Atlas of Psoriatic Arthritis by Philip J. Mease, Philip S. Helliwell

By Philip J. Mease, Philip S. Helliwell

Psoriatic arthritis (PsA) is a kind of arthritic joint sickness linked to the continual epidermis scaling and fingernail adjustments noticeable in psoriasis. sufferers with PsA have a discounted caliber of existence. This finished visible reference comprises over one hundred fifty photographs from a large gamut of adaptations of the sickness, in addition to charts and tables detailing the main updated details on sufferer susceptibility, prevalence, and signs.

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When there is new bone formation as well as increased bone mineralization of the phalange, it is known as an ‘ivory phalange’ [14]. This patient was able to demonstrate telescoping of the DIP joint, and the overlapping skin of the DIP joint is just visible on the radiograph. 4. Many patients with psoriasis and arthritis have an inflammatory polyarthritis with small joint involvement but without joint osteolysis. (a) Subluxation of the second and third DIP joints is evident in this patient with chronic PsA who also had pitting of his nails.

Semin Arthritis Rheum 2004; 34:575–584. 27. Vasey FB, Espinoza LR. Psoriatic arthritis. In: Spondyloarthropathies. Edited A Calin. Orlando: Grune and Stratton, 1987; 151–185. 28. Dougados M, van der Linden S, Juhlin R et al. The European Spondyloarthropathy Study Group preliminary criteria for the classification of spondyloarthropathy. Arthritis Rheum 1991; 34:1218. 29. Fournie B, Crognier L, Arnaud C et al. Proposed classification criteria of psoriatic arthritis: a preliminary study in 260 patients.

12. (a) Ultrasonograph of the right knee of a patient with PsA showing hypoechoic thickening of the insertion and loss of definition of the edge of the patellar tendon (PT). (b) The contralateral uninvolved PT insertion is shown for comparison. As already mentioned, enthesitis is a hallmark of PsA, and forms part of the diagnos- tic criteria for SpA [21]. Enthesitis may be difficult to detect clinically, and ultrasonography has been shown to be better at detecting enthesitis in the lower limbs of patients with SpA [22].

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