New drugs for peripheral joint psoriatic arthritis
Relevant BNF section: 10.1
Up to 3% of people have psoriasis, and as many as 42% of these have an associated chronic inflammatory arthritis.1 In up to 20% of such patients, the arthritis progresses to become severe, destructive and deforming.2–5 Traditional drug treatments include NSAIDs and disease-modifying anti-rheumatic drugs (DMARDs) used for rheumatoid arthritis. 
Leflunomide (Arava - Sanofi-Aventis), etanercept (Enbrel - Wyeth) inifliximab (Remicade - Schering-Plough) and adalimumab (Humira - Abbott) are licensed for the treatment of patients with peripheral joint disease in psoriatic arthritis. Here we review drug therapy for such patients, concentrating on the newer agents.
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Malignant disease and immunosuppression
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Haematology (drugs and medicines)
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Musculoskeletal and joint disorders
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Immunology (including allergy)
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Rheumatology
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