psoriasis arthritis , treatment - acha

[ArchivalUser]

Subject comes to the office with deformity of fingers, psoriatic lesions over the dorsal area of the hands, and high levels of uric acid.


What is the treatment in office ?

ibuprophen
indometasine
metrotexate
allopurinol
probenecid


what is the treatment to avoid more deformities of the hand?

nsaids
indometasine
metrotexate
allourinol
probenecid

[ArchivalUser]

mtx for 1st.

[ArchivalUser]

Methotrexate for both.

[ArchivalUser]

For 1st

Ans. NSAIDs (MTB 124)

Methotrexate for resistant cases.

[ArchivalUser]

pt has jt deformity. so that is why i selected mtx.

[ArchivalUser]

For acute scenario in office:
NSAIDS

To decrease deformity(DMARDs) like:
metrotexate

Fisher mentions Infliximab but it is not a DMARDs drug.

[ArchivalUser]

acha

I agree with you

[ArchivalUser]

1st ques:
NSAID -- so ibuprofen

2nd ques:
DMARD -- MTX, Sulfasalazine, Leflunomide

3rd kind of cases:
people who have not responded fully to DMARDs or who cannot tolerate DMARDs in doses large enough to control psoriatic arthritis symptoms.----

use
Biologic response modifiers ” that bind tumor necrosis factor (TNF).
Etanercept (Enbrel®),
adalimumab (Humira®),
and infliximab (Remicade®) are examples

ref:
http://www.uptodate.com/patients/content...TUaU1fa1In

[ArchivalUser]

Yeah !! Thanks Meti..