psoriatic%20arthritis
PSORIATIC ARTHRITIS
Psoriatic arthritis is a chronic inflammatory arthropathy associated with cutaneous psoriasis.
It is a progressive disease with asymmetric joint distribution pattern and rheumatoid factor is negative.
It can develop at any time including childhood but most often occurs between 30-50 years old.
Symptoms may range from mild to very severe.

Introduction

  • Psoriatic arthritis is a chronic inflammatory seronegative spondyloarthropathy associated w/ psoriasis
  • 6-42% of patients w/ psoriasis may develop psoriatic arthritis
  • Usually develops after an average of 12 yr of cutaneous manifestations
    • Dermatologists are encouraged to monitor for signs & symptoms of psoriatic arthritis every visit
    • All patients suspected of having psoriatic arthritis should be assessed by a rheumatologist so that an early diagnosis can be made & joint damage can be reduced 
  • Can develop at any time including childhood but most often occurs between 30-50 yr old
  • Affects men & women equally

Signs and Symptoms

  • Signs & symptoms include:
    • Peripheral joint pain, stiffness & swelling
    • Axial joint pain, stiffness & swelling
    • Tenderness of the joint & surrounding ligaments & tendons
    • Presence of skin & nail lesions
    • Enthesitis, tenosynovitis & dactylitis
    • Extra-articular manifestations (ie uveitis) 
  • Symptoms range from mild to very severe
    • Severity of the skin disease & the arthritis do not correlate w/ each other
    • Nail disease is commonly found in patients w/ psoriatic arthritis especially those w/ distal interphalangeal joint involvement
    • Psoriatic arthritis may start slowly w/ mild symptoms or may be preceded by a joint injury
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Rheumatology digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
Elvira Manzano, 3 days ago
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
Pearl Toh, 13 Oct 2017
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
5 days ago
Second eye cataract surgery provides greater improvement in visual function and quality of life compared with first eye cataract surgery alone, a recent study claims.
Dr Joslyn Ngu, 4 days ago

The main goal of the National Strategic Plan (NSP) for TB Control (2016 to 2020) is to reduce tuberculosis (TB) burden by ensuring universal access to timely and quality diagnosis and treatment of all types of TB, and preventing the development of drug resistant TB, says an expert.