Difficulties in diagnoss of psoriatic arthritis during outpatient visit of rheumatologist: clinical case
- Authors: Marusenko I.M1
-
Affiliations:
- Petrozavodsk State University
- Issue: No 2S (2018)
- Pages: 58-61
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/296530
- DOI: https://doi.org/10.18565/pharmateca.2018.s2.58-60
- ID: 296530
Cite item
Open Access
Access granted
Abstract
The article is devoted to the difficulties of diagnosing psoriatic arthritis, which can occur in the outpatient practice of a rheumatologist. In the clinical example, the case of the error diagnosis of rheumatoid arthritis in a young female patient with damage of small joints of the hands is described. The inattention of a rheumatologist to such features of the course of the disease as the presence of psoriasis in a patient, psoriasis and arthritis in a family history, the damage of distal interphalangeal joints, and the persistent absence of rheumatoid factor in serum has led to the an incorrect diagnosis.
Full Text
About the authors
I. M Marusenko
Petrozavodsk State University
Email: Imarusenko@yandex.ru
MD, Prof. at the Department of Hospital Therapy
References
- Gladman D.D., Antoni C., Mease P., Clegg D.O., Nash P Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann. Rheum. Dis. 2005;64(Suppl 2):14-7.
- Olivieri I., Padula A., DAngelo S., Cutro M.S. Psoriatic arthritis sine psoriasis. J. Rheumatol. 2009;(Suppl 83):28-9.
- Moll J.M.H., Wright V. Psoriatic arthritis. Semin. Arthritis Rheum. 1973;3:55-78.
- Коротаева Т.В. Псориатический артрит: классификация, клиническая картина, диагностика, лечение. Научно-практическая ревматология. 2014;52(6):650-59.
- Taylor W., Gladman D., Helliwell P., Marchesoni A., Mease P., Mielants H.; CASPAR Study Group. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006;54:2665-73.
- Smolen J.S., Schols M., Braun J., Dougados M., et al. Treating axial spondyloarthritis and peripheral spondyloarthritis, especially psoriatic arthritis, to target: 2017 update of recommendations by international task force. Ann. Rheum. Dis. 2018;77:3-17.
- Smolen J.S., Braun J., Dougados M., et al. Treating spondyloarthritis, including ankylosing spondylitis and psoriatic arthritis, to target: recommendations of an international task force. Ann. Rheum. Dis. 2014;73:6-16.
- Gossec L., Smolen J.S., Ramiro S., et al. European League against Rheumatism (EULAR) recommendations for the management of psoriatic arthritis with pharmacological therapies: 2015 update. Ann. Rheum. Dis. 2016;75:499-510.
- Насонов Е.Л. Фармакотерапия ревматоидного артрита: российские и международные рекомендации. Научно-практическая ревматология. 2016;54(5):557-71.
Supplementary files
