Psoriatic arthropathy

Psoriatic arthropathy (psoriasis arthropathica) can take various forms - from light artralgia without anatomical changes in the articular apparatus to heavy deforming arthrosis (Fig. 2)ending with ankylosis and in much pain.
There are three forms of psoriatic arthropathy: 1) arthralgia, 2) synovial form, and 3) synovial-bone. It is characteristic of symmetric and multiple joint disease that mostly small - feet and hands, ankle and wrist, rarely knee, elbow and other Affected joints deformed due to the uneven thickening and offset divisov. The mobility of their limited. A long, with temporary remission. Often they are accompanied by severe and persistent skin manifestations. Psoriatic arthropathy meet at 5-14% of psoriasis patients of different disease duration, equally in men and women, often in middle and old age. Often patients found "hidden" osteoarthropathy without clinical changes in the joints.
Radiographically marked atrophic-degenerative processes in the joints - the narrowing of joint cracks, or diffuse alopecia osteoporosis, shortening, and even the resorption of the terminal phalanges. Often there are exostosis. Severe changes in the joints lead to subluxations, sprains and ankylosis.
Treatment: spend protivopsoriaticescoe therapy, massage and heat treatments in the period of exacerbation - corticosteroids.

Fig. 2. Psoriatic deforming arthrosis.