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Common symptoms of psoriatic arthritis include: Joint pain and swelling , often asymmetric and affecting fingers, toes, knees, and ankles Dactylitis (sausage-like swelling of entire digits) Enthesitis (inflammation at tendon and ligament insertion points, such as the Achilles tendon or plantar fascia) Axial involvement with inflammatory back pain and stiffness Nail changes , including pitting, onycholysis, and hyperkeratosis Fatigue and reduced quality of life The aetiology of PsA is multifactorial, involving genetic predisposition (particularly HLA-B27 and other HLA alleles), environmental triggers, and immune dysregulation
Step 5: Dispose of the needle safely
Missing doses can lead to fluctuations in drug levels, potentially reducing the effectiveness of the treatment
In: Brunton L, Chabner B, Knollman B
