Cyclical psoriatic arthritis responding to anti-oestrogen therapy |
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Authors: | H P STEVENS L S OSTLERE CM BLACK H S JACOBS† M H A RUSTIN |
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Institution: | Department of Dermatology, The Royal Free Hospital and School of Medicine, Pond Street. London NW3 2QG, U.K.;Department of Rheumatology, The Royal Free Hospital and School of Medicine, Pond Street. London NW3 2QG, U.K.;Department of Reproductive Endocrinology, Middlesex Hospital, Mortimer Street, London W1N 8AA, U.K. |
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Abstract: | We report a patient with severe psoriatic arthritis in whom the severity of both the arthritis and psoriasis fluctuated with the menstrual cycle. These features failed to improve with standard therapy, but there was a prompt response to treatment which suppressed oestrogen secretion. Such treatment should be considered in patients with disabling cyclical changes in psoriatic arthritis. |
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