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Doctor insights on: Psoriatic Arthritis Swollen Lip

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I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?

I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?

Yes: It is fairly common for someone with one autoimmune disease to concurrently have one or two other autoimmune diseases. I have seen patients with hypothyroidism, psoriasis and sjogren's. This combo may not be so rare. ...Read more

Dr. Thomas Namey
2,422 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 do you suggest if my friend has psoriatic arthritis and his legs and ankles swell alot! What can he do to help the pain?

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

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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! ...Read more

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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. ...Read more

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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. ...Read more

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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? ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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Looking for naturopaths who could treat psoriatic arthritis?

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

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What does psoriatic arthritis in the neck feel like usually?

What does psoriatic arthritis in the neck feel like usually?

Achy: Achy pain with and without movement that produces stiffness in themorning and gradually improves overseveral hours. It is not visible on xray or normal lab tests but has been detected by mri, although that test is overused, most ofthe time. ...Read more

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I have psoriatic arthritis but no swelling. Is that possible?

I have psoriatic arthritis but no swelling. Is that possible?

Yes: Psoristic arthritis can cause pain and other symptoms before any swelling becomes evident. That said you need to make sure that nothing else is causing those symptoms ...Read more

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Is there any correlation between amyloidosis, psoriatic arthritis, and spondilitis?

Is there any correlation between amyloidosis, psoriatic arthritis, and spondilitis?

Some: Hi micheleg1,
there is some evidence of the presence of amyloidosis in patients with psoriatic arthritis and, what I'm assuming you mean to be anklylosing spondylitis.
The clinical significance of this, however, remains unclear at this point. ...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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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 psoriatic arthritis only cause pain in the si joint?

No: Much like rheumatoid arthritis almost any joint in the body can be affected with psoriatic arthritis - all the joints in th arms and legs as well as the cervical and lumbar spines. The si joints are typically involved in the spondylitic form of psoriatic arthritis. ...Read more

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Can a flareup of psoriatic arthritis cause severe joint pain and fever?

Can a flareup of psoriatic arthritis cause severe joint pain and fever?

Flareup: Yes, psoriatic arthritis can cause severe joint pain and fever. See your rheumatologist for treatment. ...Read more

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Been told I need a total knee replacement, are there any alternatives? Psoriatic arthritis

Maybe: Medical treatment can treat the symptoms of psoriatic arthritis, an inflammatory type of arthritis. Your rheumatologist can tell. Once the joint is severely damaged, a total knee can resurface the knee, reduce the pain, and improve the knee function. An orthopedic surgeon can tell if the knee is ready for this. ...Read more

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What supplements are good for psoriatic arthritis beyond prescription of plaquenil (hydroxychloroquine)?

Anti inflammatory: There are numerous supplements that can have beneficial, antiinflammatory properties. Omega3is just one example. Rather than a specific supplement, though, I am a fan of the whole food, antiinflammatory diets. The results for many health conditions are well documented and can be pretty amazing. Thank you for your question. ...Read more

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Can I use methotrexate to treat psoriatic arthritis when I also have gallbladder stones and severe attacks?

Can I use methotrexate to treat psoriatic arthritis when I also have gallbladder stones and severe attacks?

Yes, but...: ...Why are you enduring the pain and risk of frequent gallbladder attacks? In the modern era of minimally invasive surgery, the risks are often greater to continue to have gallbladder attacks rather than the risk of surgery. Have you spoken with your primary care physician or rheumatologist about these attacks? ...Read more

Mouth (Definition)

Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more


Dr. Thomas Namey
1,030 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