Psoriatic arthritis is an inflammatory disease of the bone joints, which is associated with a skin disease. Psoriasis is a chronic non-infectious pathology that mainly affects the skin.
Code M07 in the International Classification of Diseases (ICD-10) belongs to psoriatic arthritis. In this case, psoriatic arthritis is a secondary disease against the background of an established skin disease. The disease affects more often middle-aged women, due to their emotional background.
According to numerous studies, the main cause of psoriasis and psoriatic arthritis is the psychosomatic status of the patient. Emotional instability, overexcitability, fear, and constant nervous tension cause the development of psoriasis. Also, severe stress (death of a loved one, accident, divorce, etc.) can serve as a catalyst for the onset of the disease.
Other causes of psoriatic arthritis include:
In most patients (about 65-70%), joint damage occurs after skin damage in some patients; in other cases, either arthritis precedes psoriasis, or these diseases appear simultaneously. In most cases, the clinical picture is typical of arthritis; the onset can also be gradual or abrupt.
Articular manifestations of psoriatic arthritis include:
Extra-articular manifestations of psoriatic arthritis:
Skin changes due to psoriasis.
The following forms of psoriatic arthritis according to ICD 10 are distinguished, varying in clinical features and pathogenesis:
Despite the similarity of external manifestations of all forms of the disease, with a thorough examination and proper diagnosis, a rheumatologist can easily make the correct diagnosis.
At the first signs of skin and joint diseases, you should consult a general practitioner. The specialist, after examination, will give a referral to a rheumatologist and dermatovenerologist for additional diagnostics and a more accurate diagnosis.
Diagnosis of the disease includes several stages:
1) Examination by specialists (history collection, examination). At this stage, they search for the cause of the disease, note its manifestations, the severity of the process, and then proceed to another stage of the examination.
2) Laboratory diagnostics.
3) Instrumental studies:
On the radiograph, the affected joints are eroded, the articular surfaces are narrowed. The presence of osteoporosis and osteolysis with displacement of the fingers is also characteristic. In more advanced cases, bone fusion is determined - ankylosis and calcification.
To more accurately determine the stage and form of the disease, additional research methods are used: MRI, ultrasound, which will more accurately determine the location of the lesion, determine the stage and deformation of the joints.
Thus, to diagnose psoriatic arthritis according to ICD10, at least three criteria are necessary:
ICD-10 involves complex treatment of psoriatic arthritis. The fight against a chronic illness is a long process that requires patience and strict adherence to all medical recommendations. Currently, methods of combating the disease consist of several approaches:
1) Drug therapy (prescription of tablets or injectable drugs):
2) Local treatment involves applying ointments and gels to the affected joints (fluorocort, sinalar). You can also use salicylic ointment, although hormonal agents are more effective.
3) Physiotherapy procedures are carried out during the period of remission of inflammation and involve the use of paraffin baths, various therapeutic baths, ultrasound and mineral water treatment. Also, for this disease, massage of the affected joints is indicated during the period of subsidence of the inflammatory process.
4) Therapeutic and health-improving physical education includes a set of exercises aimed at improving motor functions in the affected joints.
Let's look at a few exercises:
Clench and unclench your fists (3 sets of 10 times, do it quickly)
We rotate the wrist joint (10 times in one direction, 10 times in the other, 3 approaches)
First bend the hand with straightened fingers left and right, then back and forth (3 sets of 10 times each exercise)
Making oscillatory movements, we pull the toe towards ourselves (back and forth, 3 sets of 10 times)
Shifting from foot to foot (from toe to heel, from outer edge to inner edge, 3 sets of 10 times each exercise)
We rotate the ankle joint (10 times in one direction, 10 times in the other, 3 approaches).
5) Surgical treatment is carried out in advanced cases when conservative treatment does not produce results over a long period of time with damage to large joints (knee, hip). Then endoprosthetics is performed (replacing the affected joint with an artificial implant).
Diet plays an important role in the treatment and duration of remission in psoriatic arthritis. If you are sick, you should give preference to alkaline foods and limit foods that cause increased acidity.
Reducing acidity can be achieved by eating fresh vegetables and fruits, limiting fatty, canned, spicy and fried foods
The following products are allowed to be consumed, even during an exacerbation:
It is necessary to exclude the following foods, especially during an exacerbation of psoriatic arthritis:
It is recommended to steam or bake food in the oven, and also give preference to fresh foods. During an exacerbation, completely eliminate salty, hot, spicy foods.
