银屑病关节炎-风湿病诊断指南（Psoriasis arthritis rheumatism diagnostic guide）.docVIP

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银屑病关节炎-风湿病诊断指南（Psoriasis arthritis rheumatism diagnostic guide）.doc

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银屑病关节炎-风湿病诊断指南（Psoriasis arthritis rheumatism diagnostic guide）

银屑病关节炎-风湿病诊断指南（Psoriasis arthritis rheumatism diagnostic guide） Psoriatic arthritis [overview] Psoriatic arthritis (Psoriatic arthritis PsA) is an inflammatory joint disease associated with psoriasis, psoriasis with rash, joint and soft tissue pain, swelling, tenderness, stiffness and movement disorders, some patients may have sacroiliitis and spondylitis (or), course of disease and recurrence of advanced joint tonic, lead to disability. About 75%PsA of the rash occurred before arthritis, about 10% of which occurred after arthritis, and about 15% of those were present. The disease can occur at any age, with a peak age of 30-50 years, with no difference in sex, but with more spinal involvement in males. In the United States, the prevalence of PsA is 0.1%, and psoriatic arthritis occurs in about 5%-7%. Preliminary statistics show that the prevalence of PsA in China is about 1.23 per thousand. [clinical manifestations] The onset of this disease is insidious, and about 1/3 is an acute attack. There is usually no cause before the onset of the disease. 1. joint manifestations of joint symptoms varied, in addition to peripheral limb lesions, part of the spine may affect the spine. Joint pain, tenderness, swelling, stiffness and dysfunction, according to clinical features are divided into five types, 60% types can be transformed into each other, with the presence of. (1) single arthritis or less arthritis type: 70%, the affected joints were mainly knee joint, ankle and hip joint, and one or two fingers (toes) joints were also involved at the same time. Because of concomitant distal and proximal finger (toe) between synovitis and tenosynovitis, damaged finger (toe) may present a typical sausage finger (toe), often accompanied by a finger (toe) lesions. About 1/3-1/2 of this type of patient can develop into a multi arthritic type. (2) distal interphalangeal: 5%-10%, involving distal interphalangeal joints, is typically PsA, usually associated with psoriatic nail lesions. (3)