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Peripheral Arthritis

Peripheral Arthritis. Skin and Nail Diseases. Axial Disease. Dactylitis. Enthesitis. Initiate Therapy : NSAID IA Steroids DMARD (MTX, CsA, SSZ, LEF) Biologics (anti‑TNF). Initiate Therapy : Topicals PUVA/UVB Systemics (MTX, CsA, etc) Biologics

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Peripheral Arthritis

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  1. Peripheral Arthritis Skin and Nail Diseases Axial Disease Dactylitis Enthesitis Initiate Therapy: NSAID IA Steroids DMARD (MTX, CsA, SSZ, LEF) Biologics (anti‑TNF) Initiate Therapy: Topicals PUVA/UVB Systemics (MTX, CsA, etc) Biologics (anti‑TNF, etc) Initiate Therapy: NSAID PT Biologics (anti‑TNF) Initiate Therapy: NSAID Injection Biologics (anti‑TNF) Initiate Therapy: NSAID PT Biologics (anti‑TNF) Reassess Response to Therapy and Toxicity • Anti-TNF = tumor necrosis factor inhibitor; CsA = cyclosporin A; DMARD = disease-modifying antirheumatic drugs; IA = intra-articular; LEF = leflunomide; MTX = methotrexate; NSAID = nonsteroidal anti-inflammatory drugs; PT = physiotherapy; PUVA = psoralen plus ultraviolet light A; SSZ = sulfasalazine; UVB = ultraviolet light B. • (1) with permission

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