Currently, there is no specific prevention of psoriatic arthritis. However, if you follow the recommendations of a specialist, attend preventive appointments, take prescribed medications, do gymnastics and massage, you can keep the disease in remission for a long time. Thus, there can be a gradual impairment of the function of the affected joints and gradual loss of ability to work.
Arthritis is an inflammatory process in the joint area, which can be specific or non-specific. Any arthritis according to ICD 10 has a class code M, which allows it to be classified as a disease of the musculoskeletal system and connective tissue.
The section in which this pathology is located is called “Arthropathy”. Most of the nosologies in this section are made up of various inflammatory processes.
In the International Classification of Diseases, 10th revision, arthritis may have the following coding:
Also, the arthritis code in ICD 10 may not be specified if the pathology is accompanied by joint damage. For example, with gout, metabolism is disrupted and crystals accumulate in the joint, which from time to time lead to an inflammatory process. In the ICD there is a code for gout (M10), which already implies the presence of attacks of inflammation.
Inflammation in the joint apparatus can occur for many reasons. All diseases are divided into two large groups: local (or reactive) inflammation and systemic (in connective tissue pathologies). The first variant of the disease is completely treatable; in the second case, therapy is used that slows down the progression of the pathological situation as much as possible.
The international classification does not provide for the division of nosologies by localization, therefore, in ICD 10, arthritis of the knee joint will have one of the above designations. The main thing is not to confuse this nosology with arthrosis in the knee area.
All inflammations in the articular apparatus have a specific clinical picture. There are common symptoms, such as pain and swelling.
And there are those that help distinguish one inflammatory process from another, for example, morning stiffness in the rheumatoid inflammatory process. The following are important: the symmetry of the lesion, the types of joints involved in the process, the presence of rashes and changes in the skin over the affected area, and the involvement of other organs and systems in the pathology.
For example, rheumatoid arthritis in the international classification of diseases implies clarification of which organs additionally require treatment (heart, kidneys, and so on). Making a diagnosis of such diseases is quite difficult , so the doctor must pay attention to any little details when interviewing, examining and conducting laboratory and instrumental diagnostics. Some joint lesions are diagnosed by exclusion.
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ICD 10 is primarily useful for doctors to determine the exact classification of the disease
Grouping pathologies is necessary to make it more convenient for doctors to make a diagnosis, prescribe diagnostic procedures and treatment. The World Health Organization has created a special classification of diseases so that doctors can exchange information while in different countries. The ICD was created in 1893, and new changes were made every year. The 10th revision of the ICD was approved in May 1990 at the 43rd session of the World Health Assembly. All major diseases are divided into categories, each of which is designated by a letter with its own designation, and can consist of no more than 100 types of diseases belonging to its section. Arthritis ICD 10 refers to the eighth class, which contains all diseases of bones, muscles, tendons and connective tissue. There are 10 departments dedicated to this pathology. The ICD 10 Medical Information Network has its own goals, they are as follows:
In ICD 10 you can find monitoring of morbidity, counting of deaths and injuries. And also the statistical data of the medical information and reference network contains information about the conditions for the occurrence of pathological conditions, clinical signs, course and pathogenesis.
ICD 10 identifies a class of infectious arthropathy. The nosology of infectious diseases of the joints includes: M00 - pyogenic arthritis, M01 - direct infection of the joint in infectious and parasitic diseases, M02 - reactive arthropathy, M03 - post-infectious and reactive arthropathy in diseases. Among all infectious pathologies and their subtypes, the most common among children and adults is reactive arthritis, code M02.
Reactive arthritis can be acute, protracted, chronic or recurrent. Its causes are tuberculosis and gonococcal infections, brucellosis, Crohn's and Reiter's diseases, dysentery, ulcerative colitis, yersiniosis. Symptoms:
Reactive arthritis shares many features with psoriatic arthritis, ankylosing spondylitis, Crohn's disease, systemic scleroderma, and lupus erythematosus. During diagnosis, blood tests will show an elevated ESR level, anemia, pyuria, and moderate thrombocytosis.
