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Psoriatic arthritis : Causes - Symptoms- Diagnosis -Treatment


 What is Psoriatic arthritis?

Psoriatic arthritis is a type of inflammatory arthritis that affects those with psoriasis. It is an autoimmune condition where the immune system attacks healthy joints and skin cells. Symptoms of psoriatic arthritis include inflammation, swelling, and stiffness in and around the joints as well as skin rashes. Psoriatic arthritis can be treated with both traditional and alternative medicines, physical therapy, and lifestyle changes.

What is Psoriatic arthritis?
Psoriatic arthritis

  1. Musculoskeletal system
    1. Human skeleton

    2. Joints

    3. Ligaments

    4. Muscular system

    5. Tendons

Medical terms

  • Psoriatic arthritis is a type of inflammatory arthritis that occurs in people with the skin condition, psoriasis. This condition causes inflammation along with pain and swelling of the joints, which can lead to significant disability over time. People with psoriatic arthritis often have difficulty carrying out their daily activities and may need to rest more often than before. In addition, the disease can cause deformity in the joints that can result in even greater disability.

  • Psoriatic arthritis is a form of arthritis that can cause inflammation and pain in the joints. It usually affects people with psoriasis, a type of skin condition, but it can also occur on its own. Patients may experience swelling, stiffness, and pain in various areas, such as the hands, feet, and spine. Treatment options can include physical therapy, medications, and lifestyle changes.

Symptoms Psoriatic arthritis

The signs of psoriatic arthritis can be sluggish and subtle in a few patients; in others, they may be surprising and dramatic. It can be mild, affecting the simplest one joint or may be extreme, affecting more than one joint.

Both psoriatic arthritis and psoriasis are persistent sicknesses that get worse over time. However, you might have periods when your signs and symptoms improve or depart quickly.

Psoriatic arthritis can have an effect on joints on one or each facet of your body. The symptoms and signs and symptoms of psoriatic arthritis regularly resemble the ones of rheumatoid arthritis. Both illnesses cause joints to come to be painful, swollen and warm to the touch.

However, psoriatic arthritis is much more likely to also cause:

  • Swollen arms and toes. Psoriatic arthritis can cause a painful, sausage-like swelling of your arms and ft.

  • Foot pain. Psoriatic arthritis also can cause pain on the points where tendons and ligaments attach in your bones — mainly behind your heel (Achilles tendinitis) or in the sole of your foot (plantar fasciitis).

  • Lower again ache. Some human beings increase a circumstance called spondylitis due to psoriatic arthritis. Spondylitis in particular causes inflammation of the joints among the vertebrae of your spine and in the joints between your backbone and pelvis (sacroiliitis).

  • Nail adjustments. Nails can form tiny dents (pits), collapse or become independent from the nail beds.

  • Eye irritation. Uveitis can cause eye pain, redness and blurry vision. If untreated, uveitis can cause imaginative and prescient loss.

When to peer a medical doctor

If you've got psoriasis, tell your physician in case you develop joint pain. Psoriatic arthritis can severely harm your joints if left untreated.

Causes Psoriatic arthritis

Psoriatic arthritis takes place whilst your body's immune gadget attacks healthful cells and tissue. The immune response reasons infection for your joints in addition to overproduction of pores and skin cells.

It appears possibly that each genetic and environmental factor plays a function on this immune system response. Many human beings with psoriatic arthritis have a family history of either psoriasis or psoriatic arthritis. Researchers have determined certain genetic markers that appear to be related to psoriatic arthritis.

Physical trauma or something within the surroundings — along with a viral or bacterial infection — may cause psoriatic arthritis in people with an inherited tendency.

Risk Psoriatic arthritis

Several elements can growth your threat of psoriatic arthritis, which includes:

  • Psoriasis. Having psoriasis is the single greatest danger aspect for developing psoriatic arthritis.

  • Family history. Many humans with psoriatic arthritis have a figure or a sibling with the ailment.

  • Age. Although anyone can develop psoriatic arthritis, it happens most often in adults between the ages of 30 and fifty five.

Complications Psoriatic arthritis

A small percentage of people with psoriatic arthritis develop arthritis mutilans — an excessive, painful and disabling form of psoriatic arthritis. Over time, arthritis mutilans destroys the small bones within the fingers, specifically the hands, leading to permanent deformity and incapacity.

