Year: 2017 | Month: June | Volume 6 | Issue 1
An Unusual Case of Psoriatic Arthritis
Abstract:
The association of arthritis with Psoriasis is well established; with variable prevalence in different population groups. The timing of onset of arthritis with respect to skin lesion is variable; with the most common pattern being arthritis manifesting concurrently or after the appearance of cutaneous lesion. We document a case of a young male in whom the skin lesions were preceded by arthritis by almost a year. The pattern of arthritis was a combination of symmetrical polyarthritis involving small and large joints of body as well as axial spondyloarthritis. The final diagnosis could only be made after the appearance of skin lesion as the patient had no past history or family history of Psoriasis. Finally there was a striking response to Methotrexate both in terms of skin lesion as well as joint symptoms.
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