Wednesday, July 17, 2024

How Does Psoriatic Arthritis Start

Shingles: A Rash And Severe Pain That Lingers

Psoriatic arthritis: an introduction

Shingles is another viral infection that shares some symptoms with psoriasis. Like psoriasis, shingles can make your skin burn and itch and produces a red, blistered skin rash. Shingles is caused by the same virus that first brings on chickenpox. The virus stays in your body and can come back years later to cause shingles, especially during times of stress or infection. The skin rash of shingles follows the course of a single nerve, usually on the trunk. In some cases, severe pain lasts long after the burning, itchy rash disappears. Shingles is more common in people over age 50.

Symptoms Of Psoriatic Arthritis

The severity of the condition can vary considerably from person to person. Some people may have severe problems affecting many joints, whereas others may only notice mild symptoms in 1 or 2 joints.

There may be times when your symptoms improve and periods when they get worse .

Relapses can be very difficult to predict, but can often be managed with medicine when they do occur.

Psoriatic Arthritis Risk Factors

  • Psoriasis. Up to 30% of humans with psoriasis obtain psoriatic arthritis. It involves men and women in the same.
  • Age. You can get Psoriatic Arthritis PsA at any age, but it generally affects humans between 30 and 50.
  • Family history. As many as 40% of humans with psoriatic arthritis have a family history of skin or joint disorder.

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Treatments For Your Skin

If your psoriasis is affecting your quality of life, or your treatment is not working, you may be referred to a dermatologist.

There are a number of treatment options for psoriasis.

Ointments, creams, and gels that can be applied to the skin include:

  • ointments made from a medicine called dithranol
  • steroid-based creams and lotions
  • vitamin D-like ointments such ascalcipotriol and tacalcitol
  • vitamin A-like gels such astazarotene
  • tar-based ointments.

For more information about the benefits and disadvantages of any of these talk to your GP, dermatologist, or pharmacist.

If the creams and ointments dont help, your doctor may suggest light therapy, also known as phototherapy. This involves being exposed to short spells of strong ultraviolet light in hospital.

Once this treatment has started, youll need to have it regularly and stick to the appointments youve been given, for it to be successful. This treatment is not suitable for people at high risk of skin cancer or for children. For some people, this treatment can make their psoriasis worse.

Retinoid tablets, such as acitretin, are made from substances related to vitamin A. These can be useful if your psoriasis isnt responding to other treatments. However, they can cause dry skin and you may not be able to take them if you have diabetes.

Some DMARDs used for psoriatic arthritis will also help with psoriasis.

Who Is At Risk For Psoriatic Arthritis

What Are The Early Symptoms Of Psoriatic Arthritis

Psoriasis affects 2-3 percent of the population or approximately 7 million people in the U.S. and up to 30% of these people can develop psoriatic arthritis. Psoriatic arthritis occurs most commonly in adults between the ages of 35 and 55 however, it can develop at any age. Psoriatic arthritis affects men and women equally.

It is possible to develop psoriatic arthritis with only a family history of psoriasis and while less common, psoriatic arthritis can occur before psoriasis appears. Children of parents with psoriasis are three times more likely to have psoriasis and are at greater risk for developing psoriatic arthritis. The most typical age of juvenile onset is 9-11 years of age.

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Causes Of Psoriatic Arthritis

Psoriatic arthritis is an immune-mediated disease, which means that your immune system overacts and causes problems. Scientists do not fully understand why changes in immune activity happen, but they know that certain factors may trigger your immune system, causing the disease. These factors include:

  • Genes: Many people who get psoriatic arthritis have a family history of the disease, and researchers have identified some of the genes involved.
  • Environment: Factors such as obesity, infection, injury, or stress may trigger the onset of the disease.

What Is Psoriatic Arthritis

Psoriatic arthritis is a type of arthritis linked with psoriasis, a chronic skin andnail disease. Psoriasis causes red, scaly rashes and thick, pitted fingernails.Psoriatic arthritis is similar to rheumatoid arthritis in symptoms and jointswelling . But it tends to affect fewer joints than RA. And it does notmake the typical RA antibodies. The arthritis of psoriatic arthritis comes in 5forms:

  • Arthritis that affects the small joints in the fingers, toes, or both
  • Asymmetrical arthritis of the joints in the hands and feet
  • Symmetrical polyarthritis, which is similar to RA
  • Arthritis mutilans, a rare type of arthritis that destroys and deforms joints
  • Psoriatic spondylitis, arthritis of the lower back and the spine

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How Psoriatic Arthritis Treatment Prevents Disease Progression

The primary way to slow the progression of PsA is through medications that modify the immune system. It may take trial and error to find the treatment that works best for a given patient, notes Dr. Haberman. While we have a lot of medication options for PsA, we dont know which ones a patient will respond to, so sometimes we need to try more than one medication to find the one thats right for that patient, she says.

In addition, medications that have been effective for you can stop working over time. If this happens, your doctor may recommend a medication that works differently say, targets a different part of the immune system to control disease activity.

