Question

A 28-year-old woman with long-standing plaque psoriasis presents with new onset pain and stiffness in her hands and feet, worse in the morning, with swollen fingers. According to Canadian rheumatology guidance, what is the most appropriate initial step?

Accepted Answer

Refer to rheumatology for assessment of possible psoriatic arthritis and consider starting NSAIDs while awaiting review

Answer

Reassure that joint pain is unrelated to psoriasis

Answer

Start long-term systemic corticosteroids without specialist input

Answer

Ignore joint symptoms and treat skin only

Answer

Delay referral until severe erosions are visible on X-ray

Practice question

A 28-year-old woman with long-standing plaque psoriasis presents with new onset pain and stiffness in her hands and feet, worse in the morning, with swollen fingers. According to Canadian rheumatology guidance, what is the most appropriate initial step?