Psoriatic arthritis is defined as criterion I plus one from either criterion II or III |
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Criterion I: Psoriatic skin or nail involvement |
Criterion II: Peripheral pattern |
(1) Pain and soft tissue swelling with or without limitation of movement of the distal interphalangeal joint for over four weeks |
(2) Pain and soft tissue swelling with or without limitation of motion of the peripheral joints involved in an asymmetrical peripheral pattern for over four weeks. This includes a sausage digit |
(3) Symmetrical peripheral arthritis for over four weeks, in the absence of rheumatoid factor or subcutaneous nodules |
(4) Pencil in cup deformity, whittling of terminal phalanges, fluffy periostitis and bony ankylosis |
Criterion III: Central pattern |
(1) Spinal pain and stiffness with the restriction of motion present for over four weeks |
(2) Grade 2 symmetric sacroiliitis according to the New York criteria |
(3) Grade 3 or 4 unilateral sacroiliitis |