eMedicine Specialties > Physical Medicine and Rehabilitation > Arthritis & Connective Tissue Disorders

Psoriatic Arthritis: Multimedia

Author: Michael F Saulino, MD, PhD, Assistant Professor, Department of Physical Medicine and Rehabilitation, Thomas Jefferson University, MossRehab
Coauthor(s): Jeffrey M Heftler, MD, Interventional Physiatrist, Orthopaedic and Neurosurgical Specialists, Greenwich, CT
Contributor Information and Disclosures

Updated: Mar 24, 2009

Multimedia

Psoriatic arthritis involving the distal phalange...Media file 1: Psoriatic arthritis involving the distal phalangeal joint.
Psoriatic arthritis involving the distal phalange...

Psoriatic arthritis involving the distal phalangeal joint.

<EM>Left</EM>, typical appearance of psoriasis, w...Media file 2: Left, typical appearance of psoriasis, with silvery scaling on a sharply marginated and reddened area of skin overlying the shin. Right, thimblelike pitting of the nail plate in a 56-year-old woman who had suffered from psoriasis for the previous 23 years. Nail pitting, transverse depressions, and subungual hyperkeratosis often occur in association with psoriatic disease of the distal interphalangeal joint. Courtesy of Ali Nawaz Khan, MBBS.
<EM>Left</EM>, typical appearance of psoriasis, w...

Left, typical appearance of psoriasis, with silvery scaling on a sharply marginated and reddened area of skin overlying the shin. Right, thimblelike pitting of the nail plate in a 56-year-old woman who had suffered from psoriasis for the previous 23 years. Nail pitting, transverse depressions, and subungual hyperkeratosis often occur in association with psoriatic disease of the distal interphalangeal joint. Courtesy of Ali Nawaz Khan, MBBS.

Asymmetrical arthritis pattern of psoriatic arthr...Media file 3: Asymmetrical arthritis pattern of psoriatic arthritis (fixed flexion deformity).
Asymmetrical arthritis pattern of psoriatic arthr...

Asymmetrical arthritis pattern of psoriatic arthritis (fixed flexion deformity).

Comparison of sites of involvement in the hands a...Media file 4: Comparison of sites of involvement in the hands and feet in psoriatic arthritis and rheumatoid arthritis.
Comparison of sites of involvement in the hands a...

Comparison of sites of involvement in the hands and feet in psoriatic arthritis and rheumatoid arthritis.

Arthritis mutilans (ie, "pencil-in-cup" deformiti...Media file 5: Arthritis mutilans (ie, "pencil-in-cup" deformities).
Arthritis mutilans (ie, "pencil-in-cup" deformiti...

Arthritis mutilans (ie, "pencil-in-cup" deformities).

Swelling and deformity of the metacarpophalangeal...Media file 6: Swelling and deformity of the metacarpophalangeal and distal interphalangeal joints in a patient with psoriatic arthritis.
Swelling and deformity of the metacarpophalangeal...

Swelling and deformity of the metacarpophalangeal and distal interphalangeal joints in a patient with psoriatic arthritis.

Psoriatic arthritis involving the distal phalange...Media file 7: Psoriatic arthritis involving the distal phalangeal joint.
Psoriatic arthritis involving the distal phalange...

Psoriatic arthritis involving the distal phalangeal joint.

Lateral radiograph of the cervical spine shows po...Media file 8: Lateral radiograph of the cervical spine shows posterior element fusion. Courtesy of Bruce M. Rothschild, MD.
Lateral radiograph of the cervical spine shows po...

Lateral radiograph of the cervical spine shows posterior element fusion. Courtesy of Bruce M. Rothschild, MD.

Lateral radiograph of the cervical spine shows sy...Media file 9: Lateral radiograph of the cervical spine shows syndesmophytes at the C2-3 and C6-7 levels, with zygapophyseal joint fusion. Courtesy of Bruce M. Rothschild, MD.
Lateral radiograph of the cervical spine shows sy...

Lateral radiograph of the cervical spine shows syndesmophytes at the C2-3 and C6-7 levels, with zygapophyseal joint fusion. Courtesy of Bruce M. Rothschild, MD.

More on Psoriatic Arthritis

Overview: Psoriatic Arthritis
Differential Diagnoses & Workup: Psoriatic Arthritis
Treatment & Medication: Psoriatic Arthritis
Follow-up: Psoriatic Arthritis
Multimedia: Psoriatic Arthritis
References
Further Reading

References

  1. Guttman-Yassky E, Krueger JG. Psoriasis: evolution of pathogenic concepts and new therapies through phases of translational research. Br J Dermatol. Dec 2007;157(6):1103-15. [Medline].

  2. Fitzgerald O, Winchester R. Psoriatic arthritis: from pathogenesis to therapy. Arthritis Res Ther. Feb 12 2009;11(1):214. [Medline].

  3. Gladman DD. Psoriatic arthritis. Dermatol Ther. Jan-Feb 2009;22(1):40-55. [Medline].

  4. [Best Evidence] Wilson FC, Icen M, Crowson CS, et al. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum. Feb 15 2009;61(2):233-9. [Medline].

