Document 0157 DOCN M94A0157 TI Recent developments in psoriatic arthritis. DT 9412 AU Cuellar ML; Silveira LH; Espinoza LR; Section of Rheumatology, LSU Medical Center, New Orleans; 70112-2822. SO Curr Opin Rheumatol. 1994 Jul;6(4):378-84. Unique Identifier : AIDSLINE MED/94347567 AB Psoriatic arthritis affects 5% to 7% of patients with psoriasis. Genetic, immunologic, and environmental factors play a role in its pathogenesis. The role of inflammatory cytokines has been better defined, and recent immunohistochemical studies of the synovial membranes have shown important differences and similarities between psoriatic arthritis and rheumatoid arthritis. The association of psoriatic arthritis with infection, particularly HIV, remains an interesting observation. The most common clinical presentation appears to be peripheral polyarticular, and extra-articular manifestations including the SAPHO (synovitis, acne, pustulosis, hypertosis, and osteitis) syndrome are not common. Methotrexate and sulfasalazine therapy are effective in patients who do not respond to nonsteroidal anti-inflammatory drugs. DE *Arthritis, Psoriatic/DIAGNOSIS/EPIDEMIOLOGY/ETIOLOGY/THERAPY Human JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).