Rheumatology - Psoriatic Arthritis Flashcards
1
Q
What is arthritis mutilans?
A
Complete joint destruction
2
Q
How long does it usually take for psoriatic arthritis to develop after psoriasis?
A
Within 10 years
3
Q
What are the extra-articular manifestations of PA?
A
Uveitis
IBD
4
Q
What are the 5 patterns of PA?
A
Asymmetrical oligoarthritis
1-4 joints
Symmetrical polyarthritis
More than 4 joints affected
DIP predominant pattern
Primarily affects DIPJ
Spondylitis
Axial skeleton
Arthritis mutilans
Osteolysis of bones around joints
Pencil in cup appearance
5
Q
What are the signs of PA?
A
Plaques of psoriasis
Nail pitting
Onycholysis
Dactylitis
Enthesitis
6
Q
What X-ray changes?
A
Periostitis
Ankylosis
Osteolysis
Dactylitis
Pencil-in-cup appearance
7
Q
How is PA managed?
A
NSAIDs
Steroids
DMARDs
Anti-TNF
Ustekinumab- targets IL12 and 23
