TY  - CHAP
M1  - Book, Section
TI  - Arthritis Overview
A1  - Chumley, Heidi S.
A1  - Usatine, Richard P.
A2  - Usatine, Richard P.
A2  - Smith, Mindy A.
A2  - Mayeaux, Jr., E.J.
A2  - Chumley, Heidi S.
PY  - 2019
T2  - The Color Atlas and Synopsis of Family Medicine, 3e
AB  - A  50-year-old  woman  presents  with  new  complaint  of  pain  in  several  fingers.  She  has  had  psoriasis  for  many  years;  however,  she  only  developed  joint  pain  last  year.  Her  examination  is  significant  for  swelling  and  tenderness  at  the  distal  interphalangeal  (DIP)  joints  of  her  second,  third,  and  fourth  fingers  (Figure  97-1,  A).  She  had  an  elevated  erythrocyte  sedimentation  rate  (ESR)  and  radiographs  with  erosive  changes  (Figure  97-1,  B).  Choices  for  therapy  include  nonsteroidal  anti-inflammatory  drugs  (NSAIDs)  in  conjunction  with  a  conventional  synthetic  disease-modifying  anti-rheumatic  drug  (csDMARD),  such  as  methotrexate.  Many  other  medications  are  now  available  for  patients  who  do  not  respond  to  initial  therapy.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1164352004
ER  -