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Journal of the American Academy of Dermatology
Volume 63, n° 5
pages 733-748 (novembre 2010)
Doi : 10.1016/j.jaad.2010.02.061
Continuing Medical Education

Recognizing psoriatic arthritis in the dermatology clinic
 

Amit Garg, MD a, , Dafna Gladman, MD b
a Department of Dermatology, Rheumatic Skin Disease Center, Boston University School of Medicine, Boston, Massachusetts 
b Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital, Toronto, Ontario, Canada 

Reprint requests: Amit Garg, MD, Department of Dermatology, 609 Albany St, J207, Boston, MA 02118.
Abstract

Dermatologists care for patients with psoriasis in whom there exists an inherent risk of psoriatic arthritis, a condition with potential for causing joint damage and subsequent disability. Most patients have psoriasis for years before the development of psoriatic arthritis, and there may be a significant proportion of psoriasis patients with joint involvement that are cared for by the dermatologist. With the absence of a diagnostic measure, the criterion standard for recognizing or monitoring psoriatic arthritis remains the clinical assessment. Recognition of psoriatic arthritis in the psoriasis patient—and the dermatologist’s ability to differentiate it from other types of arthritis—provide an opportunity to improve patient outcomes through early recognition and facilitation of intervention in collaboration with a rheumatologist.

Learning objectives

After completing this learning activity, participants should be able to recognize the presence of psoriatic arthritis among patients with psoriasis; distinguish psoriatic arthritis from reactive arthritis, osteoarthritis, gout, rheumatoid arthritis, and ankylosing spondylitis; and use appropriate laboratory and imaging tests in the evaluation of patients with psoriasis and musculoskeletal complaints.

The full text of this article is available in PDF format.

Key words : dermatologist, psoriatic arthritis, screening



 Funding sources: None.
 Conflicts of interest: Dr Garg has been a consultant for Abbott, has received honoraria from Abbott and Genentech, and has received grants from Centocor and RegeneRx. Dr Gladman has been a consultant for and received honoraria from Abbott, Amgen, BMS, Centocor, Schering, and Wyeth, and has received grants from Abbott, Amgen, Schering, Pfizer, and Wyeth. The editors, planners, and peer reviewers have no relevant financial relationships.



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