Types of Psoriasis Arthritis

Psoriatic arthritis is of following 5 types, each having different characteristics:

 Symmetric psoriatic arthritis: It has following characteristic features:

• Affects the same joints

• Usually in multiple matching pairs

• On opposite sides of the body

• Is disabling

• Causes varying degrees of progressive and destructive disease

• Loss of function in 50% of people

 Symmetric psoriatic arthritis

 Asymmetric psoriatic arthritis: It has following characteristic features:

• Typically involves one to three joints in the body

• Large or small joints like the knee, hip, or one or several fingers

• Does not affect matching pairs of joints on opposite sides of the body

• Distal interphalangeal predominant (DIP): It has following characteristic features:

• Primarily involves the small joints in the fingers and toes closest to the nail

• Resembles osteoarthritis and can be confused with it

• Spondylitis: It has following characteristic features:

• Affects the spinal column

• Causes inflammation and stiffness in the neck, lower back, spinal vertebrae, or sacroiliac region (pelvic area)

• Makes motion difficult

• Can attack connective tissue, such as ligaments

Arthritis mutilans: It has following characteristic features:

• Rare but severe, deforming, and destructive form of psoriatic arthritis

• Primarily affects the small joints in the fingers and toes closest to the nail

• Loss of function of the involved joints

• Frequently associated with lower back and neck pain

Arthritis mutilans

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