psoriatic arthropathy Flashcards
(4 cards)
1
Q
what is psoriatic arthropathy
A
inflammatory arthritis associated with psoriasis
seronegative spondyloarthropathies
2
Q
presentation of psoriatic arthritis
A
symmetric polyarthritis
- similar to RA
asymmetrical oligoarthritis
sacroiliitis
DIP joint disease
severe deformity fingers/hands
nail changes
psoriatic skin lesions
tenosynovitis and soft tissue inflammation
dactylitis
3
Q
investigations in psoriatic arthritis
A
bloods: CRP/ESR, seronegative- RF and anti-CCP will be negative
x-ray: pencil in a cup,
4
Q
management of psoriatic arthritis
A
mild peripheral arthritis/mild axial disease: NSAIDS
moderate/severe disease: methotrexate
monoclonal antibodies- ustekinumab and secukinumab
