Kleinert Stefan, Feuchtenberger Martin, Kneitz Christian, Tony Hans-Peter
Medizinische Klinik and Poliklinik II, Department of Rheumatology and Clinical Immunology, University of Wuerzburg, Klinikstrasse 6, D-97070 Würzburg, Germany.
Clin Dermatol. 2007 Nov-Dec;25(6):519-23. doi: 10.1016/j.clindermatol.2007.08.004.
Psoriatic arthritis presents with a broad clinical spectrum of symptoms. Symmetrical polyarthritis with joint pain and joint swelling is one pattern of clinical manifestations that often indicates erosive progressive disease. Unlike in rheumatoid arthritis, the distal interphalangeal joints are regularly involved. Sometimes, the disease focuses on the larger joints of the lower extremities; iliosacral and intervertebral joints and tendons can also be involved. Thus, inflammatory back pain as well as any other prolonged joint pain in a patient with psoriasis is suspicious of psoriatic arthritis. This article reviews the clinical spectrum and diagnostic procedures that can lead to the diagnosis of psoriatic arthritis.
银屑病关节炎具有广泛的临床症状谱。伴有关节疼痛和肿胀的对称性多关节炎是一种临床表现模式，常提示侵蚀性进展性疾病。与类风湿关节炎不同，远端指间关节常受累。有时，该病主要累及下肢大关节；骶髂关节、椎间关节和肌腱也可受累。因此，银屑病患者出现炎性背痛以及任何其他持续性关节疼痛都应怀疑为银屑病关节炎。本文综述了可导致银屑病关节炎诊断的临床症状谱和诊断方法。
