Psoriatic Arthritis

Availability

North South North West Statewide

Pre-referral work-up

History

  • Onset of condition
  • Pattern of pain – oligoarticular, polyarticular, spinal, presence of morning stiffness
  • Acute single joint arthritis
  • Psoriatic rash, PH 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
  • Optimisation of pharmacological (e.g. biologic) and non-pharmacological management

Tests

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

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. 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.

Emergency

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

Urgent / category 1

Clinic not suitable for urgent referrals (as per scope)

Semi-urgent / category 2

Routine / category 3

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:

* Fever

* Neurological signs

* Cauda equina signs

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

We will endeavour to see these patients within four weeks

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment