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Doctor insights on: Psoriatic Arthritis Positive Ana

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Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Occam's Razor: The simplest explanation is most the likely one. Usually Systemic Sclerosis and/or limited Scleroderma is not characterized by arthritis like you describe. The typical biomarker is anti Scl-70 (anti-topoisomerase). Symptoms have to be put into a broader context and be characterized beyond elbow and forearm pain. This one you should see a rheumatologist about. Dermatology would be useful as well. ...Read more

Dr. Thomas Namey
2,426 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 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. ...Read more

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Had mylegram 2 years ago showing ddd. In the last year I tested positive for as. My rheumatologist thinks I have psoriatic arthritis and not as. Help?

Had mylegram 2 years ago showing ddd. In the last year I tested positive for as. My rheumatologist thinks I have psoriatic arthritis and not as. Help?

Listen: To your rheumatologist. There are many tests that are generalizable to inflammatory disorders. A rheumatologist will know best how to interpret these along with your physical exam. ...Read more

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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. ...Read more

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How does a dr diagnose psoriatic arthritis?

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. ...Read more

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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. ...Read more

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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. ...Read more

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Is it possible for a guy to have an psoriatic arthritis?

Is it possible for a guy to have an psoriatic arthritis?

Yes: While it is more common for women to have psoriatic arthriits, as in many forms of autoimmune disease, men are very commonly affected as well in fact it is more common in men than rheumatoid arthritis. ...Read more

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I have psoriatic arthritis and psoriasis. What should I do?

I have psoriatic arthritis and psoriasis. What should I do?

Rheumatologist: There are many effective treatments, dependent upon extent of disease. Rheumatologist and dermatologist collaboration would be very helpful. ...Read more

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Where do I go if I think I have psoriatic arthritis like my?

Where do I go if I think I have psoriatic arthritis like my?

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

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What happens to your body when you have psoriatic arthritis?

Erosion: The tissue inpsoriatic arthritis can erode bone moderately rapidly and cause not only soft tissue swelling and pain and tenderness, but can cause the bones to shorten and the joints to becomeless useful and even fused. ...Read more

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What is the definition or description of: psoriatic arthritis?

What is the definition or description of: psoriatic arthritis?

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

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I've just been told I have psoriatic arthritis, should I be concerned?

I've just been told I have psoriatic arthritis, should I be concerned?

Depends on variety: There are 5 directly related and 3 associated forms of arthritis with psoriasis. You need to see a knowledgable rheumatologist. ...Read more

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What do doctors generally presribe for psoriatic arthritis?

What do doctors generally presribe for psoriatic arthritis?

Most start with...: A non-steroidal agent such as naproxen, coupled with Methotrexate and perhaps sulfasalazine. There are many drugs that can be used, but these are common starting agents! The Methotrexate will also improve the psoriasis quite frequently. ...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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Can psoriatic arthritis make me lose hair?

Can psoriatic arthritis make me lose hair?

Not likely: To my knowledge this is not a common feature of psoriatic arthritis. Likely due to another contributing factor. Assessment of the patient with hair loss begins getting a description of hair loss, medical/family history. See you physician for an inspection of the scalp, hair, and other body sites. ...Read more

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Can psoriatic arthritis cause night sweats?

Can psoriatic arthritis cause night sweats?

Night sweats: Night sweats can be due to medications, infection,
Inflammatory diseases, menopause, malignancies. Since
Psoriatic arthritis is a. Type of arthritic inflammation, you probably can have night sweats especially if the disease is active. A rheumatologist 's opinion might be helpful ...Read more

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Can psoriatic arthritis cause trigger finger?

Can psoriatic arthritis cause trigger finger?

May contribute: Trigger finger is not an arthritis, but it is a nodular swelling of a flexor tendon that can cause the tendon to catch on the pulley system of the finger as it flexes and extends. It's usual cause is inflammatory. So, having an systemic inflammatory condition like a person with psoriatic arthritis has, their can be an increased risk. Thank you for the question. ...Read more

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Can psoriatic arthritis cause fatigue during a flair?

Yes: A psoriasis flair can cause many other symptoms (fatigue, malaise, etc.). See your doctor if there are any continued or worsening symptoms. ...Read more

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How much effective is sulfasalazine in psoriatic arthritis?

How much effective is sulfasalazine in psoriatic arthritis?

It is considered...: Sulfasalazine is one of the first-line therapies for psoriatic arthritis at doses of 1-3 grams per day. It is moderately effective in studies, but is usually combined with other drugs! ...Read more

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What are some good homeopathic treatment for psoriatic arthritis?

What are some good homeopathic treatment for psoriatic arthritis?

Full case-taking: For a chronic condition like psoriatic arthritis you need a professional homeopath to thoroughly review your case. There are literally thousands of homeopathic medicines (remedies) that could be helpful to you at a deep level, to catalyze a healing process. Finding the ONE that's effective for you takes your willingness to describe your experience in detail to the practitioner, who will prescribe. ...Read more

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How exactly does a doctor go about diagnosing psoriatic arthritis?

How exactly does a doctor go about diagnosing psoriatic arthritis?

Mostly clinical: Skin lesions and arthritis are the first step of evaluation ladder. The comes blood test, radiological evaluation. ...Read more

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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. ...Read more

Ana (Definition)

An "ana" is a blood test used to screen a person for the possibility of several autoimmune diseases. It is important to remember that this is a screening test and a positive result only indicates more testing may be warranted. No blood test is perfect, and getting to a diagnosis is usually much more complex than drawing blood and looking at a number ...Read more


Dr. Thomas Namey
1,031 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