The joints that are most frequently affected are the distal interphalangeal joints ( Keto Viante), the wrists, the knees, the ankles and the lumbar spine. In this chronic disease is especially necessary a good relationship of the patient with his doctor. The treatment chosen will depend on the severity of the disease and the characteristics of the patient.
When psoriatic arthritis affects one or two joints, it is not a serious entity and periods without symptoms are alternated with others with more symptoms. The treatment with anti-inflammatory drugs is usually the most indicated. When psoriatic arthritis is severe and disabling it requires a stronger treatment, which includes drugs aimed at slowing the progression of the disease (hydroxychloroquine or methotrexate).