דלקת מפרקים פסוריאטית / ספחתית: תסמינים ודרכי אבחון

דלקת מפרקים פסוריאטית / ספחתית: תסמינים ודרכי אבחון


It is important for you to know that the purpose
of this film is solely to provide information. It does not express an opinion, diagnosis,
recommendation of medical treatment
or consultation process
in the name of your family doctor. Psoriatic Arthritis:
Symptoms & Diagnosis Psoriatic arthritis presents as a combination of symptoms common to arthritis alongside symptoms
associated with psoriasis. More about these symptoms
and diagnosis in the following clip. When should a psoriasis patient begin to suspect that he may be developing arthritis? Actually, over the past few years, all sorts of questionnaires
have been developed. The questions include, for instance,
“Do you or have you ever suffered “from swelling in any joint,
or from pain in any joint, “or do you suffer from back pain “that could point to
point to psoriatic arthritis?” In one questionnaire, there is even
a picture of the joints. The patient is asked to mark
which joints are swollen or painful. If the answer to the questions
I noted is positive for pain, swelling,
morning stiffness for more than an hour, back pain with morning stiffness, then a rheumatologist
should be consulted. If a psoriasis patient experiences
joint pain with inflammation especially in the joints
that are frequently affected by psoriatic arthritis, such as the joints
on the fingertips, or if the situation mirrors different presentations
of psoriatic arthritis, or if a number of asymmetric joints
are affected or if several joints or the pelvis
and spinal column are affected then we must conduct
additional laboratory tests. Lab tests can show an increase
in unspecific inflammation indexes, through a blood count
or another test called “CRP.” There is no special test
for psoriatic arthritis and so diagnosis is usually reached
by ruling out other things. We review the tests,
checking for example the “rheumatoid factor” or “anti CCP”
which are standard tests that diagnose a different type of
inflammation, rheumatoid arthritis. If the results to these tests
are negative then psoriatic arthritis
can be diagnosed. Based upon everything I’ve mentioned,
a list of criteria has been developed to help us diagnose
psoriatic arthritis. These criteria include the common
symptoms I mentioned previously: inflamed joints, inflamed tendons,
pain in the spinal column, combined with psoriasis
or a family history of psoriasis. There is also another criteria
called “sausage fingers” in which the entire finger swells up. This is a very common sign
of psoriatic arthritis, combined with split fingernails
caused by psoriasis, not fungus. The use of these criteria usually
helps us make the diagnosis and prescribe the appropriate
treatment for the patient.

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