Clinics in Dermatology
Volume 25, Issue 6 , Pages 519-523, November 2007

Psoriatic arthritis: clinical spectrum and diagnostic procedures

  • Stefan Kleinert, MD

      Affiliations

    • Corresponding Author InformationCorresponding authors. Stefan Kleinert is to be contacted at Department of Rheumatology and Clinical Immunology, University of Wuerzburg, Klinikstrasse 6, D-97070 Würzburg, Germany. Tel.: +49 0 931 201 70420; fax: +49 0 931 201 70421. Hans-Peter Tony, Tel.: +49 0 931 201 70420; fax: +49 0 931 201 70421.
    web address
    • ,
  • Martin Feuchtenberger, MD
    • ,
  • Christian Kneitz, MD
    • ,
  • Hans-Peter Tony, MD

      Affiliations

    • Corresponding Author InformationCorresponding authors. Stefan Kleinert is to be contacted at Department of Rheumatology and Clinical Immunology, University of Wuerzburg, Klinikstrasse 6, D-97070 Würzburg, Germany. Tel.: +49 0 931 201 70420; fax: +49 0 931 201 70421. Hans-Peter Tony, Tel.: +49 0 931 201 70420; fax: +49 0 931 201 70421.
    web address

Medizinische Klinik and Poliklinik II, Department of Rheumatology and Clinical Immunology, University of Wuerzburg, Klinikstrasse 6, D-97070 Würzburg, Germany

Abstract 

Psoriatic arthritis presents with a broad clinical spectrum of symptoms. Symmetrical polyarthritis with joint pain and joint swelling is one pattern of clinical manifestations that often indicates erosive progressive disease. Unlike in rheumatoid arthritis, the distal interphalangeal joints are regularly involved. Sometimes, the disease focuses on the larger joints of the lower extremities; iliosacral and intervertebral joints and tendons can also be involved. Thus, inflammatory back pain as well as any other prolonged joint pain in a patient with psoriasis is suspicious of psoriatic arthritis. This article reviews the clinical spectrum and diagnostic procedures that can lead to the diagnosis of psoriatic arthritis.

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PII: S0738-081X(07)00148-4

doi:10.1016/j.clindermatol.2007.08.004

Clinics in Dermatology
Volume 25, Issue 6 , Pages 519-523, November 2007

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