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Qu'est-ce (qui) est psoriatic$65103$ - définition
![phalanx]] (long thin arrow). There is synovitis at the proximal interphalangeal joint (long thick arrow) plus increased signal in the overlying soft tissues indicating [[edema]] (short thick arrow). There is also diffuse bone edema (short thin arrows) involving the head of the proximal phalanx and extending distally down the shaft.](https://commons.wikimedia.org/wiki/Special:FilePath/Psoriatic arthritis digit ar1934-2.gif?width=200 "phalanx]] (long thin arrow). There is synovitis at the proximal interphalangeal joint (long thick arrow) plus increased signal in the overlying soft tissues indicating [[edema]] (short thick arrow). There is also diffuse bone edema (short thin arrows) involving the head of the proximal phalanx and extending distally down the shaft.")
![axial]] (a) pre-contrast and (b) post-contrast images exhibiting [[dactylitis]] due to [[flexor]] [[tenosynovitis]] at the second finger with enhancement and thickening of the [[tendon sheath]] (large arrow). Synovitis is seen in the fourth proximal interphalangeal joint (small arrow).](https://commons.wikimedia.org/wiki/Special:FilePath/Psoriatic arthritis dactylitis ar1934-4.gif?width=200 "axial]] (a) pre-contrast and (b) post-contrast images exhibiting [[dactylitis]] due to [[flexor]] [[tenosynovitis]] at the second finger with enhancement and thickening of the [[tendon sheath]] (large arrow). Synovitis is seen in the fourth proximal interphalangeal joint (small arrow).")
![spine]] in psoriatic arthritis. Signs of active inflammation are seen at several levels (arrows). In particular, [[anterior]] spondylitis is seen at level L1/L2 and an inflammatory [[Andersson lesion]] at the upper vertebral endplate of L3.](https://commons.wikimedia.org/wiki/Special:FilePath/Psoriatic arthritis spine ar1934-6.gif?width=200 "spine]] in psoriatic arthritis. Signs of active inflammation are seen at several levels (arrows). In particular, [[anterior]] spondylitis is seen at level L1/L2 and an inflammatory [[Andersson lesion]] at the upper vertebral endplate of L3.")
![Magnetic resonance images of [[sacroiliac joint]]s. Shown are T1-weighted semi-coronal magnetic resonance images through the sacroiliac joints (a) before and (b) after intravenous contrast injection. Enhancement is seen at the right sacroiliac joint (arrow, left side of the image), indicating active [[sacroiliitis]].](https://commons.wikimedia.org/wiki/Special:FilePath/Sacroiliitis MRI ar1934-5.gif?width=200 "Magnetic resonance images of [[sacroiliac joint]]s. Shown are T1-weighted semi-coronal magnetic resonance images through the sacroiliac joints (a) before and (b) after intravenous contrast injection. Enhancement is seen at the right sacroiliac joint (arrow, left side of the image), indicating active [[sacroiliitis]].")
Wikipédia
Psoriatic arthritis (PsA) is a long-term inflammatory arthritis that occurs in people affected by the autoimmune disease psoriasis. The classic feature of psoriatic arthritis is swelling of entire fingers and toes with a sausage-like appearance ("sausage digit"). This often happens in association with changes to the nails such as small depressions in the nail (pitting), thickening of the nails, and detachment of the nail from the nailbed. Skin changes consistent with psoriasis (e.g., red, scaly, and itchy plaques) frequently occur before the onset of psoriatic arthritis but psoriatic arthritis can precede the rash in 15% of affected individuals. It is classified as a type of seronegative spondyloarthropathy.
Genetics are thought to be strongly involved in the development of psoriatic arthritis. Obesity and certain forms of psoriasis are thought to increase the risk.
Psoriatic arthritis affects up to 30% of people with psoriasis and occurs in both children and adults. Approximately 40–50% of individuals with psoriatic arthritis have the HLA-B27 genotype. The condition is less common in people of Asian or African descent and affects men and women equally.
