Rheum

Question 1

Psoriatic arthritis presentations?

Answer 1

asymetrical oligoarthritis - most common
distal arthritis - DIPJs
or may have symetrical polyarthritis.

psoriasis may present many years later and they are likely to have a family history of the disease.

Question 2

Other extra articular features of psoriatic arthritis:

Answer 2

PEND
includes nail pitting, keratinisation and lifting.
psoriatic plaques
enthesitis
dactylitis

Question 3

When do you get a reactive arthritis?

Answer 3

1-4 weeks after urine infection or GIT infection

usually single knee joint

Question 4

What are the extra articular manifestions of a reactive arthritis?

Answer 4

Incldue:
enthesitis
painless penile ulceration
keratoderma blennhorhagicum - soles and palms plaques
iritis
mouth ulcers

Question 5

What percentage of patients have longstanding ReA

Answer 5

30-50%

may require imunosuppression (sulphasalazine) aswell as the intial NSAIDs