Doctor insights on:
Psoriatic Arthritis Pulmonary Nodules
I was diagnosed with psoriatic arthritis 1 year ago. I worry a bit about nodules. I get them for what seems like nothing. I don't only get them on joint areas, I get them everywhere. Is there any research that could possibly explain why this happens and wh
Fibroblast trying: I think of it as fibroblast trying to heal inflamation they are b9. ...Read more
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
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
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
a reduced range of motion. ...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 more
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
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
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
Sure: There is no reason you can't have a tattoo ...Read more
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
Not known: Overactive bladder is an extremely common condition in multiparous and post menopausal women. There is no definite association known between psoriatic arthritis, ankylosing spondylitis and overactive bladder. The statistical chance of having oab with any other condition is therefore high. ...Read more
Can a skin biopsy showing psoriasisiform dermitis confirm a suspected case of psoriatic arthritis?
Not for sure: The doctor might choose to perform a skin biopsy in order to rule out other possible skin conditions, sexually transmitted diseases, or infections. With a skin biopsy, the doctor may order a series of lab tests to determine whether certain bacteria, viruses, or fungi are present. ...Read more
My friend has psoriatic arthritis and his legs and ankles swell alot! How can he alleviate the pain?
Should I cut out dairy&caffeine to help psoriasis/psoriatic arthritis? I eat milk, yogurt, some coffee&green tea
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
I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?
Biologics: With high liver enzymes, you will not be able to take some oral medications that we use for psoriatic arthritis. If your symptoms are severe and demonstrate functional difficulties, your doctor may recommend one of the biologics such as Enbrel (etanercept) or humira. These medications also have significant other side effects that your doctor will review with you. These are not appropriate for everyone. ...Read more
How effective is voltaren (diclofenac) gel in reducing inflammation in psoriatic arthritis? And how long it can be used?
Supported by evidence based medicine. In the conclusion of this research vestn dermatol venerol. 1990; (10):55-7
" the drug is characterized by antiinflammatory, analgesic, and antipyretic effects. No side effects or complications were recorded in the course of voltaren (diclofenac) gel therapy. The drug has proved highly effective and is recommended for wide practice".
Hope it helps. ...Read more
What do you suggest if my friend has psoriatic arthritis and his legs and ankles swell alot! What can he do to help the pain?
Psoriatic Arthritis: How about your friend sees a Rheumatologist, there are a lot of new treatment options like modifying anti-rheumatic drugs or anti-tumor necrosis factor agents such as adalimumab (Humira), etanercept (Enbrel), golimumab (Simponi) and infliximab (Remicade) which have made a lot differences recently. ...Read more
I have psoriatic arthritis & fibromyalgia. I frequently have a problem with my dominant arm, left, with tingling and a very uncomfortable feel, why?
Arm problem: Neither psoriatic arthritis or fibromyalgia don't seem to manifest with tingling as their main symptoms. Both are manifested with pain primarily, arthritis in the joints and fibromyalgia in the muscles. Tingling may not be related to these. There may be a nerve involvement or a medication side effect. You should talk to your doc about that. ...Read more
Found out remicade (infliximab) has mice proteins in it-maybe that's why reactions lately! Can any Dr. Suggest ALL HUMAN alt. For psoriatic arthritis?
Reactions to remicad: Need to be evaluated: are they true allergic reactions or adverse drug reactions? And what type of reactions were they? Your doctor will have to decide on that. As for the proteins involved, human proteins can still cause reactions, if it is the case. Kindly confer with your doctor, this a complex decision, infliximab isn't a simple drug, and has to prescribed and monitored closely, good luck ...Read more
Getting a full check up on 2/22/16 going fasting want to know if I'm not sick of anything else besides hypothyroid psoriatic arthritis blood work? Done
Ok here goes. I am 34 years old and have arachnoiditis, fibromyalsia, psoriatic arthritis and spondylitis. I stopped seeing all my doctors in 2013, (a?
Not a bad choice: The conmon root of all condtions are they are subjective and inflammatory with no cure, with one exception the psoriatic and spondylitis is responsive to enbrel (etanercept) may be worth a try ive seen remarkable results also recommend book by dr sarno Fibromyalgia is a diagnosis of exclusion shouldn't be made with other viable diagnosis you autoimmune inflamatory artritis can cause myalgia occums razor ...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