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Doctor insights on: Psoriatic Arthritis Lung Disease

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Dr. Erik McClain Dr. McClain
Internal Medicine
years in practice
Medical University of the Americas
1

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Chest hurts when I move and is always stiff, ribs tender to touch. Shoulders bad too. Rheum says likely due to my psoriatic arthritis, what can help?

Chest hurts when I move and is always stiff, ribs tender to touch. Shoulders bad too. Rheum says likely due to my psoriatic arthritis, what can help?

Psoriatic pain: Hi pamela, I expect you are on immune suppressives and analgesia.These usually keep things at bay. However, it seems yours is not. Believe it or not, yoga, daily stretching, and exercise can be extremely helpful. Start slow as you will likely have some discomfort. However, as time goes by and you continue to stretch and exercise, you will have some improvement. Talk with your doctor, before you start

Dr. Thomas Namey
2,412 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


Dr. Randy Baker Dr. Baker
Holistic Medicine
36 years in practice
University of Michigan Medical School
2

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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:

Dr. Bahman Omrani Dr. Omrani
Pain Management
13 years in practice
Touro University Nevada College of Osteopathic Medicine
3

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Is there a connection between psoriatic arthritis and heart disease?

Is there a connection between psoriatic arthritis and heart disease?

Yes: People with psoriasis (including psoriatic arthritis) have higher incidence of metabolic syndrome, diabetes, hyperglycemia, hypertension and obesity, all risk factors for cardiovascular disease. Atherosclerosis, presumably due to the inflammatory nature of the condition is more common in pa. There is some evidence suggesting anti-tnf therapy lowers the cardiovascular risk in patients with pa.

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Dr. Ernest Fischer Dr. Fischer
Internal Medicine & Pediatrics
7 years in practice
University of Texas Southwestern Medical School at Dallas
4

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Can menopause trigger autoimmune disorders? I was diagnosed with both psoriatic arthritis and celiac disease at 51.

Can menopause trigger autoimmune disorders? I was diagnosed with both psoriatic arthritis and celiac disease at 51.

Maybe: There is more autoimmune (AI) disease in older women, but it is unclear if it is related to time or hormones. Time: an AI condition is a problem in the immune system. The longer we live, the more likely a problem will develop. Hormones: women have an immune system that tolerates foreign things, that is how they have a baby. If that tolerance goes away, then there can be an issue. But exact cause?

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Dr. Edward Hellman Dr. Hellman
Orthopedic Surgery
25 years in practice
University of Illinois College of Medicine
5

5
Is Psoriatic Arthritis in the spine very severe a disease?

Is Psoriatic Arthritis in the spine very severe a disease?

Varies: It varies tremendously based upon the severity of the arthritis. Some may have minimal symptoms, or others can have cares that are quite debilitating. I would certainly be seen by a rheumatologist as well as a spinal specialist.

Dr. Thomas Namey Dr. Namey
Internal Medicine - Rheumatology
44 years in practice
Washington University School of Medicine
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Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

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.

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
7

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Which disease usually has the best prognosis: 1. SLE, 2. Rheumatoid arthritis, 3. Psoriasis or 4. Psoriatic Arthritis?

Which disease usually has the best prognosis: 1. SLE, 2. Rheumatoid arthritis, 3. Psoriasis or 4. Psoriatic Arthritis?

Impossible to say: It depends on the severity of each disease. Psoriatic would be considered the most benign.

Dr. Tracy Lovell Dr. Lovell
Internal Medicine - Rheumatology
17 years in practice
Medical College of Georgia School of Medicine
8

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Can indomethacin stop the progression of disease in psoriatic arthritis?

Can indomethacin stop the progression of disease in psoriatic arthritis?

Unfortunately not: Tnf inhibitors are the main drugs that have demonstrated stopping the progression of psoriatic arthritis.

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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Can you tell me about taking the disease modifying drug (dmards) for their psoriatic arthritis?

Can you tell me about taking the disease modifying drug (dmards) for their psoriatic arthritis?

See details: The two major DMARDs for treating psoriatic arthritis are Methotrexate and the biologics such as Remicade, (infliximab) Enbrel and Humira among others. All are extremely effective, especially the biologics. All have potential side effects such as infection risk, reduced blood counts and liver disease.

Dr. John Goldman Dr. Goldman
Internal Medicine - Rheumatology
51 years in practice
University of Cincinnati College of Medicine
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Does early spinal involvement in Psoriatic Arthritis indicate more severe form of the disease with deformity?

Does early spinal involvement in Psoriatic Arthritis indicate more severe form of the disease with deformity?

No-there are 5 types: There are 5 different types of psoriatic arthritis. Back involvement is one type of these and there can be overlaps. Your rheumatologist can better advise you on the state of your risks and involvements. Many things impact this.

Dr. Andrew Doe Dr. Doe
Radiology - Interventional
16 years in practice
State University of New York Upstate Medical University
12

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Father has psoriasis and psoriatic arthritis, I also have joint pain. Does that mean an autoimmune disease will pass on to my son as well?

Father has psoriasis and psoriatic arthritis, I also have joint pain. Does that mean an autoimmune disease will pass on to my son as well?

Not 100%: While your son will have an increased chance, it is not for certain he will have an autoimmune disorder. He has a different mother with different genetics as do you and your father.

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
13
Dr. Clarene Cress Dr. Cress
Pediatrics
years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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Mom diagnosis c hoshimotos/psoriatic arthritis/viral hepatitis/ acute myeloid leukemia. What is my risk of autoimmune disease/leukemia? My children's risk?

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.

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
15
Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
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Does having 1 autoimmune disorder predispose u2 others? Mom with hoshimoto's>psoriatic arthritis>viral hepatitis>acute myeloid leukemia.

Yes: The presence of an autoimmune disorder points to dysregulation of the immune system and thus one is far more likely to have other autoimmune diseases. However, it is not directly linked to viral hepatitis or AML.

Dr. Thomas Namey Dr. Namey
Internal Medicine - Rheumatology
44 years in practice
Washington University School of Medicine
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How do you cure psoriatic arthritis?

How do you cure psoriatic arthritis?

No cure.: However, virtually completely remmitable. Old drugs, sulfasalazine, steroids, cyclophosphamide, and the new tnf-alpha inhibitors-enbrel, humira, (adalimumab) reimicade can work exceedingly well. The treatments usually improve the psoriasis as well.

Dr. Paul Rosen Dr. Rosen
Pediatric Rheumatology
years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
18

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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.

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Dr. Jack Mutnick Dr. Mutnick
Internal Medicine - Allergy & Immunology
13 years in practice
University of Nevada School of Medicine
19

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In lay man's terms what is psoriatic arthritis?

Psoriatic arthritis: Joint pain, stiffness and swelling are the main symptoms of psoriatic arthritis. They can affect any part of your body, including your fingertips and spine. No cure for psoriatic arthritis exists, so the focus is on controlling symptoms and preventing damage to your joints. Without treatment, psoriatic arthritis may be disabling.

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Dr. Douglas Mund Dr. Mund
Internal Medicine - Rheumatology
42 years in practice
State University of New York Downstate Medical Center College of Medicine
20

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I have serious psoriatic arthritis, what to do?

I have serious psoriatic arthritis, what to do?

Seek rheumatologist: There are many very effective therapies for psoriatic arthritis but they must be administered and followed closely by a physician familiar with the therapies and possible side effects. Find and see acrheumatologist.

Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


Dr. Thomas Namey
1,029 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