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Psoriatic Arthritis

by Alike Medical Team ∙ Updated on June 13, 2023

General

Psoriatic arthritis is an inflammatory musculoskeletal disease associated with psoriasis - a condition that features red patches of skin topped with silvery scales. Most people develop psoriasis first and are later diagnosed with psoriatic arthritis, but the joint problems can sometimes begin before skin patches appear.

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Signs & symptoms

Joint pain, swelling and stiffness are the main signs and symptoms of Psoriatic Arthritis. They can affect any part of your body, including your fingertips and spine, and can range from relatively mild to severe. In both psoriasis and psoriatic arthritis, disease flares may alternate with periods of remission.

Diagnosis

No single test can confirm a diagnosis of psoriatic arthritis. But some types of tests can rule out other causes of joint pain, such as rheumatoid arthritis or gout. - Physical examination: to examine your joints for signs of swelling or tenderness. Check your fingernails for pitting, flaking and other abnormalities, and to find tender areas. - Imaging tests: Plain X-rays can help pinpoint changes in the joints that occur in psoriatic arthritis but not in other arthritic conditions. MRI also can be performed in order to check tendons and ligaments of the feet and lower back. - Laboratory tests: Mostly to exclude other conditions. Blood test for Rheumatoid factor (RF)- an antibody that's often present in the blood of people with rheumatoid arthritis, but it's not usually in the blood of people with psoriatic arthritis- this test can help your doctor to exclude other similar conditions. And Joint fluid test- aspiration of a small sample of fluid from one of your affected joints - often the knee. Uric acid crystals in your joint fluid may indicate that you have gout rather than psoriatic arthritis.

Treatment

No cure exists for psoriatic arthritis, so treatment focuses on controlling inflammation in your affected joints to prevent joint pain and disability. Your doctor may offer you different kinds of medication, includes: - NSAIDs in order to relieve pain and reduce inflammation. - Disease-modifying antirheumatic drugs in order to slow the progression of psoriatic arthritis and save the joints and other tissues from permanent damage. - Immunosuppressants in order to tame your immune system, which is out of control in psoriatic arthritis. - Biologic agents These medications target specific parts of the immune system that trigger inflammation and lead to joint damage.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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I had plantar fasciitis in my right foot and saw a foot Dr. ended up also seeing a rheumatologist and found out I have not only fibromyalgia but also **psoriatic arthritis**. That arthritis affects tendons and that is called enthesitis. I also get “tennis elbow” which is tendinitis and that’s also a thing with psoriatic arthritis. I found that Ofoos shoes and Atrex shoe inserts helped my foot. I ended up on Humira for the arthritis and my foot and elbow have stopped hurting me.

My first challenge was a cultural one. My first rheumatologist was a Male Indian and I am a female. He did not have a good or professional attitude towards me. Always gaslighting me. Like when I complained about my hair starting to fall out he says Oh you have plenty of hair. He told me I only had one option for treatment after I failed Taltz injection for **Psoriatic arthritis**. I found a new female rheumatologist who told me I have many options for treatment and put me on Humira. She actually listens to what I say and is helping me with my symptoms.

I'm on tremfya injections for my Psariosis and **pscoriatic arthritis** this has pretty much cleared up my Psariosis which was really bad like everywhere and has helped with my pscoriatic arthritis symptoms but for me if I have to much dairy my joints start hurting again so I also avoid dairy as much as possible

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Defo mention this to your doctor if you haven't already. As 1 in 3 people with psoriasis go on to develop **psoriatic arthritis** which affects the joints and makes them swollen and stiff. Hopefully this is not the case for you, but better to be safe than sorry 💕

Hi! I also take methotrexate and avsola for my **psoriatic arthritis**, and am experiencing hair loss. My docs said I could take oral or topical mindoxil, the oral having the effect of more general body hair which I would enjoy. I think I’ll take the oral mindoxil route and update in a few months

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