Psoriatic Arthritis

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply with referral standards and specifically include:

  • Onset of condition
  • Pattern of pain – oligoarticular, polyarticular, spinal, presence of morning stiffness
  • Acute single joint arthritis?
  • Psoriatic rash
  • Personal or family history of psoriasis

Exclude infection (pyrexia, red, hot, swollen joint), gout and pseudo gout.

If the diagnosis is established refer if:

  • Worsening of disability
  • Threat to independence
  • Difficulty with employment
  • Assistance needed with self management

Tests

  • X-ray affected joint/s
  • FBE
  • ESR or CRP
  • LFTs
  • U&E Creatinine
  • Uric Acid

Interim/GP management

To refer a patient with this condition, please see the Inflammatory Spinal clinic page for the full referral process and templates.

Consider paracetamol and NSAIDS to reduce symptoms, Short course of corticosteroids may also be useful whilst awaiting review.

Physical therapies - regular exercise, stretching, weight control, heat and ice may improve symptoms and maintain mobility.

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Acute monoarticular joint pain and swelling with systemic features and high inflammatory markers – needs exclusion of septic arthritis

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Patient information advice is found at Arthritis Australia

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment