FIZIOTERAPIJSKI POSTUPCI KOD PSORIJATIČNOG ARTRITISA

Psoriatic arthritis presents chronic inflammatory reumatic disease, considering that it often affects axial scelet, the spine, it is considered seronegative spondyloarthritis. Name of this disease tells it by itself that it is arthritis connected to psoriasis and although at first it may seem that it is easy to diagnose psoriatic arthritis it is not always the case. So, arthritis can precede psoriasis, while in the other hand every arthritis that shows in psoriasis is not always psoriatic arthritis. There are some joints that showing of this type of arthritis is characteristically for them, but almost any joint can be affected. When talking about connection of psoriasis and arthritis there are some papers that are showing connection going back to the 19.century and other half of 20.century. Different epidemiological studies show different appearance of this type of arthritis in psoriasis that goes from 6 to 48%. That difference probably contributes different classificational and diagnostical criterion that are used when diagnosing psoriatic arthritis. In 15-20% people arthritis cana precede skin disease, so diagnosing without concomitant psoriasis presents a big challenge. Hand and wrist are made out of 29 bones and 36 joints. Considering that information, I wanted to explain what it takes to have a detailed hand assesment affected with psoriatic arthritis. Also, I explained what are the tests and types of therapy.