ARTHRITIS-PSORIATIC

SUMMARY

1. Hand radiographs may show a classic "pencil in cup" deformity, whereas in inflammatory OA, the classic finding is "gull wings"

2. Treatment: NSAIDs are first line therapy and are used to control pain and inflammation.

3. Tx is similar to RA, with sulfasalazine.

4. Cyclosporine A, which may be used to control both the joint and skin disease (monitor eGFR & BP).

4. Antimalarial drugs (e.g., hydroxychloroquine), lithium, and beta-blockers can exacerbate psoriatic rash.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].