TREATMENT OF REFRACTORY PSORIATIC-ARTHRITIS

Psoriatic arthritis occurs in approximately 5% of patients with psoria sis and can lead to significant morbidity. Treatment options for refra ctory psoriatic arthritis can be divided into (1) medications used in the treatment of other rheumatic diseases and (2) experimental agents. This article reviews available therapeutic agents for psoriatic arthr itis and outlines an approach to treatment. The use of physiotherapy a nd surgery and the management of arthritis mutilans are also reviewed.