Atlas of Psoriatic Arthritis by Philip J. Mease, Philip S. Helliwell

By Philip J. Mease, Philip S. Helliwell

Psoriatic arthritis (PsA) is a kind of arthritic joint disorder linked to the power epidermis scaling and fingernail adjustments visible in psoriasis. sufferers with PsA have a discounted caliber of lifestyles. This finished visible reference includes over one hundred fifty photographs from a large gamut of diversifications of the disorder, in addition to charts and tables detailing the main up to date info on sufferer susceptibility, occurrence, and signs.

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Arthritis Rheum 1991; 34:1218. 29. Fournie B, Crognier L, Arnaud C et al. Proposed classification criteria of psoriatic arthritis: a preliminary study in 260 patients. Rev Rhum (Engl edn) 1999; 66:446–456. 30. Alenius GM, Stenberg B, Stenlund H et al. Inflammatory joint manifestations are prevalent in psoriasis: prevalence study of joint and axial involvement in psoriatic patients, and evaluation of a psoriatic and arthritic questionnaire. J Rheumatol 2002; 29:2577–2582. 31. Taylor WJ, Gladman DD, Helliwell PS, Marchesoni A, Mease P, Mielants H et al.

14. 5 cm). (b) T2-weighted fat-suppressed magnetic resonance imaging (MRI) showing associated adjacent bone edema on the calcaneum depicted by high signal (arrow). Plantar fasciitis is an enthesitis, and is common in PsA. Rarely, it can be the presenting feature of PsA [26]. Effective therapy of enthesitis by biologic blockade has been successfully demonstrated on power Doppler sonography, which measures the vascularity or inflammation within the enthesis [27]. 15. T1-weighted fat-suppressed post-contrast MRI of the hands in PsA showing capsular-based edema in (a) the third and fourth DIP joints and the fifth MCP joint, and (b) in the second MCP joint.

12). 30 3. 8. McGonagle et al. [15] rekindled interest in the enthesis as the major site of pathology underlying PsA. There are literally hundreds of entheseal sites (sites of attachment of ligament and tendon to bone). The most common sites involved in PsA are the calcaneum (both at the attachment of the Achilles tendon [a,b] and at the attachment of the plantar fascia), at muscular and tendon attachments around the pelvis, the inferior aspect of the patella, and the elbow. Tenderness at these specific sites is suffi- cient to diagnose involvement, and sometimes swelling is obvious at the tendinous or ligamentous insertion.

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