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Doctor insights on: Psoriatic Arthritis Mobic

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Methotrexate vs humira (adalimumab), rheumatoid arthritis?

Methotrexate vs humira (adalimumab), rheumatoid arthritis?

Methotrexate: is a first line drug for rheumatoid arthritis, used frequently with hydroxchoroquine and sulfasalazine. Humira is an expensive biologic for those who have failed traditional first line regimens!

Humira works well for RA, but it is second line! ...Read more

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Dr. Thomas Namey
2,423 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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What is osteoarthritis? Rheumatoid arthritis?

What is osteoarthritis? Rheumatoid arthritis?

Osteoarthritis-: Can develop from many factors, including systemic inflammatory arthritis. My patients with RA or AS frequently need hip replacement because cartilage loss do to inflammatory damage to their cartilage! The discussion is not between either or or! ...Read more

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What is seronegative rheumatoid arthritis?

What is seronegative rheumatoid arthritis?

Blood test negative : For ra. Seronegative rheumatoid arthritis is the rheumatoid arthritis in which the blood doesn’t contain rheumatoid factor (rf or rhf). While diagnosing ra, doctors get a range of laboratory tests done and also evaluate the physical symptoms. ...Read more

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Could seronegative juvenile rheumatoid arthritis cause..?

Could seronegative juvenile rheumatoid arthritis cause..?

What?: You did not finish the question, but there are many rheumatologic features and systemic features of juvenile rheumatoid arthritis, now called juvenile idiopathic arthritis, since most juvenile arthritis patients do not have ra! ask again, so i can help. ...Read more

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What causes RA (rheumatoid arthritis)?

What causes RA (rheumatoid arthritis)?

Unknown: Synovial tissue inside joints become inflamed and damaged by chronic inflammation. The exact triggers are still elusive. ...Read more

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Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

MTX vs Humira (adalimumab): These drugs fight RA in completely different fashions. Mtx is the consensus first round choice of drugs to treat ra, both by the acr and eular (european version). Most, if not all, insurances require treatment failure with mtx before you start humira, (adalimumab) a much more expensive drug. In most cases, even if Humira (adalimumab) is started, patients will remain on mtx. ...Read more

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Whats the difference between rheumatoid arthritis and juvenile rheumatoid arthritis?does rheumatoid arthritis cause CKD?

Whats the difference between rheumatoid arthritis and juvenile rheumatoid arthritis?does rheumatoid arthritis cause CKD?

See details: JRA is arbitrarily defined as rheumatoid arthritis starting before the age 16 and adult RA as starting at age 16 or later. RA does not cause chronic kidney disease unless there is a secondary amyloidosis and medication toxicity. ...Read more

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Can juvenile rheumatoid arthritis turn into rheumatoid arthritis?

Not technically: Jra, now called jia (juvenile idiopathic arthritis), has several forms which are different from adult rheumatoid arthritis (ra). One form of jia has the same characteristics as adult RA with many joints involved and a positive rheumatoid factor on blood testing. This may persist into adulthood. Some doctors believe this is simply the adult RA starting in childhood. ...Read more

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Anyone taking humira (adalimumab) for rheumatoid arthritis?

Anyone taking humira (adalimumab) for rheumatoid arthritis?

Many patients!: Results are very good, particulary when used alone and better with methotrexate. The dirrence with Remicade (infliximab) is that it binds to tnf-a rendering ineffecftive. It is completely human in origin. A good choice for those who do prefer home sc injection, every two weeks. It is my favorite tnf-a class drug. ...Read more

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What is juvenile rheumatoid arthritis?

What is juvenile rheumatoid arthritis?

Immune dysfunction!: Jra (also called jia) for juvenille idiopathic arthritis is a disease of unknown etiology. There are many theories for why it happens, many believe there is a virus responsible. The damage to the joints, pain and stiffness is due to an inappropriate immune response which results in the immune system attacking tissues of the host (patient). Rheumatologists can provide appropriate DX and rx. ...Read more

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What is psoriatic arthritis?

What is psoriatic arthritis?

Common!: Perphaps 20-30% of psoriasis patients develop arthritis. So having a strong family history for both psoriasis and arthritis are very important rheumatology questions to ask! i believe it is more common than rheumatoid arthritis. This is true in my practice. Over halp of my patients with psoriatic arthritis do not know they have it, until a thorough investigation for hidden spots identifies it! ...Read more

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What causes juvenile rheumatoid arthritis?

What causes juvenile rheumatoid arthritis?

Autoimmune: Juvenile rheumatoid arthritis occurs when the immune system gets confused and starts attacking the joints instead of fighting intruders like bacteria and viruses. Genetic factors play a role in risk for developing autoimmune diseases. Exposure to certain viruses may play a role as well. ...Read more

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Is rheumatoid arthritis the affliction as inflammatory arthritis?

Not really: Ra is one type of inflammatory arthritis but the are many different types of inflammatory arthritis that are unrelated to ra. ...Read more

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What distinguishes arthritis & rheumatoid arthritis?

What distinguishes arthritis & rheumatoid arthritis?

None and all : There are more thar 140 types of arthrtis . Arthritis is a general name used to include all diseases that may affect the joints . Rheumatoid arthritis is a specific disease with well defined characteristic , one of the arthrititis. ...Read more

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Is methotrexate or humira (adalimumab) better for rheumatoid arthritis?

It's u as much as Rx: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read more

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Is arava (leflunomide) effective for rheumatoid arthritis?

Is arava (leflunomide) effective for rheumatoid arthritis?

It may be...: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read more

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Anyone tried enbrel (etanercept) for treating rheumatoid arthritis?

Anyone tried enbrel (etanercept) for treating rheumatoid arthritis?

Many patients: Rheumatoid arthritis can often be controlled with some of the newer medications including enbrel (etanercept). Many patients are saved from irreversible crippling of the joints. The key is to get early diagnosis and effective treatment to prevent worsening. Enbrel (etanercept) is a biologic response modifier meaning that the drug is made by a biological system. The drug can be very effective. Untreated RA has huge risks. ...Read more

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Is rheumatoid arthritis curable?

No: Though rheumatoid arthritis is not curable, there are now many treatments that dramatically lessen the symptoms of arthritis. If the disease is treated early enough, there is also a reduced chance of developing joint deformities. ...Read more

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Juvenile rheumatoid arthritis criteria pls?

Joint swelling >6wks: Jia/jra - general guide 1. Age of onset <16 yr 2. Arthritis (swelling or excess joint fluid), or 2 or more of these: less than full range of motion, tenderness or pain on motion, & increased warmth in at least 1 joint 3.Above signs (seen by doc)for > 6wks 4.Type seen in first 6 mo: a.Polyarthritis: ≥5 inflamed joints b.Oligoarthritis: 4 or fewer joints c.Systemic -fever, arthritis 5.No other cause. ...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.

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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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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

Dr. Thomas Namey
1,030 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
1,556 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