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Psoriatic Arthritis PowerPoint Presentation

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About This Presentation

Slide 1 - Psoriatic Arthritis Maggie Davis Hovda Am report 2/16/2010
Slide 2 - Definition Inflammatory arthritis associated with psoriasis One of the spondyloarthropathies
Slide 3 - Epidemiology Affects men & women equally Occurs in 4-6% up to 30% of patients with known psoriasis 60 – 70%: Skin psoriasis first 15%: Psoriatic arthritis first 15%: Skin and arthritis diagnosed at same time
Slide 4 - Clinical Presentation Joint Pain Joint Stiffness am stiffness >30 min Worse with immobility, better with physical activity
Slide 5 - Differential Diagnosis Rheumatoid Arthritis Symmetric PIP, MCP, not distal Ulnar deviation, swan neck deformities Rheumatoid nodules Ankylosing Spondylitis Strong HLA B27 association Male predominance Axial skeletal involvement – sacroilitis Bamboo spine Schober test demonstrating limited flexion Uptodate.com
Slide 6 - Differential Diagnosis Reactive Arthritis LE arthritis 1-4 weeks after an infection Infectious agents: Shigella Salmonella Yersinia Campylobacter Chlamydia Triad: urethritis, conjunctivitis, arthritis Keratoderma Blennorhagicum Inflammatory Bowel Disease Associated Crohn’s LE distribution AAFP
Slide 7 - Psoriatic Arthritis Patterns Distal arthritis – DIP joint involvement Asymmetric oligoarthritis - < 5 joints Symmetric Polyarthritis – mimics RA Arthritis Mutilans – Destructive arthritis Spondyloarthropathy – sacroilitis and spondylitis
Slide 8 - Uptodate
Slide 9 - Other Features Enthesitis Tenosynovitis Dactylitis Nails Nail pits, onycholysis, hyperkeratosis Uptodate & AAFP
Slide 10 - Radiographic Evaluation Pencil in Cup Deformity AAFP
Slide 11 - Treatment 1 – NSAIDS 2 – DMARDS MTX Leflunomide Sulfasalazine Cyclosporine TNF α inhibitor Coordinate b/w Rheumatology and Dermatology
Slide 12 - Annaliese Helene Hovda
 

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