Question 1

what is psoriatic arthritis?

Accepted Answer

Common!: Perphaps 20-30% of psoriasis patients develop arthritis.  So having a strong family history for both psoriasis and arthritis are very important rheumatology questions to ask! i believe it is more common than rheumatoid arthritis.  This is true in my practice. Over halp of my patients with psoriatic arthritis do not know they have it, until a thorough investigation for hidden spots identifies it!

Question 2

what is treatment for psoriatic arthritis?

Accepted Answer

Psoriatic arthritis: Your doctor may recommend tumor necrosis factor-alpha (tnf-alpha) inhibitors if you have severe psoriatic arthritis. These drugs block the protein that causes inflammation in some types of arthritis and can improve signs and symptoms of psoriasis, as well. This group of drugs is the best to treat arthritis caused by psoriasis.

Question 3

what is the difference between psoriatic arthritis and spondyloarthrapathy? i'm hla b-27 positive

Accepted Answer

Almost the same: Many people with psoriatic arthritiw have back problems similar to classic ankylosing spondylitis. The meds used for these are the same and include sulfasalazine, methotrexate, biologics including humira, remicade, (infliximab) etc. Occasionally the arthritis goes into remission (stops) if the skin is cleared, but this isn't common.  Nonsteroids such as indomethecin are quite helpful.

Question 4

i see many places say 30% of people with psoriasis develop psoriatic arthritis. but then when i actually read studies several large scale investigation only show 5-20% do. thats a big difference so why do many places still say 30%?

Accepted Answer

: In some cases people develop the arthritis before the skin eruptions of psoriasis actually appears. I wonder if some of the studies include these type of cases  retrospectively while other studies hadn't included them.

Question 5

how can psoriatic arthritis be treated?

Accepted Answer

Yes: Multiple meds. Check with rheumatologist what is appropriate.

Question 6

how does a dr diagnose psoriatic arthritis?

Accepted Answer

Psoriatic arthitis: Usually multiple symptoms are present including joint swelling, pain, psoriatic skin lesions, nail changes, etc.

Look at www.Psoriasis.Org to get more info.

Question 7

what can i do to treat psoriatic arthritis?

Accepted Answer

See your doctor.: A rheumatology referral may be necessary, but a nsaid, with sulfasalazine and Methotrexate given once weekly are my first treatments.  The biologics work (enbrel, humira, (adalimumab) remicade) work, but are quite expensive, not generic, require prior authorization, and almost always require prior Methotrexate therapy. Leflunomide, azothioprine, and Cyclosporine are options, given by someone in rheumatology!

Question 8

what is the va rating for psoriatic arthritis?

Accepted Answer

Need military lawyer: So from what i understand, psoriatic arthritis is under dc 5009, which is based off of dc 5002. In layman's terms, it depends on disease activity and number of joints affected. Only a military lawyer can help with this determination, from what i understand.

Question 9

do psoriatic comes first or psoriatic arthritis?

Accepted Answer

Either way: In most cases the skin involvement precedes the arthritis. In about 30% of cases the arthritis comes at least 6 months before one sees any skin issues.

Question 10

is it possible to get psoriatic arthritis young?

Accepted Answer

Yes: It is more typical for psoriatic arthritis to start when you are young. Usually, around 30, but you can get it at any age.

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What is Psoriatic arthritis

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What is psoriatic arthritis?

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What is the difference between psoriatic arthritis and spondyloarthrapathy? i'm hla b-27 positive

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I see many places say 30% of people with psoriasis develop psoriatic arthritis. but then when i actually read studies several large scale investigation only show 5-20% do. thats a big difference so why do many places still say 30%?

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How can psoriatic arthritis be treated?

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How does a dr diagnose psoriatic arthritis?

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What can i do to treat psoriatic arthritis?

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What is the va rating for psoriatic arthritis?

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Do psoriatic comes first or psoriatic arthritis?

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Is it possible to get psoriatic arthritis young?

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