Doctor insights on:
Running With Psoriatic Arthritis
Having psoriatic arthritis flare up. Started 10mg prednisone 3 days ago still am running a low grade fever. Is it unusual to still be running a temp?
Caution with prednis: The fever is not related to the psoriatic arthritis. This could be an infection and starting Prednisone without an evaluation is not a good idea. What else are you taking for the psoriatic arthritis? Your list of medications only has Prednisone. You need to see your physicians to clarify the fever and a rheumatologist to treat the psoriatic arthritis. ...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
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
Depends...: ...On what you do now. Multiple treatments, ranging from oral medications to biologics like enbrel, humira, and stelara, 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
Yes, but...: 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 continued 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
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
- Talk to a doctor live online for free
- Where is the best climate to live with psoriatic arthritis
- Psoriatic arthritis with raynaud phenomenon
- Psoriatic arthritis with morning stiffness but no swelling
- Ask a doctor a question free online
- Young teens with psoriatic arthritis
- Why bad foot pain with psoriatic arthritis?
- Why am i so tired with psoriatic arthritis?
- Living with psoriatic arthritis
- Talk to a dermatologist online