Psoriatic Arthritis Flashcards

1
Q

what percentage of people with skin psoriasis are affected by psoriatic arthritis

A

30%

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2
Q

what type of arthritis is this usually

A

asymmetrical oligoarthritis

can affect hands similarly to RA

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3
Q

what else can accompany PA

A

spondylitis, dactylitis and enthesitits

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4
Q

what are common nail changes

A

pitting and oncolysis

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5
Q

what is oncolysis

A

painless separation of nail from nail bed

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6
Q

what can some patients have a predilection for

A

arthritis of DIP joints of fingers and or toes

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7
Q

what do 5% of patients have

A

particularly aggressive and destructive form of arthritis mutilans

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8
Q

what is dactylitis

A

inflammation of entire digit

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9
Q

what is treatment

A

similar to RA
DMARDS (usually methotrexate) and anti-TNF if no response
joint replacement can be considered in severely affected larger joints and DIP joint fusion can help

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