Psoriatic arthritis Flashcards
1
Q
What is psoriatic arthritis?
A
Chronic inflammatory joint disease, a seronegative inflammatory arthritis usually with mono/oligoarthritis that is not symmetrical.
2
Q
What joints does PA affect?
A
DIP usually
3
Q
What are risk factors for PA?
A
Psoriasis (personal or FH)
4
Q
What are Sx of PA?
A
Stiffness and pain in peripheral joints
Dactylitis
Morning stiffness > 30 mins
Enthesitis
5
Q
What are differentials for PA?
A
RA, gout, erosive OA
6
Q
What are Ix ?
A
Bloods: CRP and ESR can be elevated, maybe RF +ve.
metabolic syndrome: urate, lipid, FBG
Imaging: x-ray or MRI
May need synovial fluid aspiration
7
Q
What criteria?
A
CASPAR
8
Q
What is Rx of PA?
A
NSAIDs
physio
intra-articular steroid injection
DMARDs or anti-TNF if severe or dactylitis
9
Q
What are complications of Pa?
A
CVD
