Doctor insights on:
Use Of Colchicine In Psoriatic Arthritis
Hi! 27/F. Psoriatic Arthritis, get "gout like" attacks in big toe where uric acid spikes, will colchicine help bring it down even though it is PA?
Probably.: Psoriasis, psoriatic arthritis and gout have been shown to have some type of relationship. Exactly how, is still unclear. People with psoriasis has an increased chance of having a gout attack and those with psoriatic arthritis, even higher. The uric acid level is being elevated by the effects of psoriasis breaking down cells and releasing the uric acid. The gout has be monitored and controlled. ...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
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
Yes: There is no specific time point when a disease will present. Age guides are not set in stone and are simply a gauge based on clinical studies. A disease can occur at any time in a persons life, some just have more common ages at presentation. ...Read more
Yes: You can any thing you want unless you flare up in the joints then you slow down tell that flare up pass with the treatment, then you could go back to your activity. ...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
See details: The two major DMARDs for treating psoriatic arthritis are Methotrexate and the biologics such as Remicade, (infliximab) Enbrel and Humira among others. All are extremely effective, especially the biologics. All have potential side effects such as infection risk, reduced blood counts and liver disease. ...Read more
Does early spinal involvement in Psoriatic Arthritis indicate more severe form of the disease with deformity?
I have psoriatic arthritis and fibromyalgia, why does getting a massage make my pain feel worse instead of better?
First....: I suspect your psoriatic arthritis is dominant! People who hurt don't sleep, and because psa affects tendons and ligaments, it is the disease I diagnose in place of fibro the most. It depends on the type of massage, how vigorous it is, and whether the person massaging you is trained. So many variables to explain why! ...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
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