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Skin disorders with arthritis.

Joshua Levin1, Victoria P Werth

  • 1Department of Dermatology, University of Pennsylvania, PA 19104, USA.

Best Practice & Research. Clinical Rheumatology
|September 19, 2006
PubMed
Summary

This review covers skin conditions linked to joint issues, from common diseases like psoriasis to rarer ones. It details their symptoms, diagnosis, and treatment for better patient care.

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Area of Science:

  • Rheumatology
  • Dermatology
  • Internal Medicine

Background:

  • Inflammatory, metabolic, and infectious diseases frequently impact both skin and joints.
  • Rheumatic conditions often involve secondary skin manifestations.
  • Primary skin diseases can present with or precede joint symptoms.

Purpose of the Study:

  • To review primary cutaneous diseases associated with arthritis.
  • To discuss the clinical presentation, diagnosis, and management of these disorders.
  • To highlight the musculoskeletal manifestations of common and uncommon skin conditions.

Main Methods:

  • Literature review of primary cutaneous diseases with joint involvement.
  • Analysis of clinical presentation (cutaneous and musculoskeletal).
  • Synthesis of diagnostic approaches and management strategies.

Main Results:

  • Common skin disorders like acne and psoriasis have known musculoskeletal links.
  • Less common conditions such as dermatomyositis, multicentric reticulohistiocytosis, pyoderma gangrenosum, Sweet's syndrome, and cutaneous vasculitides frequently involve joints.
  • Joint symptoms can sometimes precede the onset of skin lesions in primary cutaneous diseases.

Conclusions:

  • A spectrum of skin diseases are associated with arthritis, requiring integrated diagnostic and management approaches.
  • Understanding the interplay between skin and joint symptoms is crucial for accurate diagnosis and effective treatment.
  • This review provides a comprehensive overview for clinicians managing patients with co-occurring dermatologic and rheumatologic conditions.

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