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Doctor insights on: Psoriatic Arthritis Or Multiple Sclerosis

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What is the difference between psoriatic arthritis and spondyloarthrapathy? I'm hla b-27 positive

What is the difference between psoriatic arthritis and spondyloarthrapathy? I'm hla b-27 positive

Almost the same: Many people with psoriatic arthritiw have back problems similar to classic ankylosing spondylitis. The meds used for these are the same and include sulfasalazine, methotrexate, biologics including humira, remicade, (infliximab) etc. Occasionally the arthritis goes into remission (stops) if the skin is cleared, but this isn't common. Nonsteroids such as indomethecin are quite helpful.

Dr. Thomas Namey
2,413 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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I have pain on right groin & I'm limping what can it be it just started today & the pain doesn't go away what can I do? Psoriatic arthritis

I have pain on right groin & I'm limping what can it be it just started today & the pain doesn't go away what can I do? Psoriatic arthritis

Hip: Usculoskeletal pain that radiates to the groin is usually from the hip. With your psoriasis and arthritis, it is likely a synovitis of the hip joint; which is an inflammation of the capsule if the hip. Hopefully would respond to an NSAID, if not you may need to be seen.

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I was on humira (adalimumab) biweekly for psoriais and psoriatic arthritis. Now I'm on weekly because psoriasis came back. Is weekly good idea & what r side effect?

I was on humira (adalimumab) biweekly for psoriais and psoriatic arthritis. Now I'm on weekly because psoriasis came back. Is weekly good idea & what r side effect?

Some people!: Some people who are larger, or have more severe inflammation may need more, and a weekly dose is not rare in these instances. Twice weekly, sounds like too much! Dr. Litt said this; perhaps you used the wrong term!?

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What can I do to treat psoriatic arthritis?

What can I do to treat psoriatic arthritis?

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!

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What can be done to cure psoriatic arthritis?

What can be done to cure psoriatic arthritis?

Psoriatic Arthritis: There are multiple treatments for psoriatic arthritis to control symptoms. It has also been associated with higher rates in smokers. Stop smoking if you do and see a rheumatologist for discussion of the best treatment for you.

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Is it possible to get psoriatic arthritis young?

Is it possible to get psoriatic arthritis young?

Yes: It is more typical for psoriatic arthritis to start when you are young. Usually, around 30, but you can get it at any age.

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I know someone with psoriatic arthritis, what is the cure?

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?

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Psoriatic arthritis --- what can I generally expect later in life?

Psoriatic arthritis --- what can I generally expect later in life?

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.

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Is it possible to have psoriatic arthritis and test negative for arthritis?

Is it possible to have psoriatic arthritis and test negative for arthritis?

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

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If I had psoriasis does it mean I have psoriatic arthritis if I have arthritis?

If I had psoriasis does it mean I have psoriatic arthritis if I have arthritis?

See below: You are at increased risk for developing psoriatic arthritis if you have psoriasis and depending on which study you look at, 10 to 40% of all patients with psoriasis will develop psoriatic arthritis.

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What do psoriatic arthritis nodules look like?

What do psoriatic arthritis nodules look like?

None: Psoriatic arthritis typically does not cause nodules. Skin and lung and eye nodules typically occur with rheumatoid arthritis.

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Can alcohol cause psoriatic arthritis to flair?

Can alcohol cause psoriatic arthritis to flair?

Sometimes: There needs to be more research but there is evidence showing that those who drink alcohol regularly have a greater risk of psoriasis, and many who have psoriasis & psoriatic arthritis note that their symptoms flare with alcohol use and improve when they avoid it; but this likely is not true for everyone who has psoriasis. See http://www. Medpagetoday. Com/dermatology/psoriasis/23999.

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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.

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What does doctors usually presribe for psoriatic arthritis?

What does doctors usually presribe for psoriatic arthritis?

Methotrexate, TNFs: Methotrexate is usually the most common initial therapy. Tnf agents such as remicade, (infliximab) Enbrel or Humira are also extremely effective, especially if Methotrexate alone is not sufficient.

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What is the best way to prevent psoriatic arthritis flare ups?

What is the best way to prevent psoriatic arthritis flare ups?

See below: Take your medicine and if it is not working meet with your rheumatologist to adjust your regimen. Also reduce stress in your life as this can trigger flares.

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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.

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Looking for naturopaths who could treat psoriatic arthritis?

Why?: They are no effective naturopathic therapies. See a dermatologist instead.

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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


Dr. Robert Lowe
1,546 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