Psoriatic arthritis additionally places a few human beings at better chance of developing hypertension, metabolic syndrome, diabetes and cardiovascular disease

What is the difference between psoriatic arthritis and inflammatory arthritis?

  • Psoriatic arthritis is a form of inflammatory arthritis that is caused by an autoimmune condition called psoriasis. While both psoriatic arthritis and inflammatory arthritis involve inflammation, they have different causes and treatments. Psoriatic arthritis is caused by an overactive immune system while inflammatory arthritis is caused by excess wear and tear on the joints. Psoriatic arthritis typically affects the skin, joints, and nails whereas inflammatory arthritis is more likely to affect the large joints in the body.

  • Psoriatic arthritis is a type of arthritis that affects some people with psoriasis, a condition marked by itchy and painful patches of skin. It causes stiff, inflamed, and painful joints. On the other hand, inflammatory arthritis, such as rheumatoid arthritis, is an immune system disorder and causes swelling in the lining of the joints. Both psoriatic arthritis and inflammatory arthritis can cause similar symptoms, including joint pain and swelling, stiffness, and decreased range of motion.

Diagnosis Psoriatic arthritis

There is not any single test to diagnose psoriatic arthritis. Healthcare companies (MD, DO, NP, PA) make the analysis based on a patient's clinical history, physical examination, blood exams, and X-rays of the affected joints. Magnetic resonance imaging (MRI) is generally now not wished except in uncommon circumstances.

Imaging checks

  • X-rays. These can help pinpoint changes inside the joints that arise in psoriatic arthritis but no longer in different arthritic situations.

  • MRI. This makes use of radio waves and a robust magnetic area to produce specific snap shots of each tough and soft tissue on your body. MRI can be used to check for problems with the tendons and ligaments to your feet and decrease back.

  • Laboratory exams

  • Rheumatoid component (RF). RF is an antibody that's regularly given in the blood of humans with rheumatoid arthritis however now not usually within the blood of people with psoriatic arthritis. This test can help your health practitioner distinguish among the 2 conditions.

  • Joint fluid test. Using a needle, the health practitioner can eliminate a small pattern of fluid from one of your affected joints — frequently the knee. Uric acid crystals in your joint fluid may imply that you have gout instead of psoriatic arthritis. It's also possible to have both gout and psoriatic arthritis.

Treatment Psoriatic arthritis

No treatment exists for psoriatic arthritis. Treatment makes a speciality of controlling inflammation to your affected joints to save you joint ache and incapacity and controlling skin involvement. One of the maximum common treatments are prescription medications known as disorder-editing antirheumatic tablets (DMARDs).

Treatment will rely on how intense your sickness is and what joints are affected. You might strive for different remedies before you discover one that brings you alleviation.


Drugs used to deal with psoriatic arthritis encompass:

  • NSAIDs. Nonsteroidal anti-inflammatory capsules (NSAIDs) can relieve aches and decrease irritation for human beings with slight psoriatic arthritis. NSAIDs available without a prescription include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Stronger NSAIDs are to be had by way of prescription. Side results can encompass stomach irritation, coronary heart troubles, and liver and kidney damage.

  • Conventional DMARDs. These tablets can sluggish the progression of psoriatic arthritis and save joints and other tissues from permanent harm.

  • The most typically used DMARD is methotrexate (Trexall, Otrexup, others). Others encompass leflunomide (Arava) and sulfasalazine (Azulfidine). Side outcomes can consist of liver damage, bone marrow suppression, and lung irritation and scarring (fibrosis).

  • Biologic agents. Also referred to as biologic reaction modifiers, this elegance of DMARD targets specific pathways of the immune device. Biologic marketers include adalimumab (Humira), certolizumab (Cimzia), etanercept (Enbrel), golimumab (Simponi), infliximab (Remicade), ustekinumab (Stelara), secukinumab (Cosentyx), ixekizumab (Taltz), guselkumab (Tremfya) and abatacept (Orencia). These capsules can increase the threat of infections.

  • Targeted synthetic DMARDs. Tofacitinib (Xeljanz) might be used if conventional DMARDs and biologic agents have not been effective. Higher doses of tofacitinib can increase the danger of blood clots in the lungs, critical heart-related occasions and most cancers.

