Diagnosis and management of psoriatic arthropathy in primary care

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Diagnosis and management of psoriatic arthropathy in primary care.

ExtEnt of thE unDErDIagnosIs Psoriasis arthritis (PsA) is a chronic, inflammatory disease, affecting predominantly skin and joints (Figure 1). Skin psoriasis develops before arthritis in the majority of cases, with a typical time lag of 5 to 10 years. However, around 20% of PsA patients never develop psoriasis.1 The prevalence of psoriasis in the UK is approximately 2% of the adult population.2...

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Cyclosporine in psoriatic arthropathy.

Psoriatic arthropathy (PsA) is an inflammatory arthropathy associated with skin or nail psoriasis with heterogeneous clinical manifestations. A pragmatic therapeutic approach to PsA is to stratify the disease manifestations according to their response to synthetic and biological agents. It is now reasonably well established that peripheral arthritis is amenable to treatment with synthetic disea...

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Psoriatic arthropathy: where now?

P soriatic arthropathy is a common inflammatory arthritis that characteristically occurs in individuals with psoriasis [1]. PsA was classified as a distinct entity for the first time in 1964 [2], but the antiquity of this disease can be dated back tens of centuries [3]. The many faces of PsA have historically complicated the timely diagnosis on the one hand, while its aggressive and destructive...

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Severe psoriatic acroosteolysis in the absence of psoriatic arthropathy.

1 of 2 DESCRIPTION The patient was a 74-year-old gentleman with underlying palmoplantar psoriasis ( fi gure 1 ). He was electively admitted for left below knee amputation for cutaneous squamous cell carcinoma at his left heel with locoregional spread. He was incidentally found to have symmetrical shortening of his fi ngers. On further questioning, we discovered that this had occurred over a per...

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ژورنال

عنوان ژورنال: British Journal of General Practice

سال: 2014

ISSN: 0960-1643,1478-5242

DOI: 10.3399/bjgp14x681181