Condition Info - BotMed Application

ConditionName

Psoriatic arthritis

ConditionDescription

Symptoms

Asymmetric
Worse in morning, improve with activity. 
Chronic; 
Noninflammatory;
Large joints symmetrical of not symmetrical;

PhysicalFindings

SI joint involvement;
Sausage digits;
Nail pitting;
+/-uveitis;

ClinicalTests

Clinical evaluation;
(-)ANA;
Rheumatoid factor (-)RF;
ESR;

DIP, PIP on xRay;
Best initial test: xRay of the joint showing a “pensile in a cup” deformity;

Uric acid elevated from increase skin turn over;

RiskFactors

80% have PA before psoriasis;
HLA-B27;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

PharmOptions

NSAIDs – best initial therapy;
Methotrexate – for severe cases;
NEVER STEROIDS;

WebLink

https://www.merckmanuals.com/en-ca/professional/musculoskeletal-and-connective-tissue-disorders/joint-disorders/psoriatic-arthritis