Rheumatology 3 - Psoriatic Arthritis Flashcards
1
Q
what patterns do you see in psoriatic arthritis? x3
A
10-20% of psoriasis patients
either:
symmetrical polyarthritis (difference to rheumatoid is more on DIPs, less on MCPs)
asymmetrical pauciarthritis (digits + feet, few joints)
spondylitic pattern
2
Q
5 signs of psoriatic arthritis
A
skin plaques pitting of nails onycholysis (nail bed separates) dactylitis (whole finger inflamm) enthesitis (tendon joint insertion inflamed)
3
Q
3 associations with psoriatic arthritis
A
conjunctivitis / Ant uveitis
aortitis
amyloid
4
Q
what is the psoriatic arthritis screening tool ?
A
PEST tool questionnaire for skin pts
5
Q
5 x ray changes in psoriatic arthritis
A
periostitis ankylosis osteolysis dactylitis pencil in cup appearance
look at an x ray
6
Q
arthritis mutilans
A
rare nowadays
untreated psoriatic arthritis
telescopic finger
7
Q
management of psoriatic arthritis
A
coordinated with dermatologist treatment
NSAIDs
DMARDs
anti TNF
ustekinumab last line
