Psoriatic arthritis (patient information): Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
During a physical examination, the | During a physical examination, the healthcare provider will look for: | ||
* Joint swelling | * Joint swelling | ||
* Skin sores | * Skin sores | ||
* Tenderness | * Tenderness | ||
* Nail changes | |||
* Sausage shaped digits | |||
Joint [[x-rays]] may be performed. | Joint [[x-rays]] may be performed. | ||
==Treatment options== | ==Treatment options== | ||
* Your doctor may prescribe [[nonsteroidal anti-inflammatory drugs]] ([[NSAIDS]]) or salicylates to reduce pain and inflammation of the joints. | * Your doctor may prescribe [[nonsteroidal anti-inflammatory drugs]] ([[NSAIDS]]) or salicylates to reduce pain and inflammation of the joints. | ||
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* Occasionally, particularly painful [[Joint|joints]] may be injected with [[steroid]] medications. | * Occasionally, particularly painful [[Joint|joints]] may be injected with [[steroid]] medications. | ||
* In rare cases, patients need [[surgery]] to repair or replace damaged [[Joint|joints]]. | * In rare cases, patients need [[surgery]] to repair or replace damaged [[Joint|joints]]. | ||
* Your doctor may suggest a healthy mix of rest and [[Physical exercise|exercise]]. [[Physical therapy]] may help increase the movement of specific joints. You may also use heat and cold therapy. | * Your doctor may suggest a healthy mix of rest and [[Physical exercise|exercise]]. [[Physical therapy]] may help increase the movement of specific [[Joint|joints]]. You may also use heat and cold therapy. | ||
==Where to find medical care for Psoriatic arthritis?== | ==Where to find medical care for Psoriatic arthritis?== | ||
[http://maps.google.com/maps?hl=en&tab=wl&q==Goodpasture'sr%27s%20syndrome Directions to Hospitals Treating Psoriatic arthritis] | [http://maps.google.com/maps?hl=en&tab=wl&q==Goodpasture'sr%27s%20syndrome Directions to Hospitals Treating Psoriatic arthritis] | ||
==Prevention of psoriatic arthritis== | |||
The cause of psoriatic arthritis is not clear, therefore prevention of the disease is unknown. | |||
==What to expect (Outlook/Prognosis)?== | ==What to expect (Outlook/Prognosis)?== | ||
Prognosis of psoriatic varies from person to person. The disease may get less aggressive over time in some patients. In other group, patients may lose their abilities to do daily tasks. Prognosis depends on: | |||
Prognosis of psoriatic varies from person to person. | * Severity of [[joint]] destruction | ||
* Involvement of [[skin]] and [[Nail (anatomy)|nails]] | |||
* [[Comorbidity|Comorbid]] conditions | |||
==Possible complications== | ==Possible complications== | ||
Complication of psoriatic arthritis involve multiple systems. Cardiac complications are increased risk for [[Cardiac arrhythmia|arrythmia]], [[congestive heart failure]], increased risk for [[atherosclerosis]] ,and [[myocardial infarction]]. [[Lung|Pulmonary]] complications include [[pleural effusion]] and [[pulmonary fibrosis]]. Rheumatological complications are [[joint]] deformities, nail damage and decreased [[quality of life]]. Eye complications such as [[Uveitis|uveitis,]] [[conjunctivitis]]. [[Nervous system]] complications like [[stroke]] and [[depression]]. GI tract complications include [[bleeding]] and [[cirrhosis]]. Other complications include [[metabolic syndrome]], [[diabetes mellitus]] and [[Lipoprotein disorders|dyslipidemia]]. | Complication of psoriatic arthritis involve multiple systems. Cardiac complications are increased risk for [[Cardiac arrhythmia|arrythmia]], [[congestive heart failure]], increased risk for [[atherosclerosis]] ,and [[myocardial infarction]]. [[Lung|Pulmonary]] complications include [[pleural effusion]] and [[pulmonary fibrosis]]. Rheumatological complications are [[joint]] deformities, nail damage and decreased [[quality of life]]. Eye complications such as [[Uveitis|uveitis,]] [[conjunctivitis]]. [[Nervous system]] complications like [[stroke]] and [[depression]]. GI tract complications include [[bleeding]] and [[cirrhosis]]. Other complications include [[metabolic syndrome]], [[diabetes mellitus]] and [[Lipoprotein disorders|dyslipidemia]]. | ||
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[[Category:Rheumatology patient information]] | [[Category:Rheumatology patient information]] | ||
[[Category:Patient information]] | [[Category:Patient information]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 20:44, 15 May 2018
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Psoriatic arthritis |
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Psoriatic arthritis On the Web |
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For the WikiDoc page for this topic, click here
Editors-in-Chief: C. Michael Gibson, M.S., M.D. Associate Editor-In-Chief: Ujjwal Rastogi, MBBS [1]
Overview
Psoriatic arthritis is an arthritis that is often associated with psoriasis of the skin.
