Take our patient case study quiz on psoriatic arthritis, specially curated for you by our Editorial Panel Member, Prof. Alberto Cauli.
A 36-year-old man suddenly presents polyarthritis of the small joints of both hands [metacarpophalangeal (MCP) and proximal interphalangeal (PIP)], right ankle and left knee.
Past history:
- 10-year history of skin psoriasis
- No family history of spondyloarthritis, bowel disease or acute anterior uveitis
- No chronic back pain
Lab tests:
- Increased erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)
After six months of non-steroidal anti-inflammatory drugs (NSAIDs), with only partial relief of symptoms and still with swollen joints, he decided to have a rheumatological referral.
Under these circumstances, which would be the most appropriate way to proceed?
