eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
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SCImago Journal & Country Rank
3/2019
vol. 15
 
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Rheumatology
abstract:
State of the art paper

Psoriatic arthritis – new perspectives

Przemysław Krakowski, Agnieszka Gerkowicz, Aldona Pietrzak, Dorota Krasowska, Andrzej Jurkiewicz, Mieczysław Gorzelak, Robert A. Schwartz

Arch Med Sci 2019; 15 (3): 580–589
Online publish date: 2018/08/23
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Psoriatic arthritis (PsA) is a seronegative arthropathy with many clinical manifestations, and it may affect nearly a half of patients with psoriasis. PsA should be diagnosed as early as possible to slow down joint damage and progression of disability. To improve the diagnosis of PsA, physicians should look for peripheral inflammatory pain, axial inflammatory pain, dactylitis, and buttock and sciatic pain. In most patients with PsA, pharmacologic treatment with non-steroidal anti-inflammatory drugs, disease-modifying anti-rheumatic drugs, and biologic agents is effective. However, when pharmacological treatment fails, patients with PsA may benefit from orthopedic surgery, which can improve both joint function and quality of life. Total hip arthroplasty, total knee arthroplasty, and arthroscopic synovectomy of the knee are the most common surgical procedures offered to patients with PsA. The management of PsA requires the care of a multidisciplinary team, which should include dermatologists, rheumatologists, physiotherapists, and orthopedic surgeons.
keywords:

psoriatic arthritis, hip arthroplasty, knee arthroplasty, foot diseases, orthopedic procedures, psoriasis arthropatica

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