Doctor insights on:
Psoriatic Arthritis Lyme Disease
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
Urgent. Can Lyme disease lead to arthritis? One lady said she got arthritis from Lyme due to walking the dogs outside the grass /lawn. She's bend now
"p23 ab IgM reactive" "p41 & p39 non-reactive" do I have Lyme disease, or can something else cause this? (diagnosed w/ rheumatoid arthritis 7yrs ago.)
Complex: The diagnosis of lyme disease is usually on a clinical basis. Serologic testing should not be done for screening purposes. False positive results are very frequent in patients with autoimmune diseases, particularly rheumatoid arthritis, and particularly when these are IgM antibodies. ...Read more
Diagnosed w/advanced Lyme disease and am having joint pain & stiffness in fingers of both hands w/redness & small welts on thumb-side of pointer fingers. Could this be arthritis? If not, what is it?
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
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?
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
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
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?
How can I relieve my arthritic pain through diet? Is it possible? I have arthritis stemming from lymes disease and almost every med has side effects
Probiotics: This is a complex and emerging field. Here are some initial strategies you should only implemente w/a MD:Probiotic supplement. Beta-glucan -- a kind of fiber sometimes used to help fight Lyme disease.Garlic (Allium sativum) has antibacterial effects. Only w/a Professional homeopath try Essaic: burdock root (Arctium lappa), sheep sorrel (Rumex acetosella), slippery elm (Ulmus fulva), rhubarb. ...Read more
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, (adalimumab) 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
Psoriatic arthritis: Mostly genetics and immunologic function.Get a more detailed answer ›
Depends...: ...On what you do now. Multiple treatments, ranging from oral medications to biologics like enbrel, humira, and stelara, (ustekinumab) 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
Psoriatic arthritis: Hi Sharon, Psoriatic arthritis is under the umbrella of spondylo-arthritis. This group of arthritis has a genetic test for Human Leukocyte Antigen B27 (HLA B27). A positive test means HLA-B27 is present. About 50% of patients with psoriatic arthritis test positive for HLA B27, therefore a negative test does not exclude the diagnosis. I hope that is helpful. Thank you, Nisha ...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
A condition caused by borrelia burgdorferi. Acute symptoms can include bullseye rash, headaches, joint pain, fever, and flu-like sx. Chronic symptoms can include fibromyalgia symptoms, nerve pain in extremities, mood swings, brain fog, heart problems. Lab diagnoses are not very reliable, and sometimes clinical ...Read more