- by Dr Chaithanya KS
- 2 Shares
- Jun 16 2017
PSORIATIC ARTHRITIS-COMMON SYMPTOMS OF PSORIATIC ARTHRITIS
Psoriatic arthritis causes inflammation in your joints. It happens because your immune system is overactive. It affects mostly people who have psoriasis, a skin disease that’s also related to the immune system.
Psoriatic arthritis is inflammatory arthritis that is seen in association with skin psoriasis. It causes joint pain and swelling that can lead to damage of the joint if the inflammation is not controlled. Joint damage can be prevented with the appropriate medications. Usually, psoriatic arthritis is blood test negative. The diagnosis is typically made by a rheumatologist after reviewing a clinical history and performing a physical exam. X-ray studies can show changes specific to psoriatic arthritis but these are rarely present at the onset of symptoms.
Psoriatic arthritis can affect any joint in the body, and it may affect just one joint, several joints or multiple joints. For example, it may affect one or both knees.
- Affected fingers and toes can resemble swollen sausages, a condition often referred to as Dactylitis. Finger and toe nails also may be affected with thickening or nail pitting
- Psoriatic arthritis in the spine, called spondylitis, causes pain in the back or neck, and difficulty bending.
- Psoriatic arthritis also can cause tender spots where tendons and ligaments join onto bones. This condition is called Enthesitis, it can result in pain at the back of the heel, the sole of the foot, around the elbows or in other areas. Enthesitis is one of the characteristic features of psoriatic arthritis.
Medications are used to reduce inflammation caused by arthritis reducing pain, swelling, and stiffness. Many of the medications suppress the immune system and lead to a potential increase risk of infections. The majority of the medications treat both the skin and joint disease, but some medications may work better for one compared to the other. Non-steroidal anti-inflammatory drugs such as ibuprofen (Motrin or Advil) or naproxen (Aleve) are the initial treatment for very mild arthritis.
Newer biologic therapy has been developed to block molecules and/or their receptors leading to decreased inflammation. Many of these medications are given by injections at home or by an infusion at the doctor’s office. These medications suppress the immune system to a great degree. They have been proven to stop joint damage as well as pain and swelling in moderate to severe psoriatic arthritis.
COMMON SYMPTOMS OF PSORIATIC ARTHRITIS
- Backache, neck pain, stiffness
- Difficulty in bending the neck downward
- Enthesitis (Tender spots, where ligaments and tendons join giving rise to the formation of the bones).
- Pain at the heel, elbow and around foot sole
- Dactylitis (Swelling in the toes and fingers)
- Scaly skin lesions
- Extreme exhaustion, fatigue, and tiredness
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