By Philip J. Mease, Philip S. Helliwell
Psoriatic arthritis (PsA) is a kind of arthritic joint ailment linked to the persistent dermis scaling and fingernail alterations obvious in psoriasis. sufferers with PsA have a discounted caliber of lifestyles. This entire visible reference includes over a hundred and fifty photographs from a large gamut of diversifications of the sickness, in addition to charts and tables detailing the main updated details on sufferer susceptibility, prevalence, and indicators.
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Extra resources for Atlas of Psoriatic Arthritis
A score of 4 was found to have a sensitivity of 60% and a specificity of 62%. However, just a combination of positive answers to questions 1 and 4a had a sensitivity of 30% and a specificity of 91% for axial and peripheral disease. 35 Screening questions for arthritis Question Score if positive 1. Have you ever thought you might have arthritis? 1 2. Have you ever had a swollen joint (or joints)? 2 3. Has a doctor ever told you that you have arthritis? 0 4. Are your joints stiff when you wake up in the morning?
Occasionally there may be evidence of bilateral sacroiliitis at onset of peripheral joint disease. CRP, C-reactive protein. 18. A 37-year-old fit and active male presented with a history of recurrent massive swelling of both knees over a period of 11 years. He had had repeated drainage and injection of corticosteroids but had been able to continue running between episodes. Rheumatoid factor was negative. Examination revealed grossly swollen knees and a patch of flexural psoriasis in his natal cleft.
A) A patient with PsA who had an 8-month history of symptomatic DIP joint involvement in the little finger showing ankylosis of the joint. (b) Plain radiograph of the same joint showing subluxation and loss of joint space. (c) On T2-weighted fat-suppressed high-resolution MRI we can see bone edema depicted by a high signal, particularly near the joint and the enthesis where the collateral ligaments insert. The advantages of MRI c) over plain radiography in PsA include absence of ionizing radiation, the ability to perform multiplanar imaging, the ability to detect inflammation, and better sensitivity in early disease .
Atlas of Psoriatic Arthritis by Philip J. Mease, Philip S. Helliwell