sulfasalzine
hydroxychloroquine
7
Q
what can happen to the fingers in psoriatic arthritis
in what other disease cna this cocur?
A
dactylitis (digit swelling - inflammation of whole digit)
also occurs in ank spond
8
Q
intial rx of dactylitis and long term rx
A
NSAID and steroids
DMARD
