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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 |
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| 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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