Psoriatic arthritis Flashcards
1
Q
most severe form
A
arthritis mutilans
2
Q
pattern of joints affected
A
can be symmetrical polyarthris like rheumatoid
asymmetric pauciarthritis
spondylitic - men
3
Q
signs
A
plaques of psoriasis nail pitting onycholysis dactylitis enthesitis
4
Q
other associations
A
eye disease
aortitis
amyloidosis
5
Q
screening tool for those with psoriasis - arthritis
A
PEST
joint pain, swelling, nail pitting
6
Q
x-ray changes
A
periositis ankylosis osteolysis dactylitis pencil-in-cup
7
Q
pencil in cup appearance
A
central erosions of bone beside joints
8
Q
arthritis mutilans
A
phalanxes
osteolysis of bones around joints
progressive shortening of digit
telescopic finger
9
Q
treatment options
A
NSAIDs
MTX or sulfasalazine
anti-TNF = etanercept
10
Q
last line treatment
A
ustekinumab
targets IL12/13