Doctor insights on:
Psoriatic Arthritis With Negative Ra Ana
Different types : Although they are both called arthritis, they are two very different types. Each one has different causes and different manifestations. There can be certain similarities of therapy. We need to define each one because our clinical program, our clinical evaluation, and our therapy can differ. They have different types of immunologic processes involved in each of these. There are over 100 different types of arthritis. ...Read moreSee 1 more doctor answer
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
What are the basic differences in symptoms and clinical menifestations between Psoriatic arthritis and Rheumatoid arthritis?
Less symetrical : Psoriatic arthritis comes in several forms. The main difference between RA and the type of psoriatic arthritis that is closest to rheumatoid is that psoriatic is less symetrical. Psoriatic is also associated with nail changes, more tendinitis problems, and psoriasis. It is very rare for RA to affect DIP (joints at end of finger). Psoriatic will affect these. There are many other small diff. ...Read more
Which disease usually has the best prognosis: 1. SLE, 2. Rheumatoid arthritis, 3. Psoriasis or 4. Psoriatic Arthritis?
Impossible to say: It depends on the severity of each disease. Psoriatic would be considered the most benign. ...Read more
Would any rheumatologist ever suggest enbrel (etanercept) to a patient who doesn't have rheumatoid arthritis, anspon, juvenile or psoriatic arthritis? Serious drug
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 moreSee 2 more doctor answers
Recently doc told me I have psoriatic arthritis. But all blood tests negative and never any swelling. Sounds reasonable?
Psoriatic Arthritis: No single test can confirm a diagnosis of psoriatic arthritis. But some types of tests can rule out other causes of joint pain, such as rheumatoid arthritis or gout. Diagnosis tests may include: x-rays, magnetic resonance imaging (mri), rheumatoid factor (rf), or a joint fluid test. Rf is an antibody that's often present in the blood of people with rheumatoid arthritis, not usually psoriatic arthr. ...Read moreSee 1 more doctor answer
Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?
Occam's Razor: Usually Systemic Sclerosis and/or limited Scleroderma is not characterized by arthritis like you describe. The typical biomarker the anti Scl-70 (anti-topoisermorase). Symptoms have to be put into context and better described than elbow and forearm pain. This one you should see a rheumatologist about. Dermatology would be useful as well. Best of luck! ...Read more
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.
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
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 moreSee 1 more doctor answer
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
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