What is psoriatic arthritis?
Psoriatic arthritis is an arthritis associated with psoriasis, a chronic skin and nail disease. Psoriasis causes red, scaly rashes and thick fingernails. Similar to rheumatoid arthritis (RA) in the case of psoriatic arthritis symptoms and joint swelling (inflammation). However, it affects less joints than RA. And it does not produce normal RA antibodies. Psoriatic arthritis Arthritis comes in 5 forms:
Arthritis, which
affects the small joints of your fingers, toes, or both
Asymmetric
arthritis of the joints of the hands and feet
Symmetrical
polyarthritis, similar to RA
Arthritis mutilans,
a rare arthritis that destroys and deforms joints
Psoriatic
spondylitis, lower back arthritis (sacroiliac sac) and spine
What causes psoriatic arthritis?
Doctors do not know
the cause of psoriatic arthritis. But factors like immunity, genes and the
environment can all play a role.
What are the symptoms of psoriatic arthritis?
Symptoms of
psoriasis may appear before or after arthritis. Psoriasis causes red, scaly
rashes and thick fingernails. 3 out of 20 people with psoriasis may have
psoriatic arthritis. Symptoms of psoriatic arthritis may include:
Swollen, swollen and painful joints, often on the fingers and toes deformed joints from chronic inflammation
The symptoms of
psoriatic arthritis can look like any other health condition. Consult your
doctor for a diagnosis.
How is psoriatic arthritis diagnosed?
Psoriatic Arthritis
It's easy to make sure you already have psoriasis. If you do not have skin
symptoms, it will be more difficult to diagnose. The procedure begins with a medical
history and physical examination. Your doctor will ask about your symptoms. You
may have a blood test to do the following:
Erythrocyte
sedimentation rate (ESR or sedimentation rate). This test shows how quickly red
blood cells fall to the bottom of a test tube. When there is swelling and
inflammation, the blood proteins accumulate and become heavier than normal.
They fall and settle more quickly under the test tube. The faster the blood
cells fall, the more intense the inflammation.
Uric acid. High
levels of uric acid in the blood are seen in psoriatic arthritis but are not
used for diagnosis or monitoring.
Imaging. X-rays, CT
scans, ultrasounds, MRIs and skin biopsies can all be used to diagnose the
disease.
How is psoriatic
arthritis treated?
Treatment will
depend on your symptoms, age and general health. It also depends on the
severity of your illness.
Both skin
conditions and inflammation of the joints are treated. Early diagnosis and
treatment prevents joint damage. Some medicines used to treat psoriatic
arthritis include:
Nonsteroidal
anti-inflammatory drugs (NSAIDs) used to relieve symptoms
Corticosteroids for
inflammation
Immunosuppressive
drugs, such as methotrexate, are used to reduce inflammation when NSAIDs do not
work.
Biological medicine
to relieve inflammation
Vitamins and
minerals like calcium and vitamin D reduce bone deformation
Other treatments
may include:
An exercise
Heat and cold
Occupational
therapy helps you with your daily routine
Physiotherapy to
support your muscles and joints
Psoriasis rash
management
Rail
Surgery to repair
or replace a damaged joint. It is usually not needed year after year after
diagnosis.
UV treatment (UVB or PUVA)
What are the
possible complications of psoriatic arthritis?
The condition can
cause enough damage to the joints to change the level of your activity. Lack of
activity can lead to stiff joints and muscle weakness. Psoriatic arthritis can
lead to fatigue (fatigue) and low red blood cells (anemia). You are more likely
to develop:
Diabetes
High blood pressure
High cholesterol
Obesity
Living with
psoriatic arthritis
There is no cure
for psoriatic arthritis. However, you can reduce your symptoms by sticking to
your treatment plan. Manage pain with medication, acupuncture and meditation.
Get enough exercise. Good exercises like yoga, swimming, walking and cycling.
Work with a physical therapist or occupational therapist. He can suggest
devices to help you in your daily work.
When should I call my doctor?
Tell your doctor if
your symptoms get worse or if you have any new symptoms.
Key points about
psoriatic arthritis
Psoriatic arthritis
is a type of arthritis with a rash.
Psoriasis is a
chronic skin and nail disease. It causes red, scaly rashes and thick
fingernails. The rash may appear before or after the symptoms of arthritis.
Psoriatic arthritis
causes swollen, swollen and painful joints. It is commonly found between the
fingers and toes. It can occur in deformed joints.
Treatment includes
medications, heat and cold, splints, exercise, physical therapy and surgery.
May be included.
The next step
Tips for most
frequent visits to your doctor:
Find out the reason
for your visit and what you want to happen.
Before you visit,
write down the questions you want to answer.
Take someone with
you to ask questions and help you note down what your provider says.
When you visit, write
the name of a new diagnosis and any new medications, treatments or tests. Also,
write down any new instructions your provider gives you.
Learn why a new
drug or treatment is being prescribed and how it will help you. Also, find out
what the side effects are.
Ask if there is
another way to treat your condition.
Learn why a test or
procedure is recommended and what the results might mean.
Find out what to
expect if you don't take medication or do tests or procedures.
If you have a
follow-up appointment, make a note of the date, time and purpose of that visit.
Learn how to contact your doctor if you have any questions.
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