There are many drugs used to treat PsA. The ones that you will use will depend on the type and severity of symptoms as well as the most problematic areas .

Medications use to treat PsA include:

Symptoms Of Psoriatic Arthritis In The Hands

DocTalk: Understanding Psoriatic Arthritis | Daniel Moon, MD | Rheumatology Clinic

Psoriatic arthritis symptoms can range from mild to severe. Many people experience flare-ups, or periods in which their symptoms are much worse, as well as periods in which symptoms lessen or disappear.

When psoriatic arthritis affects the hands, it tends to affect the joints closest to the nails, which can cause swelling in the fingers. As a result, some people confuse psoriatic arthritis with gout.

The symptoms of arthritis in the hands can disrupt daily life. Psoriatic arthritis may affect one hand more than the other.

Symptoms of psoriatic arthritis in the hands can include any combination of the following:

  • stiff, painful finger and hand joints
  • swelling along the entire length of the fingers
  • swelling that mainly affects the middle finger joint
  • abnormal finger joint shape

People can use certain home remedies to relieve the symptoms of psoriatic arthritis and prevent the condition from getting worse.

When someone experiences a psoriatic arthritis flare-up, the following home remedies can help:

People with psoriatic arthritis may also notice their symptoms improve if they have a healthful lifestyle, which may include the following factors:

  • eating a balanced, nutrient-rich diet
  • getting regular exercise

There is not yet a cure for psoriatic arthritis, but biologic and systemic drugs aim to treat the underlying causes.

Biologic drugs are a first-line therapy for many people with a new diagnosis, but they can have severe adverse effects and may not suit everyone.

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What Online Companies Are Claiming About Topical Finasteride

According to Hims, a mens wellness marketplace, their topical Finasteride and Minoxidil spray targets receding hairlines and bald spots by combining two clinically proven ingredients into a single, no-mess spray no pills required.

Mens telehealth company Roman makes similar claims about its topical Finasteride treatment, stating that with consistent daily treatment, hair loss should have considerably slowed or even stopped completely within six months.

So, how do topical treatments like this work and are they really an effective solution for hair loss?

What To Do About Your Symptoms

If youre experiencing any of the symptoms above and have psoriasis, seek help from your health care provider to consider a possible evaluation with a rheumatologist. Getting treatment early can help you avoid further joint damage, pain and can improve your quality of life.

To find a Banner Health specialist near you, visit

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How Lifestyle Changes Help

In addition to drugs that slow down the march of psoriatic arthritis, you can change your lifestyle to ease the pain, stiffness, and fatigue that come with the disease:

Simplify tasks. Why strain your joints when there are products to make twisting, turning, pushing, and pulling easier? Look for arthritis-friendly products to suit your needs, large and small — from gardening tools to walk-in bathtubs. You can also change the way you do everyday things. For example: Use your body, not your hands, to push open doors lift cookware with two hands instead of one.

Slim down. Losing weight is hard, whether youâre trying to shed 10 or 100 pounds. But achieving a healthy weight can make a difference in your PsA. It lightens the load on your joints, which means less pain, more energy, and better mobility. Plus, being overweight can make some PsA medications less effective.

Master your stress. Like fanning a flame, stress causes your body to release chemicals that aggravate PsA. Consider a therapist or support group for PsA, as well as these proven ways to manage stress:

How Much Does Taltz Cost

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As with most drugs, the cost of Taltz will vary based on your location as well as your insurance coverage. That said, the US cash price for a single standard dose is around $6245. The monthly cost will vary based on your specific dosing schedule, but typically patients will take two doses per month for the first three months and one dose per month after that. There is also typically a starting dose of two injections on the same day.

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Focusing On People With Psoriasis

Most people with psoriatic arthritis have psoriasis first. For a small percentage of patients, psoriatic arthritis occurs before psoriasis, although most often they will have a first-degree relative with skin psoriasis, notes Dr. Haberman. Still, others have no skin psoriasis or dont notice the psoriasis hidden in areas like the scalp, umbilicus, and gluteal fold.

Read more about the connection between psoriasis and PsA.

Up to 30 percent of patients with psoriasis will go on to develop psoriatic arthritis, says Dr. Haberman. The majority of cases begin with the skin condition and then progress to joint pain within seven to 10 years. Recent studies have found that patients with psoriasis who develop severe fatigue, heel pain, and joint pain without overt swelling are more likely to develop PsA.

While we dont yet know which individual patients with psoriasis will go onto develop PsA, researchers have identified a few potential risk factors for the progression of PsA, including:

  • Family history of psoriatic arthritis
  • Psoriasis that affects the scalp and groin
  • Nail involvement in psoriasis, such as nail pitting
  • Being overweight or obese. PsA is worse in patients who are overweight and often biologics may not work as effectively in people who are overweight, says Dr. Haberman.
  • Exposure to certain infections
  • Physical trauma

Will I Have Withdrawal Symptoms If I Stop Using Humira

Humira itself isnt likely to cause withdrawal symptoms. However, if you stop using Humira, theres a strong possibility that symptoms of your condition will return or worsen.