In ICD 10, for the convenience of medical personnel, a code has been allocated for rheumatoid arthritis. Today, rheumatoid arthropathy is designated by code M05 and M06. Often, victims with the same conclusion, for example, arthritis of the knee, are divided into different classes. Subtypes of rheumatoid arthritis:
Rheumatoid arthritis, including its varieties, causes pain and loss of function in the joints. It affects any joint. General symptoms of rheumatoid arthropathy, the classification of which can be found in ICD 10 under code M05 and M06:
Signs and symptoms of rheumatoid arthritis usually appear in mid to late adulthood. In severe cases, affected individuals have ongoing health problems associated with the disease for many years. Abnormal inflammation can cause severe damage to the joint, which limits movement and can lead to disability.
Psoriatic arthritis of the knee, hip or any other joint is a chronic progressive inflammation. In ICD 10, psoriatic arthropathy is coded M07. Clinical manifestations include:
Psoriatic arthritis and its subtypes belong to a group of arthritis diseases that can cause inflammation of the spine (spondyloarthropathy). The causes of such diseases are currently unknown. It is believed that genetic and immune factors are of particular importance in their formation. The HLA-B27 gene was detected in 50% of patients with ICD 10 M07 code. Certain changes in the immune system can also be the cause of psoriatic arthropathy. For example, a decrease in the number of immune cells in AIDS patients. The main risk factor for the development of psoriatic arthropathy is the presence of psoriasis in close relatives (parents, grandparents).
The International Classification of the Musculoskeletal and Connective Tissue system makes a separate place for juvenile arthritis. He was assigned the code M08-M09. There are also separate subtypes of this type of joint arthritis. These include rheumatoid arthritis, seronegative, pauciarticular, unspecified, psoriatic, ulcerative colitis and Crohn's disease, with systemic onset, ankylosing spondylitis, etc.
Research has shown that approximately 294 thousand children suffer from JA. Genetic and environmental factors are involved in the development of the disease. If one of the twins has such a disease, then it is possible that in the near future signs of pathology will appear in the second child. Much research is currently being conducted to better understand the causes of this type of arthritis. Common symptoms of all types of juvenile arthritis:
In addition, this type is characterized by the occurrence of spontaneous exacerbation or weakening of symptoms.
A person's personal medical record is coded M10 if they complain of the following symptoms related to gouty arthritis:
Attacks can last from several days to several weeks, then remission occurs. You should consult a doctor even if the signs of gout have disappeared, because after a while the attack will happen again. Over time, gout damages tendons and other tissues. Gouty arthritis begins to develop due to high levels of uric acid in the blood. Due to its too high content in the blood, hard crystals begin to form in the joints, which impair blood circulation and cause specific symptoms. Treatment of gouty arthritis with ICD code M10 begins with taking NSAIDs. It is very important to start therapy on time to avoid complications.
After visiting a general specialist (general practitioner), you usually need to visit one of the doctors: rheumatologist, traumatologist, dermatologist, infectious disease specialist and phthisiatrician. The doctor should examine the patient to determine the etiology of arthritis. First of all, a clinical examination of the victim is carried out, which begins with a history examination. Thanks to the code on the patient’s card, the doctor already knows why he was given the referral and what laboratory tests will be needed, but he still clarifies the symptoms and studies the family history.
Next, the doctor examines the diseased joint and prescribes the necessary laboratory and diagnostic tests. To begin with, they take a general blood test. Then a biochemical and immunological study is carried out. Based on this data, the doctor can determine what type of arthritis the victim has by writing an ICD 10 code on the patient’s card to make it easier for other doctors to work. If necessary, the patient's synovial fluid, urine and feces are examined.
Some instrumental studies are also used to diagnose arthritis. They are important for determining the extent of joint damage. Typically, radiography, ultrasound, magnetic resonance or computed tomography, scintigraphy, arthroscopy, puncture, and arthrography are performed.
ICD 10 is not only a reference book for all kinds of diseases and their types, but also a record of new methods of treating arthritis. This classification is a confirmation that the hospital staff did not bother with a lengthy search for the necessary information. Thanks to ICD 10, it is much easier for the doctor to select the necessary medications. In the medical sector, the work of staff has become much easier.
