What is the severe destructive form of psoriatic arthritis called?

Study for the CMS II Rheumatology E1 Test. Boost your knowledge with flashcards and multiple choice questions. Each question includes helpful hints and explanations. Prepare to excel on your exam!

Multiple Choice

What is the severe destructive form of psoriatic arthritis called?

Explanation:
The severe destructive form of psoriatic arthritis is called psoriatic mutilans, the most aggressive psA subtype. It features extreme bone and soft tissue destruction that can cause fingers to telescope or shorten dramatically, giving a highly deforming, disfiguring appearance. This stands in contrast to other conditions listed: Felty syndrome is a RA-related complication with splenomegaly and neutropenia, gout is a crystal-induced joint disease, and rheumatoid arthritis is a separate inflammatory arthritis—none of which describe the dramatic mutilation seen in psoriatic mutilans. Recognizing this subtype matters because it signals a need for aggressive therapy to try to slow progression and preserve function.

The severe destructive form of psoriatic arthritis is called psoriatic mutilans, the most aggressive psA subtype. It features extreme bone and soft tissue destruction that can cause fingers to telescope or shorten dramatically, giving a highly deforming, disfiguring appearance. This stands in contrast to other conditions listed: Felty syndrome is a RA-related complication with splenomegaly and neutropenia, gout is a crystal-induced joint disease, and rheumatoid arthritis is a separate inflammatory arthritis—none of which describe the dramatic mutilation seen in psoriatic mutilans. Recognizing this subtype matters because it signals a need for aggressive therapy to try to slow progression and preserve function.

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