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Doctor insights on: Use Of Colchicine In Psoriatic Arthritis

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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?

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

Dr. Thomas Namey
2,420 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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How can psoriatic arthritis be treated?

How can psoriatic arthritis be treated?

Yes: Multiple meds. Check with rheumatologist what is appropriate. ...Read more

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What are the tests for psoriatic arthritis?

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

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What are common signs of psoriatic arthritis?

What are common signs of psoriatic arthritis?

PsA: 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
morning stiffness
general fatigue
a reduced range of motion. ...Read more

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Do psoriatic comes first or psoriatic arthritis?

Do psoriatic comes first or psoriatic arthritis?

Either way: In most cases the skin involvement precedes the arthritis. In about 30% of cases the arthritis comes at least 6 months before one sees any skin issues. ...Read more

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What is the best way to ease the pain of psoriatic arthritis?

What is the best way to ease the pain of psoriatic arthritis?

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

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Is there a cure for psoriatic arthritis?

Is there a cure for psoriatic arthritis?

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

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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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What dmard is recommended for psoriatic arthritis?

What dmard is recommended for psoriatic arthritis?

Several Possible: Methotrexate and sulfasalazine are effective treatment options. Additional options are biologic dmards, which are tumor necrosis factor inhibitors, examples are embrel, humera and remicade (infliximab). ...Read more

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What do doctors generally presribe for psoriatic arthritis?

What do doctors generally presribe for psoriatic arthritis?

Most start with...: A non-steroidal agent such as naproxen, coupled with Methotrexate and perhaps sulfasalazine. There are many drugs that can be used, but these are common starting agents! The Methotrexate will also improve the psoriasis quite frequently. ...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?

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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Is it possible for an 18 yrs old guy to get psoriatic arthritis?

Is it possible for an 18 yrs old guy to get psoriatic arthritis?

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

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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


Dr. Tony Willson
256 Doctors shared insights

Colchicine (Definition)

Colchicine is used to treat several inflammatory conditions. It is known best as a treatment for acute gout and prophylaxis for gout attacks. It is also used to treat less common conditions such as familial mediterranean fever, skin ...Read more