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Doctor insights on: Psoriatic Arthritis Eosinophils High

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I am an rn in a pretty high acuity icu (ccu). Should I be worried about taking a biologic due to immunosuppresion for psoriatic arthritis?

I am an rn in a pretty high acuity icu (ccu). Should I be worried about taking a biologic due to immunosuppresion for psoriatic arthritis?

Discuss: You need to be informed of the risk/benefits of starting the new treatment and be informed about how it is expected to help you. The biologics may cause immunosuppression and increase risk of infection. Since there are now many of them, there are relative risks. Ask the treating physicians about options, their interpretation of your disease severity, and risk of the new meds. ...Read more

Dr. Thomas Namey
2,426 Doctors shared insights

Arthritis (Definition)

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


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Have psoriatic arthritis dx, new rheumie says that if I don't have elevated inflammation markers then I don't have psa... True or false?

Have psoriatic arthritis dx, new rheumie says that if I don't have elevated inflammation markers then I don't have psa... True or false?

Not unusual: Many patients with psoriatic arthritis (approximtely 50%) will have either normal or near normal ESR and or CRP levels (inflammatory markers). Patients with psoriatic arthritis will usually have negative rheumatoid factors and ccp antibodies and antinuclear factors. ...Read more

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I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?

I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?

Biologics: With high liver enzymes, you will not be able to take some oral medications that we use for psoriatic arthritis. If your symptoms are severe and demonstrate functional difficulties, your doctor may recommend one of the biologics such as Enbrel (etanercept) or humira. These medications also have significant other side effects that your doctor will review with you. These are not appropriate for everyone. ...Read more

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I have 6 weekly blood tests (methotexate psoriatic arthritis) which often show elevated inflammation. Will this effect my organs?

I have 6 weekly blood tests (methotexate psoriatic arthritis) which often show elevated inflammation. Will this effect my organs?

Possibly: Methotrexate is a powerful medicine that must be used carefully. It can lead to a form of cirrhosis of the liver. Usually a liver biopsy is obtained every 2 years or so to look for evidence of side effects of the medicine. ...Read more

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I took myself off methotrexate for psoriatic arthritis without my doctor knowing it. I was on arava and enbrel and my enzymes were slightly elevated. I want to see if psoriasis comes back. If it does and my enzymes go down, I will start start the medicine

I took myself off methotrexate for psoriatic arthritis without my doctor knowing it. I was on arava and enbrel and my enzymes were slightly elevated. I want to see if psoriasis comes back. If it does and my enzymes go down, I will start start the medicine

No, bad idea: You are on the same team as your doctor. Use your doctor as a consultant to help you make the best decisions for your care. If you alter your treatment plan yourself, you are at the very least putting yourself at risk for a flare of disease, and at worst putting yourself into danger if your medicines require a taper to be done safely. Call your doctor now--tell him/her you'd like to stop your meds. ...Read more

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I have Fibro, Chiari, Psoriatic Arthritis, poss. EDS, Adrenal innsufficiency. Fatigued, chronic pain, chest pain, elevated CRP, what could this mean?

I have Fibro, Chiari, Psoriatic Arthritis, poss. EDS, Adrenal innsufficiency. Fatigued, chronic pain, chest pain, elevated CRP, what could this mean?

See holistic doc: This means you have multiple chronic health problems best addressed by a holistic doc who can explore underlying causes. Odds are good you have a leaky gut, food sensitivities, thyroid imbalances, nutrient deficiencies, chronic infections (probable intestinal candidiasis, possibly Lyme), heavy metal (esp. Mercury) toxicity etc.
See http://bit. Ly/19PetTQ
& http://amzn. To/1kqfyZc
and my comment: ...Read more

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How can psoriatic arthritis be treated?

How can psoriatic arthritis be treated?

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

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What are the symptoms of psoriatic arthritis?

Joint pain: Pain, redness and swelling of the smaller joints. ...Read more

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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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Do psoriatic comes first or psoriatic arthritis?

Do psoriatic comes first or psoriatic arthritis?

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. ...Read more

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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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Is there a cure for psoriatic arthritis?

Is there a cure for psoriatic arthritis?

No Cure: But there are highly effective treatments. Some are pills such as methotrexate. Often, we now use biologic medications, like Enbrel, Humira, Remicade, or Stelara (ustekinumab). Most recently a new pill was approved called Otezla. A rheumatologist is experienced in treating psoriatic arthritis. ...Read more

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Can green tea help psoriatic arthritis?

Can green tea help psoriatic arthritis?

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. ...Read more

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What is treatment for psoriatic arthritis?

What is treatment for psoriatic arthritis?

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

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What is the treatment for psoriatic arthritis?

What is the treatment for psoriatic arthritis?

Psoriatic Arthritis: Http://www. Mayoclinic. Com/health/psoriatic-arthritis/ds00476/dsection=treatments-and-drugs.

Get a more detailed answer ›
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What are the treatment methods for psoriatic arthritis?

What are the treatment methods for psoriatic arthritis?

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

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Looking for naturopaths who could treat psoriatic arthritis?

Why?: They are no effective naturopathic therapies. See a dermatologist instead. ...Read more

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How effective is infliximab in treating psoriatic arthritis?

How effective is infliximab in treating psoriatic arthritis?

Quite effective!: Infliximab is quite effective in treating both psoriasis and psoriatic arthritis, but it is not and should be not a first line therapy. ...Read more

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What does psoriatic arthritis in the neck feel like usually?

What does psoriatic arthritis in the neck feel like usually?

Achy: Achy pain with and without movement that produces stiffness in themorning and gradually improves overseveral hours. It is not visible on xray or normal lab tests but has been detected by mri, although that test is overused, most ofthe time. ...Read more

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I have psoriatic arthritis but no swelling. Is that possible?

I have psoriatic arthritis but no swelling. Is that possible?

Yes: Psoristic arthritis can cause pain and other symptoms before any swelling becomes evident. That said you need to make sure that nothing else is causing those symptoms ...Read more

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Can stress make psoriatic arthritis and sweet syndrome symptoms worse?

Can stress make psoriatic arthritis and sweet syndrome symptoms worse?

See details: I would say yes to psoriatic arthritis and no to sweets syndrome. Sweet syndrome is so rare that I doubt anyone has studied it for any association to stress. ...Read more

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Can medications for psoriatic arthritis cause problems if I have ms too?

Can medications for psoriatic arthritis cause problems if I have ms too?

Please consider: Resubmitting and including the specific names of the medications that you are referring to. ...Read more

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What is the difference between psoriatic arthritis and rheumatoid arthritis?

What is the difference between psoriatic arthritis and rheumatoid arthritis?

Different types: Although they are both called arthritis, they are two very different types. Each one has different causes and different manifestations. There can be certain similarities of therapy. We need to define each one because our clinical program, our clinical evaluation, and our therapy can differ. They have different types of immunologic processes involved in each of these. There are over 100 different types of arthritis. ...Read more

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What options are best to treat my 20 month old daughter for psoriatic arthritis?

Only peds rheumatolo: Psoriasis affect 2-4% of adults, psoriatic arthritis affect 30% of those

a 20 month old child with psoriatic arthritis is very rare--arthritis in children are classified into multiple subcategories

methotrexate the only commonly used-it slow destruction---enbrel, remicade, (infliximab) Humira has not had enough testing in children
only a child rheumatologist can give you best guidance. ...Read more

Dr. Thomas Namey
1,031 Doctors shared insights

Psoriasis (Definition)

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


Dr. Robert Lowe
1,559 Doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more