Prevention of Psoriatic Arthritis
Psoriatic arthritis (PsA) is a painful joint condition that complicates the relapsing chronic skin disease psoriasis. It is considered to be an inflammatory joint disorder and is classified as part of the seronegative spondylarthropathies.
PsA affects between 5% and 25% of people with psoriasis. It is recommended that all psoriasis patients be evaluated at least once a year to detect the earliest signs of PsA. Symptoms such as joint pain, especially in women, heel pain, and clinically significant tiredness and stiffness as well as a general deterioration in physical functioning are important heralds of future PsA in patients who already have psoriasis. Heel pain predicts a fourfold risk of PsA while the risk is doubled in patients with pain, fatigue and stiffness.
The appearance of such warning symptoms frequently predates the appearance of clinical signs and symptoms suggestive of PsA by months or years. Early assessment might enable the patient to take preventive action against the deterioration of joint structure and function.