Mete KARA, Hayriye KOÇANAOĞULLARI, Figen Yargucu ZİHNİ, Gonca KARABULUT

Bilinen en eski çelişki

Psoriatik artrit (PsA) aksiyal ve periferik eklemleri etkileyen, cilt, tırnak, entezis yerlerini tutabilen, psoriasis hastalarında görülebilen, klinik olarak heterojen bir hastalıktır. Bu nedenle de PsA birçok hastalık ile karışabilmektedir. Cilt tutulumu PsA hastalarının %15’inde eklem tutuluşundan sonra saptanabilmektedir. Bu da tanıda ve takipte zorluk yaratmaktadır. Periferik artrit ile başvuran ve anti siklik sitrüline peptit (anti-ccp) antikoru pozitif bir olgu ile PsA tanısının konulmasındaki zorluklara ve PsA’nın ayrıcı tanısını yapabilmek için de dikkatli ve detaylı bir anamnez ile iyi bir fizik muayene gerektiğine dikkat çekmeye çalıştık.

The oldest known paradox

Psoriatic arthritis (PsA) is a clinically heterogeneous disease which can be seen in patients with psoriasis, affects the axial and peripheral joints and can involve skin, nail and enthesis. Therefore, PsA can be confused with many diseases. Skin involvement can be established after joint involvement in 15% of PsA patients. This creates difficulties in diagnosis and follow-up. We attempted to draw attention to the difficulties in the diagnosis of PsA in patients who present with polyarthritis and positive anti-cyclic citrullinated peptide (anti-ccp) antibody and also, we underline necessity of cautious and detailed history taking and good physical examination.

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