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BOF: 59

In psoriatic arthropathy:

a)      There is a strong relationship between the skin changes and the severity and extent of arthritis

b)      There is a close relationship between the onset of nail dystrophy and arthritis

c)      Nail dystrophy is more common in patients with the spinal form of arthritis

d)      Longitudinal ridging of the nails is diagnostic of psoriatic arthropathy

e)      Acute anterior uveitis is common in patients with the mutilating form of psoriatic arthropathy

Answer:

b)

There is poor correlation between the skin changes and the arthritis although there is closer relationship between nail changes and arthritis. Nail dystrophy is common in those with distal interphalangeal joint involvement. Longitudinal ridging is not a specific associated feature of psoriatic arthropathy. Anterior uveitis is associated with sacroiliitis.

        Psoriasis

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