Psoriatic Arthritis Flashcards
Joints commonly affected by psoriatic arthritis?
Neck, shoulder, elbows, back of spine, wrist is, knuckles, fingers and thumbs, knees, ankles, all joints of toes
Presentation of psoriatic arthritis?
Can present before or with psoriasis skin changes,
Symmetrical polyarthritis,
Asymetrical oligoarthritis,
Nail pitting
Psoriatic arthritis clinical subtypes?
Arthritis with DIP joint involvement, Symmetric polyarthritis, Asymmetric oligoarticular arthritis, Arthritis mutilans, Predominant spondylitis
Treatment of psoriatic arthritis?
Sulfalazine, Methotrexate, Leflunomide, Cyclosporine, Anti-TNF therapy, Anti-IL-17 and IL-23, Steroids, Physiotherapy and occupational therapy,
What is reactive arthritis?
Arthritis and other clinical manifestations occur as a result of an autoimmune response to infection elsewhere in the body
Infections that can cause reactive arthritis?
Salmonella, shigella, yersinia, campylobacter, chlamydia, trachomatis, pneumonia, borrelia, neisseria and streptococci,
Throat, urogenital, GI
Presentation of reactive arthritis?
Monoarthritis, oligoarthritis, Dactylitis, enthesitis, Keratoderma blenorrhagica, Circinate balanitis, Urethritis, Conjunctivitis, Iritis
What is classed as Reiter’s syndrome in reactive arthritis?
Arthritis, urethritis, conjunctivitis
What are prognostic signs for chronicity in reactive arthritis?
Hip/ heel pain ,
High ESR,
Family history,
HLA-B27 +ve
Treatment of acute reactive arthritis?
NSAID,
Joint infection,
Antibiotics (if chlamydia)
Treatment of chronic reactive arthritis?
NAID,
DMARD
Enteropathic arthritis is commonly seen with what?
Associated with IBD and seen with enthesopathy
Treatment of enteropathic arthritis?
Sulfasalazine, Steroids, Methotrexate, Anti-TNF, Bowel resection