For example, in clinical studies, 22% of people with hidradenitis suppurativa who stopped taking Humira had a flare-up of their HS symptoms after they ended their treatment.

If you have questions about ending your use of Humira, talk with your doctor. You shouldnt stop taking the drug on your own.

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Four Main Types Of Psoriatic Arthritis

There are 78 major joints in the body and psoriatic arthritis can affect any one of these. Usually, however, certain joints are more likely to be affected . Different patterns are found. Sometimes just one or two joints are a problem but often several joints, both large and small and on both sides of the body, are involved. About a third of people with psoriatic arthritis also have spondylitis which can result in a painful, stiff back or neck. Psoriasis can affect the nails with pitting, discolouration and thickening and this may be associated with inflammation in the joints at the end of the finger or toe. Another way in which psoriatic arthritis can be recognized is the finding of a sausage-like swelling of a finger or toe, called dactylitis. This is caused by inflammation occurring simultaneously in joints and tendons, painful heels and other bony prominence can also occur and this is caused by inflammation where gristle attaches to bone.

How Old Do You Have To Be To Have Hip Pain

What is Psoriatic Arthritis?

Hip pain in older children may also include some of the causes of hip pain in adults. Legg-Calvé-Perthes disease, sometimes called just Perthes disease, typically occurs in children between the ages of four and eight years old and is more common in boys, especially those who are very active and who are short for their age.

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You May Have Questions About Disease Severity

Being diagnosed with psoriatic arthritis in your twenties doesnt mean that the course of your disease will be more severe, according to Snyder.

In general, when we look at patients who have psoriatic arthritis, earlier onset does tend to suggest that their disease may be more aggressive, and their joints may take on more damage over time. Thats just based on the fact that theyve had the disease for longer than someone who develops it later, Snyder explains.

The good news is that there is a growing array of effective psoriatic arthritis therapies to help people manage the disease and prevent or limit the extensive joint damage that can occur without medical intervention. A big thing we focus on with our patients at any stage, but certainly our young patients, is preventing the progression of their disease, explains Snyder. We are much better at that now than we were even 15 or 20 years ago. There are really good therapies available now.

In fact, many patients who develop disease early in their life respond very well to therapy. These people are able to do most of the things they want to do without much joint pain or destruction of the joint, she explains.

Will Drug Treatments For Psoriatic Arthritis Make My Psoriasis Worse

Some drug treatments may make psoriasis worse, but then again, some can also make it better too. Before you start any treatments offered, discuss this both with your dermatologist and rheumatologist. DONT FORGET to politely request that both consultants let each other know of your treatment regimes, this helps both of them evaluate your treatment and any side effects that you may be likely to experience. Some people find that when their psoriasis is bad their arthritis is also bad and as one improves, so does the other. This most often occurs when the skin and joint disease start simultaneously. Some of the arthritis treatments also help the skin and this is can help the doctors decide which is the best drug to use.

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The Connection Between Age And Arthritis

Its one of the biggest misconceptions about arthritis. Most people believe that arthritis is an old persons disease and that it is entirely a consequence of aging. If that were the case, arthritis would be inevitable and its not.

According to the Centers for Disease Control and Prevention , arthritis is more common among adults aged 65 years or older, but people of all ages can be affected. Nearly two-thirds of people with arthritis are younger than 65. Arthritis is more common among women than men in every age group, and it affects members of all racial and ethnic groups. Arthritis is also more common among adults who are obese than among those who are normal weight or underweight.

Who Will Be Responsible For My Healthcare

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Youre likely to see a team of healthcare professionals.

Your doctor, usually a rheumatologist, will be responsible for your overall care. And a specialist nurse may help monitor your condition and treatments. A skin specialist called a dermatologist may be responsible for the treatment of your psoriasis.

You may also see:

  • A physiotherapist, who can advise on exercises to help maintain your mobility.
  • An occupational therapist, who can help you protect your joints, for example, by using splints for the wrist or knee braces. You may be advised to change the way you do some tasks to reduce the strain on your joints.
  • A podiatrist, who can assess your footcare needs and offer advice onspecial insoles and good supportive footwear.

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How Psoriatic Arthritis Affects Your Nails

Nail symptoms, it turns out, are more than skin deep.

Each of your nails is made of three components:

  • Nail plate which is the nail itself.
  • Nail bed the skin below the nail plate.
  • Nail matrix the area where your nails start growing.

Psoriasis and psoriatic arthritis can affect all three parts of the nail, Dr. Husni explains. Depending on where it strikes, you can experience several different nail symptoms.

Where Can I Get More Information

Around 9 out of 10 UK adults have access to the internet which is the easiest place to find more information. For those without internet access or who cannot get online, the options are becoming limited. A good place to start is the local public library, which often holds useful information. It may not be on immediate display, however, so try asking at the main desk. It is also worth asking your local GP surgery or hospital, which should have information in an accessible format.

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