Psoriatic arthritis psoriatic arthritis, and affect them symmetrically. Involvement of the spinal joints is more suggestive of psoriatic arthritis than rheumatoid arthritis. Osteoarthritis shares certain clinical features with psoriatic arthritis such as its tendency to affect multiple distal joints in an asymmetric pattern. Unlike psoriatic arthritis, osteoarthritis does not typically involve inflammation of the sacroiliac joint. Psoriatic arthritis sometimes affects only one joint and is sometimes confused for gout or pseudogout when this happens. There are five main types of psoriatic arthritis: The underlying process in psoriatic arthritis is inflammation; therefore, treatments are directed at reducing and controlling inflammation. Milder cases of
Septic arthritis Septic arthritis most commonly causes pain, swelling, and warmth at the affected joint. Therefore, those affected by septic arthritis will often refuse to use the extremity and prefer to hold the joint rigidly. Fever is also a symptom; however, it is less likely in older patients. On physical examination, the septic joint should be ruled out of intra-articular (from inside the joint) or periarticular (around the joint such as bursa and skin) cause. Intra-articular arthritis usually results in severe limitation of the range of movement of the joint with the joint held in extended position; the joint space will be