Doctor insights on:
Psoriatic Arthritis And Hearing Loss
Diag psoriatic arthritis, chronic renal stones since age 14, osteoporosis, low vit d, pthand serum ca nor. Comb seem rare. Any idea why ca loss?
Related!: Psoriatic arthritis stems from low grade bowel inflammation, and you get resportion of oxalate, which forms calcium oxalate stones, which i sure is what you had. The low vitamin d will decrease calcium absorption until your parathyroid gland is ratched and takes cacium out of bones, which causes osteoporosis. Hope you are taking high dose d3. ...Read moreSee 1 more doctor answer
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
On methotrexate 25mg/weekly for psoriasis/psoriatic arthritis from your experience & opinion will I experience hair loss?
Possibly: Some hair loss is common in patients taking methotrexate. Some experience hair loss at low doses and others on high doses like yourself have no such problem. One can try leucovorin if hair loss is a problem as this can reduce the problem is one is occurring. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor 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, 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
No cure, but remitts: Few people should face significant joint issues, if this most common of rheumatic diseases was diagnosed early and treated with remitting agents once diagnosed. If you have no sx, do you have disease? ...Read more
Depends...: ...On what you do now. Multiple treatments, ranging from oral medications to biologics like enbrel, humira, and stelara, are effective in treating psoriatic arthritis and preventing damage to joints. If you do not address the problem now, your joints will suffer damage in later life and your mobility will be compromised. See a dermatologist skilled in psoriasis treatment asap. ...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
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 ...Read more
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