Thanks to the sections in the ICD, you can find the best treatment for a particular patient. In general, arthritis therapy includes the following areas:
As you can see, today doctors have more opportunities to treat patients. Advances in therapy have been achieved thanks to improvements and good funding.
treatment of joints and spine
?The World Health Organization (WHO) has developed a special medical coding for the diagnosis and definition of medical diseases. ICD 10 code is the coding of the international classification of diseases of the 10th revision as of January 2007.?
?- narrowing of joint spaces?
?Under no circumstances try to create a therapy regimen on your own, much less take medications. This is not only ineffective, but also dangerous. Medical techniques used in recent years in the treatment of arthritis of various etiologies are highly effective, which is a compelling argument for the use of treatment methods offered by official medicine.?
?Possible side effects?
?As a rule, sharply expressed?
?Arthritis is an inflammatory disease of the joints. According to statistics, every hundredth person in our country has arthritis.?
?Today there are 21 classes of diseases, each of which contains subclasses with codes of diseases and conditions. Rheumatoid arthritis ICD 10 belongs to class XIII “Diseases of the musculoskeletal system and connective tissue”. Subclass M 05-M 14 “Inflammatory processes of polyarthropathy.”?
?- unevenness of articular surfaces?
?examination of synovial fluid.?
?Primary gout, secondary gout, chondrocalcinosis, hydroxyapatite arthropathy?
?Quinoline drugs (delagil - 0.25 g tablets)?
?With arthritis, the process, as a rule, begins acutely, there is a connection with a previous infection or intoxication, hypothermia. This distinguishes arthritis from osteoarthrosis or osteochondrosis, which worsens after prolonged trauma or physical overexertion.?
?Rheumatology: national guide Ed. E.L. Nasonova, V.A. Nasonova.?
?Stabilization of lysosomal membranes, inhibition of neutrophil phagocytosis and chemotaxis, inhibition of cytokine synthesis.?
?The second factor is injuries associated with excessive stress on the joints. In third place is hypothermia. In addition, arthritis can develop as a complication after a sore throat or viral infection. This phenomenon is especially common in childhood.
?The development of arthritis occurs a month after infection, but the provocative infection that caused this disease is in the human body and does not manifest itself. Men over 45 years of age are at greatest risk. Sexually transmitted infections (gonorrhea, chlamydia and others) can contribute to the progression of the disease. Women are less likely to suffer from this disease.? ?Glucocorticosteroids GCS? ?Principles of treatment of arthritis:?
?Inhibition of the synthesis of prostaglandins and leukotrienes, inhibition of the synthesis of antibodies and RF.?
?Swelling occurs when inflammation occurs?
?Some types of arthritis affect only children and adolescents, so they should be classified separately.?
?Pain in the joints becomes more and more intense, while motor activity decreases. Noticeable redness and swelling appear in the infected areas.?
?the level of uric acid in the blood is increased (men more than 0.42 mmol/l, women more than 0.36 mmol/l)?
?Proximal interphalangeal, lesion of the wrist?
?Type of freely moving joint:?
?For diagnosis, it is important to determine the localization of the process, the symmetry of the lesion, the number of joints involved, the presence of deformities and extra-articular manifestations.?
?Seronegative clinical and immunological variant of RA.?
?Increased CRP, sialic acids, hyperfibrinogenemia, increased seromucoid acid phosphatase?
?If a focus of infection is detected in reactive arthritis, antibacterial therapy is carried out with drugs sensitive to the relevant microorganisms. In case of chlamydial infection, the course is up to four weeks. This kind of arthritis can be completely cured.?
?Predominantly articular form of RA, regardless of disease activity.?
The main reason for the appearance of swelling and visually noticeable enlargement of the patella is the accumulation of fluid inside the joint. Excessive pressure on the walls of the joint tissue causes severe pain. The volume of fluid steadily increases over time, so the pain becomes more intense.?
?The use of antibacterial drugs is recommended at the initial, most acute stage of the disease. In the future, their use becomes less effective. In some cases, symptomatic treatment is prescribed, in which non-steroidal drugs are used, for example, ibuprofen.?
?System glucocorticosteroids (GCS) are used in case of severe systemic manifestations in a course or pulse therapy with prednisolone or methylprednisolone is carried out; Local intra-articular injection (injections) or into the area of inflamed enthesis is more often used.?
?- swelling of the metacarpophalangeal, interphalangeal and wrist joints?
