Today,s photo ( Case 85) 6/8/2014 Psoraitic arthritis Look for pitting of the nails ,Remember that psoraitic arthropathy is seronegative and characterstically involves the terminal interphalyngeal joints with absence of subcutaneous nodules ,psoraisis cause a unique type of swelling (sausage like swelling ) ,Ask about pain in the bottom of the foot (plantar faciitis and achilis tendinitis (pain in the heel),ask about lower back pain (due to spondylitis ), morning stiffness may be present in both rheumatoid arthritis and psoraitic arthritis . Look for signs of anemia which may be present . Look for nail problems including pitting or separation from the nail bed . Look for skin lesions : red scaly rash , Ask for fatigue and sense of tirdness due to pain and inflammation . Check for the range of movement of the fingers , you may find reduced range of motion as a result of pain ,stiffness and swelling of the joints . Examine the eyes for signs of inflammation , conjunctivitis ,dry eyes and lid swelling . (Q) What are the spondyloarthropathies ? (A) These are group disorders characterized by seronegative (i.e rheumatoid factor negative ) inflammatory arthritis and /or spondylitis ,the peripheral arthritis is typically asymmetric involving large joints especially the knees and ankles ,characteristic musculoskeletal features include enthesitis (inflammation at sites of tendon insertion ),sacroiliitis ,these arthropathies should not be confused with seronegative RA , which is a symmetric small joint arthritis .
Posted on: Wed, 06 Aug 2014 19:10:10 +0000
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