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Psoriatic arthritis - new perspectives.

Przemysław Krakowski1, Agnieszka Gerkowicz2, Aldona Pietrzak2

  • 1Orthopaedic Department, Independent Public District Hospital, Łęczna, Poland.

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|May 22, 2019
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Summary

Psoriatic arthritis (PsA) is a complex joint disease affecting psoriasis patients. Early diagnosis and multidisciplinary care, including medication and surgery, are key to managing PsA and preventing disability.

Keywords:
foot diseaseship arthroplastyknee arthroplastyorthopedic procedurespsoriasis arthropaticapsoriatic arthritis

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Area of Science:

  • Rheumatology
  • Dermatology
  • Orthopedics

Background:

  • Psoriatic arthritis (PsA) is a seronegative arthropathy impacting up to 50% of psoriasis patients.
  • Early diagnosis is crucial to mitigate joint damage and functional decline.

Purpose of the Study:

  • To highlight key diagnostic indicators for PsA.
  • To outline current and surgical treatment options for PsA.
  • To emphasize the importance of a multidisciplinary approach in PsA management.

Main Methods:

  • Review of clinical manifestations suggestive of PsA, including peripheral/axial inflammatory pain, dactylitis, and sciatic pain.
  • Overview of pharmacologic treatments: NSAIDs, DMARDs, and biologics.
  • Description of surgical interventions: total hip/knee arthroplasty and arthroscopic synovectomy.

Main Results:

  • Pharmacologic therapies are effective for most PsA patients.
  • Orthopedic surgery can significantly improve joint function and quality of life when medical treatments are insufficient.
  • A coordinated team approach involving various specialists optimizes patient outcomes.

Conclusions:

  • Prompt identification of PsA symptoms is vital for preserving joint health.
  • A combination of medical and surgical interventions, guided by a multidisciplinary team, offers comprehensive management for PsA.