?wheel-shaped (I cervical vertebra);?
?arthritis in other diseases.?
?Tauredon – 10, 20 mg/day,?
?Symptoms of a “seized joint”?
In addition, uric acid crystals, which look like thin needle-shaped spikes, settle in the joint. They injure small vessels, which is the basis for the development of associated infections.?
?- flexion contracture of fingers?
?Subchondral sclerosis, bone proliferation, narrowing of the joint space. Osteosclerosis or osteoporosis. Periostitis?
?Risk factors for lesions:?
?auranofin – 6 mg/day, maintenance dose – 3 mg/day.?
?Drugs for systemic enzyme therapy: wobenzym, phlogenzyme.?
?The first degree is characterized by moderate pain, there is a slight limitation of movement when rotating the knee, when lifting or while squatting.?
?It is easier to prevent a disease than to treat it. If the first signs of the disease appear, you should consult a doctor as soon as possible.?
?1 rub. per day intra-articularly?
?Use local applications of a solution of dimexide with analgin and prednisolone.?
?- ESR increased to 45-70 mm/h?
?Inflammatory intra-articular effusion, hypertrophy of the synovial membrane.?
?Skin manifestations and damage to mucous membranes?
?Features of the nature of the lesion and symptoms of some types of arthritis are given in Table 2 below.?
A disease that develops due to the deposition of uric acid salts in the joints and organs. This happens when the human body has a metabolic disorder and uric acid (or urate) crystals are deposited in the kidneys and joints. This leads to inflammation, difficulty moving, and deformation of the joint. The kidneys are also affected, in which crystals are deposited, which disrupts the normal functioning of the excretory system. There is a classification of diseases in which all names are listed and categorized according to development, treatment, and clinical picture. This classification is called ICD (International Classification of Diseases). Gouty arthritis is classified under the ICD 10 category.
When a patient comes to a medical facility and is diagnosed with gouty arthritis, ICD 10 code is written on the card. This is done precisely so that doctors and other staff understand what the patient’s diagnosis is. All diseases according to the ICD classification are clearly divided into their own groups and subgroups, where they are designated by letters of the alphabet and numbers, respectively. Each group of diseases has its own designation.
Also, there are generally accepted norms of therapy, as a single main criterion, tactics or method of treatment that is prescribed to all patients with a particular disease. Further, judging by the patient’s condition, the development of the disease or other concomitant pathologies, he is prescribed symptomatic therapy.
The entire classification of diseases of the musculoskeletal system in the ICD is located under the letter M and each type of such pathology is assigned its own number from M00 to M99. Gouty arthritis in the ICD is in place of M10, in which there are subgroups with designations for various types of gouty arthritis. This includes:
When a patient comes to a medical institution, a detailed medical history is taken, laboratory (tests) and instrumental methods (X-ray, ultrasound, etc.) to study the disease. After an accurate diagnosis, the doctor sets a code according to ICD 10 and prescribes appropriate treatment and symptomatic therapy.
It has been proven that gouty arthritis most often affects men and only in old age, and women, if they get sick, do so only after menopause. Young people are not susceptible to the disease due to the fact that hormones, which are secreted in sufficient quantities in young people, are able to remove uric acid salts from the body, which does not allow the crystals to linger and settle in the organs. With age, the amount of hormones decreases due to the inhibition of certain body processes and the process of removing uric acid no longer proceeds as intensively as before.
But, nevertheless, scientists still cannot accurately name the reason why gouty arthritis occurs. According to statistics and studies of the disease, risk factors are identified that can give impetus to the development of the pathological process of accumulation of uric acid in organs. These are risk factors such as:
In addition, primary and secondary gout are distinguished. Primary occurs due to a combination of genetic inheritance and consumption of large quantities of undesirable foods. Secondary develops with cardiovascular diseases, hormonal disorders and medications. The difference in the occurrence of the disease does not affect the clinical picture of the manifestation of symptoms; the whole point is how exactly gouty arthritis developed, what organs and mechanisms it affected, in order to assess at what stage the pathological process is. If necessary, they explain to the patient what caused the disease and how exactly to make lifestyle adjustments in order to remove the additional factor that provokes the disease.
There is a wide variety of gouty arthritis due to the clinical symptoms, pathogenesis of the disease, the mechanism of uric acid deposition, and the manifestation of articular forms of gouty arthritis.
