Seronegative Spondylo's - PsA

Question 1

A seronegative ? associated with psoriasis.
?% of people with psoriasis will develop disease.
o The skin disease can present ? or ? the joint disease.
o Skin condition not necessary for a ? of ? arthritis to be made.

Male and female incidence is ?.

Answer 1

arthropathy
8%
before
after
diagnosis
psoriatic
equal

Question 2

There are five commonly recognised subtypes;
o ? polyarthritis (40%): presentation similar to ??, but with ? involvement and less severe deformities.
o ? ?articular arthritis (30%): joints, often one ?
joint plus several smaller ? / ? joints.
o Spondylitis: affecting the ?,+/- ?s as per AS.

Answer 2

symm
RA
dipjs
asym oligo
5
large
hands feet
spine
SIJs

Question 3

There are five commonly recognised subtypes
o ? predominant disease (10%): typically associated with significant nail changes (?, ?). It is rarely disabling, and can lead to ‘? finger’ due to synovitis and ?.
o Arthritis ?: severe form, that occurs in ?% with marked joint ? and deformity, classically involving ? of the
digits.

Answer 3

DIPJ
pitting
onycholysis
sausage
tenosynovitis
mutilans
5
destruction
telescoping

Question 4

Radiologically, psoriatic arthritis shows ? similar to those seen in ??,
but comparatively minimal ?.
0 The erosions are more ? than the RA erosions,
leading to a ‘? in a ?’ type appearance.

Early ? involvement is specific to psoriatic arthritis.
Sacro-iliac joint involvement is usually ?.

Answer 4

erosions
RA
osteopenia
central
pencil
cup
DIPJ
unilateral

Question 5

Management;
o If one joint affected;
–> • Full dose ? +/- ? ?.
o If multiple joints affected;
–> • Treat as per ?, but prognosis is ?.
–> • ? is useful as it also helps skin psoriasis.
–> • DMARDs generally do not help ? symptoms.

Answer 5

nsaids
steroid inj
ra
better
mtx
spinal