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Doctor insights on: Psoriatic Arthritis

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Dr. Tracy Lovell
207 doctors shared insights

Psoriatic Arthritis (Overview)

An inflammatory arthritis associated with psoriasis. The arthritis can affect a few joints (oligoarticular), many joints (polyarticular), tips of fingers (dip only), the spine (spondylitis) or a severe deforming of hands (arthritis mutilans). Arthritis severity does not relate to skin severity.


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What is the best way to ease the pain of psoriatic arthritis?

What is the best way to ease the pain of psoriatic arthritis?

Treat psoriasis: Treating the psoriasis usually will help the inflammatory portion of the psoriatic arthritis. If you are still having trouble with the arthritis, there are many options for medicines that can decrease your body's inflammatory response which then will give you relief. See your doctor, and if you aren't getting adequate relief, consider a rheumatology consult. ...Read more

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Dr. Tracy Lovell
207 doctors shared insights

Psoriatic Arthritis (Overview)

An inflammatory arthritis associated with psoriasis. The arthritis can affect a few joints (oligoarticular), many joints (polyarticular), tips of fingers (dip only), the spine (spondylitis) or a severe deforming of hands (arthritis mutilans). Arthritis severity does not relate to skin severity.


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Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Yes, but...: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends continued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more

Dr. Glynis Ablon Dr. Ablon
1 other doctor agreed:
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Living with Psoriatic Arthritis (Tip)

Living with Psoriatic Arthritis

If you have psoriasis, it doesn't mean you will get psoriatic arthritis. ...See more

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Living with Psoriatic Arthritis (Checklist)

Maintain contact with your rheumatolgist to guide your treatment
Once
Choose healthy lifestyle by quitting smoking, exercising & eating well
Once
Go to the National Psoriasis Foundation for more support
Once
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What are common signs of psoriatic arthritis?

What are common signs of psoriatic arthritis?

PsA: Tender, swollen and/or stiff joints red, itchy, flaky skin swollen and tender entheses (where muscle or ligament attaches to bone) pain and stiffness in the back and neck nail changes—for example, a nail that separates from the nail bed and/or becomes pitted and discolored morning stiffness general fatigue a reduced range of motion. ...Read more

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How does a dr diagnose psoriatic arthritis?

How does a dr diagnose psoriatic arthritis?

Psoriatic arthritis: The combination of psoriasis and arthritis on examination would indicate psoriatic arthritis. There is no blood test for it. In addition, arthritis with a family history of psoriasis could mean psoriatic arthritis. ...Read more

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Living with Psoriatic Arthritis (Tip)

Living with Psoriatic Arthritis

When stressed, the body emits chemicals that increase inflammation and pain, making symptoms worse. ...See more

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Living with Psoriasis (Checklist)

Ask if you're a candidate for UV light therapy
Once
Review your meds with your doctor to verify none are making it worse
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Liberally use sunscreen
Daily
If you smoke, quit. Tobacco can cause psoriasis flares.
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Is it possible to have psoriatic arthritis and test negative for arthritis?

Is it possible to have psoriatic arthritis and test negative for arthritis?

Psoriatic arthritis: Hi Sharon, Psoriatic arthritis is under the umbrella of spondylo-arthritis. This group of arthritis has a genetic test for Human Leukocyte Antigen B27 (HLA B27). A positive test means HLA-B27 is present. About 50% of patients with psoriatic arthritis test positive for HLA B27, therefore a negative test does not exclude the diagnosis. I hope that is helpful. Thank you, Nisha ...Read more

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What are the tests for psoriatic arthritis?

What are the tests for psoriatic arthritis?

Auto-immune tests: Many forms of arthritis, are auto-immune disorders, where the body mistakenly form antibodies against it's own cells or parts of the cell, such as the nucleus (ana=anton-nuclear antibody). There are now many very specific antibodies that can be measured that could suggest or clinch the diagnosis of a particular arthritis or autoimmune disease, including psoriasis. ...Read more

Dr. Thomas Namey
2,357 doctors shared insights

Arthritis (Definition)

Arthritis is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


Dr. Thomas Namey
1,001 doctors shared insights

Psoriasis (Definition)

Psoriasis is an autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more