Primary and secondary gout differ in the mechanism of disease development. According to the different mechanism of accumulation of uric acid crystals, gout comes in different types:
The clinical picture of the course of gouty arthritis varies:
According to the manifestation of articular forms, there are:
Gouty arthritis and its other types and manifestations are listed in ICD 10 and each form of the disease is assigned its own personal number.
The disease has one peculiar negative quality, which is that the accumulation of uric acid crystals can occur unnoticed by the patient. Gouty arthritis does not show any symptoms, there is no clinical picture, but if a severe stressful situation occurs, a serious illness occurs, this can give impetus to the development of the disease. In this regard, a rather vivid clinical picture develops, since the amount of deposited uric acid in the organs is large and gouty arthritis seems to be “pausing” and waiting for the moment for rapid development.
There are three stages of the disease, differing in the number of symptoms and severity.
Gouty arthritis does not affect large joints, but is localized in small ones. Most often these are the joints of the legs and hands. In 9 out of 10 cases, the big toe joint is the first to be affected. The first manifestations of the disease are always pronounced and the person begins to worry and seek help from a medical institution.
During a clear pathological process, the symptoms are extremely specific. There is severe pain, inflammation, swelling, redness, and increased temperature at the joint. Uric acid crystals are deposited in the cavity and on the surface of the joint, as well as under the skin. If the course of an acute attack is prolonged, then the disintegrating tissues of the joint together with uric acid form tophi (nodules). In places where there is no joint tissue, it is replaced by urates, which leads to a decrease in functioning and to a severe modification of the limb. Gradually the joint becomes unable to do its job and the person becomes disabled.
In women, the gouty form rarely causes such severe changes in the joint; tophi are even less likely to form, so the disease does not cause significant deformation and loss of function of the joint. In men, on the contrary, the gouty form is extremely aggressive and if no measures are taken to eliminate the disease, the person becomes unable to work.
Hyperurinemia in a laboratory blood test is not a reliable sign confirming gouty arthritis. This may indicate a metabolic disorder in the body and not manifest itself in the articular form. During an acute attack, a puncture of the joint (or tophi, if any) is performed and the resulting material is analyzed in the laboratory, in which white crystalline deposits of uric acid are found.
When an attack of gouty arthritis occurs, it is quite difficult to determine what kind of inflammatory process is present at the moment. Since the symptoms are similar to other chronic diseases of the joint tissue.
X-ray examination, during a long-term course of an acute attack, makes it possible to differentiate the pathology due to the detection of joint destruction on the x-ray, the presence of punctures (places where the joint tissue has undergone decay).
There are three main directions, according to ICD 10:
For example, exercises for the feet:
Gouty arthritis can be prevented by simply monitoring your diet and limiting alcohol consumption to acceptable doses. Exercise or do daily morning exercises. It's quite simple, but effective.
The prognosis is quite positive, but only on the condition that the patient makes lifestyle adjustments, which will prevent the manifestation of acute attacks of the disease and reduce it to a long period of remission.
Gouty arthritis according to ICD10 is a systemic disease associated with metabolic disorders. This can be avoided if you monitor your health, nutrition and moderate physical activity on the body.
Natusik writes: I also like this diet. I use it periodically. Now it comes in handy. Starting from Old Rome and Greece, Egypt, and African tribes, conspiracies and spells were used in classification, healing, and rituals. Apremilast (formerly known as Cc-10004) (Celgene Corporation) is an oral PDE-4 psoriasis product. Pustular may be widespread or only affecting the palms and soles. I answer - because you wait for it to end so that you can throw into your psoriasis what you have limited yourself in and immediately return to the starting point. With another classification of psoriasis . if the method is effective and there are no or minimal side effects, its use will only speed up recovery. In total, 35 figures were installed in the form, the dead were diamond, psoriasis and an oil bubble. Pigment spots remain at the sites of lesions (hypo- or hyperpigmentation of the skin is noted). Our study made it possible to identify latent onychomycosis in patients with psoriasis and obtain laboratory confirmation of recovery in 94.6% of patients. Daily functions with such an “ointment” will give a positive result within 10-15 days.
