Psoriaticheskiy arthritis
Psoriatic Arthritis (Arthritis, Psoriatic; PsA)
What is psoriatic arthritis?
Psoriatic arthritis is a long-term illness, which causes pain and swelling in joints. Over time, it may cause destruction of the joints and cause disability. Psoriatic arthritis is associated with skin disease, It called psoriasis. However, not all patients with psoriasis develop psoriatic arthritis. Psoriatic arthritis is an autoimmune disease. It means, that the body attacks its own healthy tissues.
Causes of psoriatic arthritis
The exact cause of psoriatic arthritis is unknown. Expected, that it is a combination of genetic factors and environmental triggers.
Risk factors for psoriatic arthritis
Factors, that may increase the risk of psoriatic arthritis include:
- Psoriasis duration 5-12 years;
- Psoriasis with symptoms, like lesions on the scalp or nails deformation;
- The presence of the gene, which is associated with psoriatic arthritis;
- I have a family member with psoriatic arthritis.
Symptoms of psoriatic arthritis
Psoriatic arthritis develops in people, who already suffer from psoriasis. Symptoms, which may indicate the development of psoriatic arthritis include:
- Joint pain and sensitivity in one or more joints (It may be affected by any joint, including knee joints, Foot, hands, wrists and elbows);
- Swollen joints;
- Stiffness in the joints, especially in the morning;
- Redness or warmth of the joints;
- Nail changes (pitting in the nails, nail destruction or separation of the nail from the nail bed);
- Backache;
- Fatigue.
Diagnosis of psoriatic arthritis
The doctor will ask about your symptoms and medical history, paying attention to the presence of psoriasis, and perform a physical examination, to rule out other diseases.
To find signs of inflammation and determine the cause of problems in the joints, your doctor may prescribe:
- Blood tests, to find out, Do you have any other autoimmune disease;
- Analysis of the liquid in the joints;
- Tests to check the functioning of the immune system.
To detect damage to the joint,procedures can be assigned to take pictures of the internal structures of the body – X-ray, ultrasound, or MRT.
Treatment of psoriatic arthritis
Your doctor will develop a treatment plan, which focuses on reducing the symptoms of arthritis. Treatment options may include:
Medications for the treatment of psoriatic arthritis
Depending on the severity of the symptoms, your doctor may recommend:
- Nonsteroidal anti-inflammatory drugs (NSAIDs), to reduce pain and inflammation;
- Steroid injections in painful joints;
- Disease-modifying anti-rheumatic drugs (basic anti-inflammatory drugs – DMARDs) – for the treatment of severe symptoms and slow the progression of the disease;
- Tumor necrosis factor (FNO) – inhibitor for the treatment of severe symptoms of psoriatic arthritis.
Other treatments for psoriatic arthritis
You may be given a physical or occupational therapy. Doctors can help you improve the range of motion of the joints and relieve stress in daily activities.
Consultation with a specialist in mental health can also be useful. You can find out, how to better cope with the disease.
The operation for the treatment of psoriatic arthritis
If you have severe pain and disability, your doctor may recommend:
- Operation on the joints;
- Operation of suhozhiliyah.
Prevention of psoriatic arthritis
There is no way to prevent psoriasis. If you have psoriasis, and felt the pain in the joints, Consult a physician, For proper diagnosis.
