Doctor insights on:
Psoriatic Arthritis Eosinophils High
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
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
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?
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
I have 6 weekly blood tests (methotexate psoriatic arthritis) which often show elevated inflammation. Will this effect my organs?
Have psoriatic arthritis including much foot pain -which arch support might help-low, medium or high?
Psoriatic arthritis, 2swollen toes, thumb, pointer finger. Taking meloxican about 2 months not much help. Crp level high. Dr wants me to take humira or methotrexate shouldn't I try celebrex (celecoxib) 1st?
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
On Cosentyx for Psoriatic arthritis. Cough, drainage and night wheeezing. Last year I had pulmonary tests for same symptoms but no asthma. WBC elevated 12.3 (<11.3 norm), only other elevation was Baso 1.3 (< 1 norm) Medication side effect? Thoughts?
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
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
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
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
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
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
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
Why?: They are no effective naturopathic therapies. See a dermatologist instead. ...Read more
Please consider: Resubmitting and including the specific names of the medications that you are referring to. ...Read more
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
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
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