What are the symptoms of Psoriatic arthritis?
The arthritis may be mild and involve only a few joints, particularly those at the end of the fingers or toes. In some people the disease may be severe and affect many joints, including the spine. When the spine is affected, the symptoms are stiffness, burning, and pain, most often in the lower spine and sacrum.
People who also have arthritis usually have the skin and nail changes of psoriasis. Often, the skin gets worse at the same time as the arthritis.
What causes Psoriatic arthritis?
Psoriasis is a common, chronic skin condition that causes red patches on the body. About 1 in 20 people with psoriasis will develop arthritis with the skin condition. In most cases, psoriasis comes before the arthritis.
The cause of psoriatic arthritis is not known, but genes may play a role.
Who is at highest risk?
In general, people who have psoriasis have a higher rate of arthritis than the general population.
When to seek urgent medical care?
Call for an appointment with your health care provider if arthritis symptoms develop along with psoriasis.
Diagnosis
During a physical examination, the healthcare provider will look for:
- Joint swelling
- Skin sores
- Tenderness
- Nail changes
- Sausage shaped digits
Joint x-rays may be performed.
Treatment options
- Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDS) or salicylates to reduce pain and inflammation of the joints.
- More severe arthritis requires treatment with more powerful drugs called disease-modifying antirheumatic drugs (DMARDs), such as:
- New medications that block an inflammatory protein called tumor necrosis factor (TNF) are becoming the treatment of choice. These include:
- Adalimumab (Humira)
- Etanercept (Enbrel)
- Infliximab (Remicade)
- Occasionally, particularly painful joints may be injected with steroid medications.
- In rare cases, patients need surgery to repair or replace damaged joints.
- Your doctor may suggest a healthy mix of rest and exercise. Physical therapy may help increase the movement of specific joints. You may also use heat and cold therapy.
Where to find medical care for Psoriatic arthritis?
Directions to Hospitals Treating Psoriatic arthritis
Prevention of psoriatic arthritis
The cause of psoriatic arthritis is not clear, therefore prevention of the disease is unknown.
What to expect (Outlook/Prognosis)?
Prognosis of psoriatic varies from person to person. The disease may get less aggressive over time in some patients. In other group, patients may lose their abilities to do daily tasks. Prognosis depends on:
Possible complications
Complication of psoriatic arthritis involve multiple systems. Cardiac complications are increased risk for arrythmia, congestive heart failure, increased risk for atherosclerosis ,and myocardial infarction. Pulmonary complications include pleural effusion and pulmonary fibrosis. Rheumatological complications are joint deformities, nail damage and decreased quality of life. Eye complications such as uveitis, conjunctivitis. Nervous system complications like stroke and depression. GI tract complications include bleeding and cirrhosis. Other complications include metabolic syndrome, diabetes mellitus and dyslipidemia.