RT Book, Section
A1 Chumley, Heidi S.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164352004
T1 Arthritis Overview
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164352004
RD 2024/04/18
AB A  50-year-old  woman  presents  with  new  complaint  of  pain  in  several  fingers.  She  has  had  psoriasis  for  many  years;  however,  she  only  developed  joint  pain  last  year.  Her  examination  is  significant  for  swelling  and  tenderness  at  the  distal  interphalangeal  (DIP)  joints  of  her  second,  third,  and  fourth  fingers  (Figure  97-1,  A).  She  had  an  elevated  erythrocyte  sedimentation  rate  (ESR)  and  radiographs  with  erosive  changes  (Figure  97-1,  B).  Choices  for  therapy  include  nonsteroidal  anti-inflammatory  drugs  (NSAIDs)  in  conjunction  with  a  conventional  synthetic  disease-modifying  anti-rheumatic  drug  (csDMARD),  such  as  methotrexate.  Many  other  medications  are  now  available  for  patients  who  do  not  respond  to  initial  therapy.