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Arthritis, Psoriatic

Lorena C. Dollani, MD and Nikki A. Levin, MD, PhD Reviewed 06/2018
 


BASICS

A chronic, destructive, seronegative arthropathy most common in patients with long-standing psoriasis 

DESCRIPTION

  • Psoriatic arthritis (PsA) is a seronegative spondyloarthropathy characterized by...

DIAGNOSIS

  • A history of inflammatory arthritis, dactylitis, or enthesitis in patients with existing psoriasis is usually adequate to establish the diagnosis; often difficult to differentiate from other...

TREATMENT

GENERAL MEASURES

Physical therapy and/or occupational therapy typically benefit all stages of disease. 
  • Treatment algorithms for PsA are based on severity of joint symptoms, extent of structur...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Epidemiologic data suggest a relationship between psoriasis, metabolic syndrome, myocardial infarction, and stroke. Control of weight, blood pressure, lipids, and...

REFERENCES

1
1 Menter A, Korman NJ, Elmets CA, et al; and American Academy of Dermatology Work Group. Guidelines of care for the management of psoriasis and psoriatic arthritis: section 6. Guidelines o...

ADDITIONAL READING

  • Donahue KE, Jonas D, Hansen RA, et al. Drug Therapy for Psoriatic Arthritis in Adults: Update of a 2007 Report. Rockville, MD: Agency for Healthcare Research and Quality; 2012.

  • Kav...

CODES

ICD10

  • L40.50 Arthropathic psoriasis, unspecified

  • L40.51 Distal interphalangeal psoriatic arthropathy

  • L40.53 Psoriatic spondylitis

  • L40.52 Psoriatic arthritis mutilans

  • L40.59 Other psoriatic arthropath...

CLINICAL PEARLS

  • One in four patients with psoriasis will develop PsA.

  • The severity of psoriasis often correlates with the likelihood of developing arthritis. The severity of psoriasis does not correlat...

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