Doctor insights on:
Psoriatic Arthritis Positive Ana
Friend has psoriasis on methotrexate. Labs CBC, cmp, tsh, ESR and ANA are normal. Starting to get joint pain but not red or swollen. What are chances to progress to psoriatic arthritis? Sees derm.
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
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?
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, 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
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
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 moreSee 1 more doctor answer
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, 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
Psoriasis is 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
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 ...Read more
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