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Psoriatic arthritis. Diverse and sometimes highly destructive
R Bulbul1, W V Williams, H R Schumacher
1Rheumatology Division, University of Pennsylvania School of Medicine, Philadelphia, USA.
Postgraduate Medicine
|April 1, 1995
Summary
Psoriatic arthritis is an inflammatory condition with varied symptoms. Early diagnosis involves checking family history and skin lesions, while severe cases may require HIV testing and advanced treatments.
Area of Science:
- Rheumatology
- Dermatology
Background:
- Psoriatic arthritis (PsA) is a chronic inflammatory disease.
- It presents with diverse clinical manifestations and can lead to erosive disease in some patients.
Purpose of the Study:
- To highlight key diagnostic considerations for psoriatic arthritis.
- To outline management strategies for psoriatic arthritis.
Main Methods:
- Review of clinical manifestations and diagnostic clues for PsA.
- Discussion of treatment approaches for PsA.
Main Results:
- Family history of psoriasis and presence of skin lesions (including scalp, ears, genital, and anal areas) are crucial diagnostic indicators.
- Septic arthritis must be ruled out in monarticular presentations, even with established PsA.
- HIV testing should be considered in fulminant cases.
Conclusions:
- Prompt and thorough evaluation is essential for accurate PsA diagnosis.
- Treatment strategies range from NSAIDs for mild cases to immunosuppressants and disease-modifying agents for severe disease.
- Physical rehabilitation is an integral part of PsA management.
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