Doctor insights on:
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
A condition where there 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
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
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
a reduced range of motion. ...Read more
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
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
Sometimes: There needs to be more research but there is evidence showing that those who drink alcohol regularly have a greater risk of psoriasis, and many who have psoriasis & psoriatic arthritis note that their symptoms flare with alcohol use and improve when they avoid it; but this likely is not true for everyone who has psoriasis. See http://www. Medpagetoday. Com/dermatology/psoriasis/23999. ...Read more
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! ...Read more
I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?
Many good options: There are highly effective treatments. Often, we now use biologic medications, like Enbrel, Humira, Remicade, Simponi, Cimzia or Stelara (ustekinumab). These are injected. Some are pills such as methotrexate. Recently a new pill was approved called Otezla. A rheumatologist is experienced in treating psoriatic arthritis and can help. ...Read more
Biologics-last Rx!: Most patients do not need biologics, which should be reserved for the most severe cases. Sulfasalazine, co-adminstered with mtx is a good option, and very inexpensive. ...Read more
Most patients need a: 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 coniued 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
Meningioma, enchondroma, psoriatic arthritis & ankolysing spondylitis. Could any of these be caused by being on Prilosec or prevacid (lansoprazole) for 15 years?
Prilosec effects?: Prilosec and Prevacid (lansoprazole) are proton pump inhibitors that reduce stomach acid production. They are used to treat heartburn, stomach inflammation and ulcers. Recently there have been some reports that long term usage could increase the risk of osteoporosis (decreased bone density). I am not familiar with the drug causing any of the problems you have, however. ...Read more
Mom diagnosis c hoshimotos/psoriatic arthritis/viral hepatitis/ acute myeloid leukemia. What is my risk of autoimmune disease/leukemia? My children's risk?
Altered Runx-1 gene: Seems to be implicated in changing the susceptibilty to autoimmune disease and leukemia but is only 1 part of the puzzle and there appears to be other factors as well, so even if you get tested to see if you have the genetic alteration, that in itself does not mean you will get the diseases. I recommend a healthy life style with regular health exams. ...Read more
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! ...Read more
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