Psoriatic arthritis | |
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Other names | Arthritis psoriatica, arthropathic psoriasis, psoriatic arthropathy, psoriatic disease.[1] |
Severe psoriatic arthritis of both feet and ankles. There is also damage to the nails. | |
Specialty | Rheumatology |
Psoriatic arthritis (PsA) is a long-term inflammatory arthritis that may occur in some people affected by the autoimmune disease psoriasis.[2][3] The classic features of psoriatic arthritis include dactylitis (sausage-like swelling of the fingers), skin lesions, and nail lesions.[4] Lesions of the nails may include small depressions in the nail (pitting), thickening of the nails, and detachment of the nail from the nailbed.[4] Skin lesions consistent with psoriasis (e.g., red, scaly, and itchy plaques) frequently occur before the onset of psoriatic arthritis but psoriatic arthritis can precede the rash in 15% of affected individuals.[4] It is classified as a type of seronegative spondyloarthropathy.
Genetics are thought to be strongly involved in the development of psoriatic arthritis.[4] Obesity and certain forms of psoriasis are thought to increase the risk.[4]
Psoriatic arthritis affects up to 30% of people with psoriasis. It occurs in both children and adults.[4] Some people with PsA never get psoriasis.[5]
The condition is less common in people of Asian or African descent. It affects men and women equally.[4]
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