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About Psoriatic Arthritis
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  • Psoriatic Arthritis Diagnosis

    The diagnosis of Psoriatic Arthritis is mostly clinical and based on the history.

    Most patients are likely to he known cases of psoriasis and at a later stage experience involvement of joints.

    The hallmark of Psoriatic arthritis is asymmetrical pattern of digit involvement.
    Interphalangeal joint involvement is characterized with sausage appearance of the digits (dactylitis).

    The inflamed joints are swollen and have a purplish- red discoloration.

    Along with the joint inflammation, psoriasis may be visible on the skin of the joints.

    The nail changes can be observed.

    Comparison between psoriatic arthritis and rheumatic arthritis

    You may view a photo of psoriatic arthritis and rheumatic arthritis to understand the difference between the two.

    The chief differences are as under:

    Psoriatic Arthritis Rheumatic Arthritis
    Distal Interphalangeal joints involvement is most common Distal Interphalangeal joints involvement is absent.
    Asymmetrical pattern of digit involvement It is a symmetrical inflammatory arthritis
    Purplish- red discoloration of involved joint The joints may be hot to touch but do not look Purplish- red.
    Sausage appearance of the digits is common (dactylitis) Swan neck deformities is common
    Nail lesions are present No nail lesions
    Skin lesions may be present No skin lesions
    RA factor is negative RA factor is positive.

    Clinical judgment is quite diagnostic in the cases of Psoriatic Arthritis.

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