Doctor insights on:
Psoriatic Arthritis Lung Disease
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 ...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
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
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. ...Read more
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? ...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
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. ...Read more
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. ...Read more
Does early spinal involvement in Psoriatic Arthritis indicate more severe form of the disease with deformity?
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. ...Read more
52/f severe left shlder, left arm & neck pain. Have osteoarthritis, rheumatoid & psoriatic arthritis, ankylosing spondylosis & deg disc disease, help!
Impossible: No one person can have all of the arthritic disorders that you claim to have. See a rheumatologist. ...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
I am a thirteen year old female with psoriatic arthritis, fibromyalgia, and recently been told that I have costochondritis. Is this all one disorder?
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. ...Read more
Rheumatologist: There are many effective treatments, dependent upon extent of disease. Rheumatologist and dermatologist collaboration would be very helpful. ...Read more
Many options.: You can go to your PCP, sports medicine doctors, rheumatologist, orthopedic specialists or physical medicine & rehabilitation specialists. Depends on what you are trying to accomplish, each has their strengths and weaknesses in their treatment options or you may need to see a combination of these specialists to treat your issues. ...Read more
Definition: 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 relate to skin severity. ...Read more
Not known: Overactive bladder is an extremely common condition in multiparous and post menopausal women. There is no definite association known between psoriatic arthritis, ankylosing spondylitis and overactive bladder. The statistical chance of having oab with any other condition is therefore high. ...Read more
Can a skin biopsy showing psoriasisiform dermitis confirm a suspected case of psoriatic arthritis?
Not for sure: The doctor might choose to perform a skin biopsy in order to rule out other possible skin conditions, sexually transmitted diseases, or infections. With a skin biopsy, the doctor may order a series of lab tests to determine whether certain bacteria, viruses, or fungi are present. ...Read more
My friend has psoriatic arthritis and his legs and ankles swell alot! How can he alleviate the pain?
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
How effective is voltaren (diclofenac) gel in reducing inflammation in psoriatic arthritis? And how long it can be used?
Supported by evidence based medicine. In the conclusion of this research vestn dermatol venerol. 1990; (10):55-7
" the drug is characterized by antiinflammatory, analgesic, and antipyretic effects. No side effects or complications were recorded in the course of voltaren (diclofenac) gel therapy. The drug has proved highly effective and is recommended for wide practice".
Hope it helps. ...Read more
What do you suggest if my friend has psoriatic arthritis and his legs and ankles swell alot! What can he do to help the pain?
Psoriatic Arthritis: How about your friend sees a Rheumatologist, there are a lot of new treatment options like modifying anti-rheumatic drugs or anti-tumor necrosis factor agents such as adalimumab (Humira), etanercept (Enbrel), golimumab (Simponi) and infliximab (Remicade) which have made a lot differences recently. ...Read more
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
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