Have you ever heard of psoriasis? It is a skin disease that is also linked to the immune system. This topic does not mention psoriatic arthritis, however, it will make clear the related diseases – psoriatic arthritis. The fact is that about 80% of people with psoriasis have risk of psoriatic arthritis. Psoriatic arthritis causes inflammation in any joint of the body. Read on to know more about this form of arthritis.
- The general concept
- Types of psoriatic arthritis
- The signs and symptoms recognition psoriatic arthritis
- The result of this disease?
- The method of diagnosis
- How to treat and live with psoriatic arthritis?
The general concept
Some people can hear “psoriasis” – a skin disease that causes itchy, scaly rash and crumbling foundation. That is true, psoriasis is a skin disease. If you have psoriasis, you are at high risk to develop psoriatic arthritis. Some patients suffer psoriasis before developing psoriatic arthritis although the joint problems sometimes appear before skin diseases, even without any skin changes in some special conditions.
Psoriatic arthritis is a rheumatic disease system, which means it occurs when the immune system mistakenly attacks the body’s healthy tissues, in this case the joints and skin. The inflammation can affect the entire body and can lead to joint damage and permanent tissue if not treated early and positive. Like psoriasis, psoriatic arthritis symptoms flare and taper, vary from person to person, and even change the location in the same person over time. No joints of the body is the exception with psoriatic arthritis although it can affect just one part or some at the same time.
Arthritis usually starts with a few painful joints when wake up in the morning or when they move around.
Most people with psoriatic arthritis is approximately 5-12 years after psoriasis. This arthritis can show up before. Psoriatic arthritis usually appears in people between the ages of 30-50, but can start as early as childhood. Both men and women are at risk.
Types of psoriatic arthritis
Psoriatic arthritis includes the following five common types:
- Symmetric psoriatic arthritis: overwhelming 50% of psoriatic arthritis. Symmetry means that it affects the joints on both sides of the body simultaneously. It can range from mild to severe. It destroys your joints over time, and they may stop working. The symptoms of psoriatic arthritis symmetry looks like rheumatoid arthritis, however, it can be disabled.
- Asymmetric psoriatic arthritis: Usually mild, this type of PSA appeared in 35 percent of those with the condition. It usually affects only a few joints like fingers and toes as usual.
- Distal psoriatic arthritis: causes inflammation and stiffness near the ends of fingers and toes, white spots and raise from the nail. It is sometimes confused with osteoarthritis because of the wear and tear characteristics.
- Spondylitis: Pain and stiffness in the spine and neck spine. Joints can also attack the body with bone connecting ligaments and other connective tissues.
- Mutilans Arthritis: Although considered the most serious form of PSA, fortunately, it rarely happens. It causes malformations in the small joints at the ends of the fingers and toes, and can destroy them almost entirely.
The signs and symptoms recognition psoriatic arthritis.
The signs and symptoms of psoriatic arthritis is often the same as those with rheumatoid arthritis. Both diseases cause the joints become painful, swollen and hot to the touch. There may be times when your symptoms improve (called remission) and the time when they get worse (called outbreak or recurrence). No matter what type of psoriatic arthritis you have, you may notice:
- Tendon or ligament pain
With psoriatic arthritis patients, they often develop enthesitis, or pain in the tendon or ligament that attaches to the bone. This usually occurs in the heel (Achilles tendon), or the bottom of the foot (plantar fasciitis), but it can also occur in the elbow (tennis elbow). Each of these conditions can be just as easily due to sports injury or overuse, such as psoriatic arthritis.
- Skin rash and nail changes
Psoriatic arthritis occurs with psoriasis should include skin manifestations of thick, red skin with flaky, scaly patches of silvery white. Nails may be porous or infected, search, or even lifted off the nail bed completely. These symptoms are unique to psoriasis and psoriatic arthritis, really help doctors confirm the diagnosis.
- Pain, stiffness, or swelling:
Psoriatic arthritis usually affects the ankles, knees, fingers, toes and lower back (also the sign of ankylosing spondylitis that causes the vertebrae to fuse). In addition, companies in the fingers may swell, making it easy to confuse with gout, a form of arthritis that usually affects only one part. Stiff joints tend or first thing in the morning or after a period of rest. However, people with osteoarthritis often have similar hardness.
It may be caused by the activities of medical and emotional effects come to life with a long-term condition.
- Eye problems:
A painful red eye that irritates and disturbs your vision (uveitis) can be the noticeable symptoms that you should not ignore when having psoriatic arthritis.
Many people undergo frequent periods of increased activity and symptoms, called flares, while others have only occasional flares.
- Crohn’s disease – inflammatory bowel disease.
It causes diarrhea and other gastrointestinal problems caused PSA. Chronic inflammation can damage blood vessels, increase the risk of heart attack and stroke.
The result of this disease?
The cause of psoriatic arthritis has not been detected. Like psoriasis, psoriatic arthritis is an autoimmune disease.
What can be seen as resulting in psoriatic arthritis:
- Gen: In fact, the study showed a genetic link or stronger family to this special disease compared with autoimmune rheumatic diseases other. It is suggested that genetics may play a role. Researchers have discovered the certain genetic markers appear concerned with psoriatic arthritis.
- Environment and infection: No specific infection has been found, and it can be a variety of infections that can cause disease, bacteria that live in the example patches of psoriasis.
