Psoriatic Arthritis

Last Update : 01 April, 2015

This arthritis is associated with skin disease named Psoriasis.

Psoriasis nails  Psoriatic arthritis hands


 

Frequently Asked Questions

What is Psoriatic Arthritis?

  • There are up to 100 types of arthritis. Psoriatic Arthritis is one type of inflammatory arthritis.

Who gets Psoriatic Arthritis?

  • Psoriatic Arthritis is often associated with scaly skin condition called psoriasis.
  • This disease affects males and females equally and seen in at any age.

What is reason for Psoriatic Arthritis?

  • Immune system dysfunction leads to Psoriasis and Psoriatic Arthritis.

What are the symptoms of Psoriatic Arthritis?

Psoriatic Arthritis can affect any joint of the body like:

  • Small joints of hand and feet
  • Neck and spine joints
  • Joints near the nails.
  • Large joints only
  • Severe deforming arthritis

Most of the patients get skin disease either before or with arthritis.

How is Psoriatic Arthritis diagnosed?

  • Psoriatic Arthritis is diagnosed based on presence of classical symptoms and absence of features to suggest any other type of arthritis.
  • There is no single test which can confirm diagnosis of Psoriatic Arthritis.

Which are investigations needed in Psoriatic Arthritis?

  • Compete blood count, Liver function test and Renal functions test are done before starting therapy.
  • Affected joints are studied by X-ray if needed.

How is Psoriatic Arthritis treated?

  • Non steroidal Anti Inflammatory Drugs (NSAIDS: DICLOFENAC, NAPROXEN, ETORICOXIB, ACECLOFENAC etc.):
    NSAIDs are helpful in reducing pain and swelling of joints. Patient’s age, weight etc is considered while using these drugs.
  • STEROID:
    Prednisolone like steroids are used in severe disease for short period. If only single joint is involved steroid can be injected in that joint.
  • Disease Modifying Anti Rheumatic Drugs (DMARDS):
    Methotrexate, Leflunomide, Sulphasalazine etc are these types of drugs. They are used to control disease and prevent further damage to joints.
  • BIOLOGICS:
    Etanercept, Infliximab, Adalimumab etc are new drugs that are used in controlling difficult disease where first line drugs fails. They control the disease and prevent joint damage.

Food

    • There is no direct relationship of food with any arthritis except Gout.
    • Patients with gouty arthritis can take all vegiterian food including pulses. They should avoid non veg diet.
    • There is no relation of these diseases with sour food.
    • Sour food does not increase arthritis pain. The diseases does not improve after stopping sour food.
    • Arthritis patients should take healthy and easy to digest food according to their need.
    • Patients with involvement of joints of legs should avoid gaining weight.

Side Effects of Drugs

    • Side effects do not occur in most (90%) patients taking medicines used for arthritis.
    • Medicines are prescibed after considering patients age,weight, type/ seriousness of disease, associated other diseases etc.
    • It is taken care that minimum drugs in smallest doses are prescibed to the each patient.
    • Each and every complain occurring to the patients is not necessarily due to medicines.
    • Stop medicines if you suspect side effects.
    • Consult your family doctor immediately.
    • Later inform your rheumatologist or request your family doctor to speak to your rheumatologist.

Related Surgery

    • The patients whose joints are completely destroyed by arthrits and who face significant disability in carrying out daily activities despite adequate medicines need joint replacement surgery.
    • Commonly replaced joints include knees, hips, shoulders and elbows.
    • The patients who have arthritis related swelling in single large joint can undergo arthroscopic surgery.
    • Patients who have involvement of spine in arthritis may need surgery when their nerve root or spinal cord is compressed.
    • In properly selacted patients with deformed fingers and toes a specially trained surgeon can do corrective surgery.

Disclaimer : This patient fact sheet is provided for general education only. Individuals should consult a qualified health care provider for professional medical advice, diagnosis and treatment of a medical or health condition.

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