Doctor insights on:
Psoriatic Arthritis Stomach Problems
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
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
Eligible for disability? Worked typing for over nine years. Lost job last september along with ins. Can't afford ins. Now having medical problems. Bursitis in shoulders. Psoriasis since age 12 and now suffering from psoriatic arthritis. Day to day activit
Doubtful: To be eligible for disability usually means you cannot work at anything. Depends on your state but sounds like you have some medical issues and lost your job and that does not mean you are disabled ...Read more
Please consider: Resubmitting and including the specific names of the medications that you are referring to. ...Read more
I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?
On prozac with no problems then had methatrexate for psoriatic arthritis. Then had panic attack. Put on zoloft (sertraline) but would like to go back on prozac but anxious about this. Not on methotrexate anymore. Thank you.
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! ...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
Psoriatic arthritis: Mostly genetics and immunologic function.Get a more detailed answer ›
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. ...Read more
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 ...Read more
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. ...Read more
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. ...Read more
Why?: They are no effective naturopathic therapies. See a dermatologist instead. ...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?
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
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
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