Psoriatic arthropathy

Question 1

The commonest disease pattern presents similar to rheumatoid arthritis, what is it called?

Answer 1

Symmetric polyarthritis

Question 2

The second commonest disease pattern - asymmetrical polyarthritis - mainly presents where/

Answer 2

Hands and feet

Question 3

Name 2 signs of psoriatic arthritis

Answer 3

• Nail changes (pitting, onycholysis)
• Dactylitis - swelling of finger or toe
• Psoriatic skin lesions
• Tenosynovitis - especially flexor tendons of hands
• Enthesitis - inflammation at the site of tendon or ligament insertion

Question 4

1) X Rays often have the unusual combination of coexistence of what?
2) What is the classic xray description?

Answer 4

1) Erosive changes, new bone formation
2) Pencil in cup

Question 5

1) What is given for mild disease?
2) What is given for severe disease?

Answer 5

1) NSAIDs
2) Methotrexate (like RA)