  • Newer oral remedy. Apremilast (Otezla) decreases the pastime of an enzyme within the frame that controls the activity of inflammation inside cells. Apremilast is used for humans with moderate to mild psoriatic arthritis who no longer want or can not be handled with DMARDs or biologic agents. Potential side outcomes consist of diarrhea, nausea and headaches.


Physical and occupational treatment plans would possibly ease ache and make it less difficult to do normal duties. Ask your health practitioner for referrals. Massage therapy can also provide comfort.

  • Steroid injections. Injections into an affected joint can lessen infection.

  • Joint substitute surgical treatment. Some joints that have been significantly damaged by using psoriatic arthritis can be changed with synthetic ones made of metal and plastic.

Lifestyle and home remedies

  • Protect your joints. Changing the way you do normal tasks can make a difference in the way you sense. For instance, use gadgets consisting of jar openers to curve the lids from jars, raise heavy gadgets with each hand and push doors open together with your whole frame in place of just your hands.

  • Maintain a wholesome weight. This places much less stress on your joints, leading to decreased ache and accelerated strength and mobility. Losing weight if needed also can help your medications paintings higher. Some psoriatic arthritis medications are much less powerful in people who are obese.

  • Exercise regularly. Exercise can assist hold your joints bendy and your muscle groups sturdy. Types of sporting events which might be much less worrying on joints consist of biking, swimming, strolling, yoga and tai chi.

  • Stop smoking. Smoking is related to a better threat of developing psoriasis and with extra-intense symptoms of psoriasis.

  • Limit alcohol use. Alcohol can lower the effectiveness of your remedy and increase aspect results from some medicinal drugs, such as methotrexate.

  • Pace yourself. Battling pain and inflammation can leave you exhausted. In addition, a few arthritis medicines can cause fatigue. Don't stop being energetic, but relax earlier when you turn out to be too tired. Divide workout or work sports into short segments. Find times to loosen up all through the day.

Coping and help

The help of friends and your own family can make a super difference when you're going through the challenges of psoriatic arthritis. For a few humans, assist groups can provide the same benefits. A counselor or therapist will let you devise coping techniques to reduce your strain levels.

Preparing on your appointment

You're possibly to first discuss your signs and symptoms and signs together with your own family medical doctor. He or she can also refer you to a medical doctor specializing in the remedy of arthritis and associated issues (rheumatologist).

What you can do

If feasible, carry a chum or a member of the family with you for your appointment to help you take into account the records you get.

Make a list of:

  • Your signs and symptoms and after they started

  • Your scientific and own family history, which include any circle of relatives individuals with psoriatic arthritis

  • All medicines, nutrients and different dietary supplements you are taking, such as doses

  • Questions to ask your health practitioner

Basic questions on psoriatic arthritis might include:

  • What's causing my signs?

  • What assessments do I want?

  • What treatments are available?

  • What life-style changes will I want to make?

  • Do you've got printed statistics about the psoriatic arthritis I may have?

Don't hesitate to ask different questions you have.

What to count on from your health practitioner

Your physician might ask a number of the subsequent questions:

  • What joints are affected?
  • Are there sports or positions that make your symptoms higher or worse?

  • What treatments have you attempted? Have any helped?

General summary

  1. Psoriatic arthritis is a form of inflammatory arthritis, with symptoms typically found in both psoriasis and ankylosing spondylitis. It is a type of inflammatory arthritis that affects the skin and joints, and is a common complication of psoriasis. This condition causes joint pain, swelling, and stiffness. In most cases, the joints are affected symmetrically, meaning that if one knee is affected, for example, then the other knee is also affected.

  2. Psoriatic arthritis is a type of inflammatory arthritis that affects people with psoriasis. The main difference between psoriatic arthritis and inflammatory arthritis is that psoriatic arthritis is caused by an autoimmune disorder, while inflammatory arthritis is caused by a bacterial or viral infection. Psoriasis is an autoimmune disorder that causes inflammation of the skin, while inflammatory arthritis causes inflammation of the joints, muscles, and other soft tissues. Psoriatic arthritis can cause pain, stiffness, and swelling in the joints and often affects the hands and feet.

Psoriatic arthritis : Causes - Symptoms- Diagnosis -Treatment

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