Diagnosis and treatment of psoriatic arthritis - 21/08/11
Seattle, Washington
Abstract |
Psoriatic arthritis is a chronic, heterogeneous disease whose pathogenesis is unknown, although genetic, environmental, and immunologic factors play major roles. Psoriatic arthritis can follow an aggressive clinical course, and differentiating it from other arthropathies is sometimes difficult. Diagnosis of psoriatic arthritis is based on history, physical examination, the usual absence of rheumatoid factor, and characteristic radiographic features. At least 40% of patients with psoriatic arthritis develop radiographically detectable joint destruction; therefore, proper diagnosis and early treatment can have a significant impact on disease course and outcome. Understanding the pathogenesis of psoriatic disease has led to the use of several biologic agents that work by modulating T-cell signaling or by inhibiting key cytokines involved in inflammation, such as tumor necrosis factor (TNF). TNF inhibitors have demonstrated excellent efficacy in resolving skin and joint disease in patients with psoriatic arthritis and have been shown to be safe agents in various inflammatory disorders. This article reviews the diagnostic and treatment challenges of psoriatic arthritis as they relate to pathogenesis and burden of disease.
Learning objective |
At the conclusion of this learning activity, participants should have acquired a more comprehensive knowledge of our current understanding of the classification, clinical presentation, etiology, pathophysiology, differential diagnosis, and treatment of psoriatic arthritis.
Le texte complet de cet article est disponible en PDF.Abbreviations used : ACR, DIP, DMARD, ESR, FDA, HAQ, HLA, Ig, IL, MTX, NSAID, PASI, RA, RF, SF-36, TNF
Plan
Funding sources: None. Disclosure: Dr Mease is an investigator, advisor, and/or participant in the speakers' bureau for Abbott Laboratories, Amgen Inc, Aventis, Biogen, Inc, Boehringer Ingelheim, Centocor, Inc, Genentech, Inc, Idec Pharmaceuticals, Merck & Co, Inc, Novartis, Pfizer Inc, Pharmacia, Serono, Wyeth Pharmaceuticals, and Xoma. Dr Goffe is an investigator, advisor, and/or participant in the speakers' bureau for Amgen Inc, Biogen, Inc, Boehringer Ingelheim, Genentech, Inc, Centocor, Inc, Corixa Corporation, Fujisawa Healthcare Inc, and Idec Pharmaceuticals. |
Vol 52 - N° 1
P. 1-19 - janvier 2005 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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