glutathione s transferase activity assay S-Transferase Kit (GST Assay Kit) All Skin Select a Size:90 Capsules Wolverine Blend (BPC-157 +
Wolverine Blend (BPC-157 + TB-500): The Recovery Peptide Stack
Wulf M., Shanker M., Schuetz M., et al., “Lower Material Stiffness in Rupture‐Repaired Achilles Tendon During Walking: Transmission‐Mode Ultrasound for Post‐Surgical Tendon Evaluation,” Knee Surgery, Sports Traumatology, Arthroscopy 26 (2018): 2030–2037
All Skin
Select a Size:90 Capsules
Epidemiology Incidence affect up to 5-20% of patients with psoriasis Demographics equally affects men and women Etiology Pathophysiology asymmetric oligo/monoarticular arthritis affecting DIPJ, PIPJ, MCPJ DIP-predominant arthritis arthritis mutilans symmetric, RF-negative polyarthritis psoriatic spondyloarthropathy Genetics HLAB27 found in 50% Presentation Symptoms arthritic symptoms in hands rash with silvery plaques over extensor surfaces (elbows, knees) typically precede joint involvement by several years (80-85% of time) hands dactylitis (sausage digit) onychodystrophy (nail pitting) onycholysis (lifting of nail plate starting distally) chronic uveitis entheses such as achilles tendonitis, posterior tibial tendonitis, and plantar fasciitis Imaging Radiographs hands DIP arthritis small joint erosions or fusions (PIP, MCP, and wrist commonly involved) fluffy periostitis (caused by periosteal ossification) acroosteolysis (resorption of the distal phalanx tuft) flail digits spine in axial disease sacroiliitis syndesmophytes paravertebral ossification destructive discovertebral lesions Studies HLAB27 found in 50% RA and ANA tests are usually negative Treatment Nonoperative NSAIDS, methotrexate, sulfasalazine, cyclosporine,TNF-alpha inhibitors indications Operative digit fusion vs resection arthroplasty indications Create a free account or log in to see the cards.