Softening and removing psoriasis marks and flaky skin particles is carried out by applying creams and other medications that are well absorbed into the skin to the damaged areas. In medical practice, medium-wave (B) - UVB psoriasis and long-wave (A) - Ufa rays are used for treatment. For psoriasis of the scalp, medicinal sprays are also successfully used.
Psoriasis, which is non-infectious in nature, is a fairly common skin disease. According to statistics, there are more than 120 million registered cases of this disease in the world.
According to the international classification of diseases, briefly called ICD 10, psoriasis belongs to diseases included in class XII “Diseases of the skin and subcutaneous tissue.” Most often it appears as dry red spots that rise above the surface of the skin. These spots are called papules and are an area of chronic inflammation that can become covered with psoriatic plaques. There are several varieties of this disease, all of them have a common code L40 in ICD 10.
The nature of this disease still causes controversy among doctors. A number of scientists consider the root cause to be dysfunction of the skin itself, while others see the source in disruption of the immune system, which is facilitated by genetic predisposition, stress, unfavorable environmental conditions and many other factors.
Since psoriasis does not pose a threat to human life, many underestimate the seriousness of this disease, perceiving it only as skin defects that create some inconvenience for the patient and also give an unsightly appearance. In fact, this disease significantly affects the quality of life of people, since it leads to limitation of movements, and, in addition, to damage to the joints. One of these manifestations of the disease is arthropathic psoriasis (ICD 10 code L40.5), the most severe form that causes painful changes in the patient’s joints.
Psoriatic arthritis is another name for arthropathic psoriasis; in ICD 10 it has code M07 and is included in class XIII “Diseases of the musculoskeletal system and connective tissue”. The fact that this disease occurs twice in the international classification and has a different code indicates the systemic nature of psoriasis and its diversity of forms.
Psoriatic arthritis is a chronic inflammatory disease of the joint, spine and entheses associated with psoriasis. The disease belongs to the group of seronegative spondyloarthropathies. Screening of patients for the purpose of early diagnosis is carried out by a rheumatologist and/or dermatologist among patients with various forms of psoriasis, actively identifying characteristic clinical and radiological signs of damage to the joints, and/or spine, and/or entheses. In the absence of psoriasis, taking into account the presence of first or second degree relatives.
Psoriatic arthritis is considered the second most common inflammatory disease of the joints after rheumatoid arthritis; it is diagnosed in 7-39% of patients with psoriasis.
Due to the clinical heterogeneity of psoriatic arthritis and the relatively low sensitivity of diagnostic criteria, it is difficult to accurately estimate the prevalence of this disease. The assessment is often complicated by the late development of typical signs of psoriasis in patients suffering from inflammatory joint disease.
According to various authors, the incidence of psoriatic arthritis is 3.6-6.0 per 100,000 population, and the prevalence is 0.05-1%.
Psoriatic arthritis develops between the ages of 25 and 55 years. Men and women get sick equally often, with the exception of psoriatic spondyloarthritis, which is 2 times more common in men. In 75% of patients, joint damage occurs on average 10 years (but not more than 20 years) after the first signs of psoriatic skin lesions appear. In 10-15%, psoriatic arthritis precedes the development of psoriasis, and in 11-15% it develops simultaneously with skin lesions. It should be noted that in most patients there is no correlation between the severity of psoriasis and the severity of the inflammatory process in the joints, except in cases of synchronous occurrence of two diseases.
It is believed that the disease psoriatic arthritis occurs as a result of complex interactions between internal factors (genetic, immunological) and environmental factors.
Psoriatic arthritis is a chronic disease associated with uncontrolled division of skin and bone cells. This disease is non-infectious. She cannot be infected in any way. The nature of its origin is not fully understood. This disease is quite common. According to statistics, 2% of the world's population has this disease. Typically, psoriasis affects the skin. But it often affects the joints. This clinical case is called psoriatic arthritis.
The exact cause of this disease has not been established. Modern medicine has several assumptions about what preconditions may trigger the onset of the disease.
The main prerequisites for the appearance of psoriatic arthritis are:
Absence or insufficient amounts of certain substances in the blood. This is a consequence of poor nutrition.
Violation of the integrity of the skin. As a rule, these are places from long-term non-healing wounds. Poor shaving may be one of the reasons.
Bad habits can seriously affect the likelihood of developing a disease. Smoking and alcoholism significantly affect all vital processes in the body.