Psoriatic arthritis Flashcards

1
Q

most severe form

A

arthritis mutilans

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2
Q

pattern of joints affected

A

can be symmetrical polyarthris like rheumatoid
asymmetric pauciarthritis
spondylitic - men

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3
Q

signs

A
plaques of psoriasis 
nail pitting 
onycholysis
dactylitis 
enthesitis
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4
Q

other associations

A

eye disease
aortitis
amyloidosis

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5
Q

screening tool for those with psoriasis - arthritis

A

PEST

joint pain, swelling, nail pitting

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6
Q

x-ray changes

A
periositis
ankylosis 
osteolysis 
dactylitis 
pencil-in-cup
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7
Q

pencil in cup appearance

A

central erosions of bone beside joints

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8
Q

arthritis mutilans

A

phalanxes
osteolysis of bones around joints
progressive shortening of digit
telescopic finger

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9
Q

treatment options

A

NSAIDs
MTX or sulfasalazine
anti-TNF = etanercept

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10
Q

last line treatment

A

ustekinumab

targets IL12/13

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