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The hand in psoriasis.

I A Trail1, J K Stanley

  • 1Wrightington Hospital, Wigan.

Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

Psoriatic arthropathy frequently affects hands, with proximal and metacarpophalangeal joints more commonly involved than distal joints. This study highlights varied hand manifestations in psoriatic arthropathy.

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Area of Science:

  • Rheumatology
  • Orthopedics
  • Immunology

Background:

  • Psoriatic arthropathy is a chronic inflammatory condition.
  • Hand involvement is a significant aspect of psoriatic arthropathy.
  • Understanding the pattern of hand joint involvement is crucial for patient management.

Purpose of the Study:

  • To assess the extent and severity of hand involvement in psoriatic arthropathy.
  • To identify the most commonly affected joints in the hand.
  • To document associated hand deformities in psoriatic arthropathy.

Main Methods:

  • Retrospective review of 56 patients with psoriatic arthropathy.
  • Clinical assessment of hand involvement, including joint distribution and deformities.
  • Analysis of the frequency and pattern of affected hand joints.

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Main Results:

  • Hand involvement was observed in 84% of patients.
  • Proximal interphalangeal and metacarpophalangeal joints were more frequently affected than distal interphalangeal joints.
  • Findings such as boutonniere deformities, swan-neck deformities, and tenosynovitis were noted.

Conclusions:

  • Psoriatic arthropathy commonly affects the hands.
  • The pattern of joint involvement may differ from classical descriptions, with a higher prevalence in proximal and metacarpophalangeal joints.
  • Recognizing these hand manifestations is important for accurate diagnosis and treatment of psoriatic arthropathy.