Doctor insights on:
What Dmard Is Recommended For Psoriatic Arthritis
Arthritis 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
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
My psoriatic arthritis pain in the spine and fingers is mild. Doc has decided not to use any medication yet. When should he consider using DMARDs?
Should i find a doctor who specializes in psoriatic arthritis? My rheumatologist said that i "may have a mild form of psoriatic arthritis". He recommended that i take nsaids and just watch for further changes. Do you agree that i just watch it, or should
No: A rheumatologist is an expert in managing psoriatic arthritis (psa). Nsaids are often an appropriate first line treatment of psa if the disease is mild and not causing permanent joint damage. If nsaids are ineffective, or if skin disease is severe, use of dmards like Methotrexate or biologics like tnf inhibitors may be appropriate. If your symptoms are not controlled, speak to your rheumatologist. ...Read moreSee 2 more doctor answers
Common!: Perphaps 20-30% of psoriasis patients develop arthritis. So having a strong family history for both psoriasis and arthritis are very important rheumatology questions to ask! i believe it is more common than rheumatoid arthritis. This is true in my practice. Over halp of my patients with psoriatic arthritis do not know they have it, until a thorough investigation for hidden spots identifies it! ...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 moreSee 2 more doctor answers
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
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
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
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