- Immune System: Some changes in the immune system may also be important in the development of psoriatic arthritis. PSA can also be triggered by extreme stress or trauma that makes the immune system goes into overdrive in people genetically susceptible to the disease.
One theory is that the bacteria on the skin triggers the immune response leading to joint inflammation has not yet been proven. You should avoid anything that is seemed to trigger this disease, such as: smoking; drink high; fat; the blood pressure problems.
The method of diagnosis
To diagnose psoriatic arthritis, rheumatoid arthritis identify swollen and painful joints, certain forms of arthritis and skin and nail changes typical of psoriasis. During the exam, your doctor may check:
Symptoms and medical history:
- Describe the symptoms
- The location of the pain, stiffness or other symptoms
- Detailed information on the medical problems that can cause the symptoms and a list of drugs that are used
- Closely examine your joints for signs of swelling or pain
- Check your nail pitting, flaking and other abnormalities
- Click on your soles and heels of your surrounding area to tender
No single test can confirm the diagnosis of psoriatic arthritis. But some types of tests can rule out other causes of joint pain, such as rheumatoid arthritis or gout.
- X-ray: can help determine the changes in the joints in psoriatic arthritis
- Magnetic resonance imaging (MRI): This type of imaging test can be used to check for problems with the tendons and ligaments in the legs and lower back.
- Bone density
- Rheumatoid factor (RF): help to distinguish between the two conditions of rheumatoid and psoriatic arthritis through the antibody of rheumatoid factor that involved in blood of rheumatoid arthritis patients.
- Check the joint liquid part: base on the uric acid crystals in the joint fluid to distinguish between gout and psoriatic arthritis.
- Blood tests: A blood test to measure sedimentation or “sed” rate is usually done. The higher the “sedimentation rate” is, the greater the degree of inflammation in the body. Sometimes a skin biopsy (a small sample of skin removed for analysis) is needed to confirm psoriasis.
How to treat and live with psoriatic arthritis?
There have no cure for psoriatic arthritis. Most of the treatment has the goal of reduce your symptoms and slow the progression of this disease
Home and lifestyle
- Therapy (massage physical, occupational): The therapy can reduce pain. They can make it easier to move and work every day. If treatment can help, your doctor will prescribe medication for the type (s) of treatment you need. Your therapist will work with your doctor and report your progress.
- Patient education: The more you know, the more you can control this disease. Take the time to learn the signs and symptoms. Ask your doctor what you should do when artillery arthritis.
- Exercise and rest: Arthritis-friendly exercise can help reduce pain and keep your joints flexible and your muscles are strong, making it easier to move, and sometimes restore lost movement. The types of exercise that are less stressful on the joints include cycling, swimming and walking. Rest is important when artillery psoriatic arthritis.
- Equipment to protect your joints
- Maintain a healthy weight: Because your joints must endure the stress of your body, keeping your weight suitably is necessary. Change your diet by increasing nutrients and limiting calories is an ideal method.
- Use cold and hot packs: Cold can dull the pain while heat can help relax tense muscles and relieve pain.
- Accelerate for themselves: Fight with the pain and inflammation can leave you feeling tired. In addition, some arthritis medications can cause fatigue. The important thing is not to stop operating altogether, but to rest before you become too tired.
The drug is used to treat psoriatic arthritis include:
- NSAIDs – nonsteroidal anti-inflammatory drug (NSAID): relieve pain and reduce inflammation, conclude: Ibuprofen (Advil, Motrin IB) and Naproxen sodium (Aleve). However, this drug can cause some side effects like stomachache, heart disease and kidney problems.
- Antirheumatic drugs disease modifying (DMARDs): slow the progression of psoriatic arthritis and avoid the permanent damage of joints. There are three common types of this drug known as methotrexate (Trexall), leflunomide (Arava), and sulfasalazine (Azulfidine). Side effects vary, but can include liver damage, bone marrow suppression and severe lung infections.
- Immunosuppression: conclude azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune) to tame your immune system and also increase your susceptibility to infection.
- The TNF-alpha inhibitor. Tumor necrosis factor alpha (TNF-alpha) is an inflammatory substance created by your body.
- These drugs are designed to mimic the hormone cortisol anti-inflammatory, is usually performed by the body’s adrenal glands. Oral corticosteroid, such as prednisone, can help reduce inflammation, but the long-term use can lead to side effects such as swelling of the face, weight gain, osteoporosis and more.
It is a new form of treatment for psoriatic arthritis. However, biological treatments can sometimes cause other side effects, including liver problems, kidney or blood, so you will often need blood or urine tests often regularly to check for. Ask your doctor whenever you see some signs of infection. Biological drugs are often recommended for the first three months, if it is effective, the drug can be continued. If not, your doctor may recommend medication discontinuation or change to alternative biological treatment.
Surgery and other procedures
In case no other therapy has worked, surgery must be recommended to relieve pain, help an affected joint work, and allows you to move more.
- Inject steroids. These are drugs that reduce inflammation quickly and sometimes are injected into the affected joint.
- Surgical replacement parts. Joints were severely damaged by psoriatic arthritis can be replaced with artificial prostheses made of metal and plastic.
In conclusion, psoriatic is one of the common forms of arthritis. Whenever you see your body have the signs and symptoms of this disease, talk to your doctor to find out the positive methods to treat as soon as you can. With all information we provided in this article, hope that you find it detailed and can make useful of it!