ACR on Air
Psoriatic Arthritis
Aug 13, 2024
Dr. Philip J. Mease, a leading rheumatologist specializing in psoriatic arthritis, provides invaluable insights into diagnosing and treating PsA. He discusses the importance of differentiating joint pain causes and highlights the role of collaboration between dermatologists and rheumatologists. Dr. Mease also explores treatment advancements, including the significance of biomarkers and aggressive strategies to minimize long-term damage. Additionally, he dives into gender differences in treatment responses and the challenges of managing complex cases, advocating for a multidisciplinary approach.
47:23
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Quick takeaways
- Effective diagnosis of psoriatic arthritis relies on evaluating joint pain symptoms, enthesitis signs, and correlating with patient history.
- The treatment landscape for psoriatic arthritis has diversified, requiring personalized plans that consider individual symptoms and potential comorbidities.
Deep dives
Evaluating Joint Pain in Psoriasis Patients
Diagnosing psoriatic arthritis in patients with psoriasis requires careful evaluation of joint pain symptoms. Many dermatologists may prematurely assume that joint pain indicates psoriatic arthritis, particularly since approximately 30% of psoriasis patients will develop it. Effective assessment involves asking specific questions about the nature of the pain, looking for signs of enthesitis such as persistent Achilles tendon or chest pain, and correlating these with the patient's history. Additionally, considering factors like morning stiffness and imaging techniques like ultrasound can aid in distinguishing inflammatory arthritis from other musculoskeletal issues.
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