  5. Nograles KE, Brasington RD, Bowcock AM. New insights into the pathogenesis and genetics of psoriatic arthritis. Nat Clin Pract Rheumatol. Feb 2009;5(2):83-91. [Medline].

  6. Duffin KC, Chandran V, Gladman DD, et al. Genetics of psoriasis and psoriatic arthritis: update and future direction. J Rheumatol. Jul 2008;35(7):1449-53. [Medline].

  7. Qureshi AA, Dominguez P, Duffin KC, et al. Psoriatic arthritis screening tools. J Rheumatol. Jul 2008;35(7):1423-5. [Medline].

  8. Siannis F, Farewell VT, Cook RJ, et al. Clinical and radiological damage in psoriatic arthritis. Ann Rheum Dis. Apr 2006;65(4):478-81. [Medline].

  9. [Best Evidence] Saad AA, Symmons DP, Noyce PR, et al. Risks and benefits of tumor necrosis factor-alpha inhibitors in the management of psoriatic arthritis: systematic review and metaanalysis of randomized controlled trials. J Rheumatol. May 2008;35(5):883-90. [Medline].

  10. Gelfand JM, Gladman DD, Mease PJ, et al. Epidemiology of psoriatic arthritis in the population of the United States. J Am Acad Dermatol. Oct 2005;53(4):573. [Medline].

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  13. Krueger JG, Bowcock A. Psoriasis pathophysiology: current concepts of pathogenesis. Ann Rheum Dis. Mar 2005;64 Suppl 2:ii30-6. [Medline].

  14. Kyle S, Chandler D, Griffiths CE, Helliwell P, Lewis J, McInnes I, et al. Guideline for anti-TNF-alpha therapy in psoriatic arthritis. Rheumatology (Oxford). Mar 2005;44(3):390-7. [Medline].

  15. Levine N. Scaly red plaques on dorsal part of hand. Patient notes morning stiffness and pain. Geriatrics. Dec 2005;60(12):17. [Medline].

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  17. Salaffi F, De Angelis R, Grassi W. Prevalence of musculoskeletal conditions in an Italian population sample: results of a regional community-based study. I. The MAPPING study. Clin Exp Rheumatol. Nov-Dec 2005;23(6):819-28. [Medline].

  18. Shbeeb M, Uramoto KM, Gibson LE, O'Fallon WM, Gabriel SE. The epidemiology of psoriatic arthritis in Olmsted County, Minnesota, USA, 1982-1991. J Rheumatol. May 2000;27(5):1247-50. [Medline].

  19. Taylor WJ. Understanding psoriatic arthritis. Hosp Med. Mar 2005;66(3):163-7. [Medline].

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  22. Zangger P, Esufali ZH, Gladman DD, Bogoch ER. Type and outcome of reconstructive surgery for different patterns of psoriatic arthritis. J Rheumatol. Apr 2000;27(4):967-74. [Medline].

Contributor Information and Disclosures

Author

Michael F Saulino, MD, PhD, Assistant Professor, Department of Physical Medicine and Rehabilitation, Thomas Jefferson University, MossRehab
Michael F Saulino, MD, PhD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, and Physiatric Association of Spine, Sports and Occupational Rehabilitation
Disclosure: Nothing to disclose.

Coauthor(s)

Jeffrey M Heftler, MD, Interventional Physiatrist, Orthopaedic and Neurosurgical Specialists, Greenwich, CT
Jeffrey M Heftler, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Rajesh R Yadav, MD, Assistant Professor, Section of Physical Medicine and Rehabilitation, MD Anderson Cancer Center, University of Texas at Houston
Rajesh R Yadav, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Patrick M Foye, MD, FAAPMR, FAAEM, Associate Professor of Physical Medicine and Rehabilitation, Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, Director of Coccyx Pain Service (Tailbone Pain Service: www.TailboneDoctor.com), University of Medicine and Dentistry of New Jersey, New Jersey Medical School
Patrick M Foye, MD, FAAPMR, FAAEM is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine, Association of Academic Physiatrists, and International Spine Intervention Society
Disclosure: Nothing to disclose.

CME Editor

Kelly L Allen, MD, Regional Medical Director, IMX-Medical Management Services
Disclosure: Nothing to disclose.

Chief Editor

Denise I Campagnolo, MD, MS, Director of Multiple Sclerosis Clinical Research and Staff Physiatrist, Barrow Neurology Clinics, St Joseph's Hospital and Medical Center; Investigator for Barrow Neurology Clinics; Director, NARCOMS Project for Consortium of MS Centers
Denise I Campagnolo, MD, MS is a member of the following medical societies: Alpha Omega Alpha, American Association of Neuromuscular and Electrodiagnostic Medicine, American Paraplegia Society, Association of Academic Physiatrists, and Consortium of Multiple Sclerosis Centers
Disclosure: Teva Neuroscience Honoraria Speaking and teaching; Serono-Pfizer Honoraria Speaking and teaching

 
 
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