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What is Psoriatic Arthritis?
Psoriatic arthritis is a form of arthritis commonly experienced by individuals with psoriasis or those with a family history of psoriasis. Arthritis is a condition that affects the joints, with symptoms such as pain and inflammation in and around the joints. Meanwhile, psoriasis causes skin inflammation, with rashes that appear as discolored patches covered with scales (plaques).
Both psoriasis and arthritis are autoimmune diseases, which occur when the immune system mistakenly attacks the body instead of protecting it. Psoriatic arthritis develops when a person has both skin symptoms of psoriasis and inflammation in the joints.
Symptoms of Psoriatic Arthritis
Both psoriatic arthritis and psoriasis are chronic diseases that tend to worsen over time. However, individuals may experience periods during which symptoms improve or temporarily disappear.
Here are some symptoms of psoriatic arthritis to watch out for:
- Swollen fingers and toes: Psoriatic arthritis can cause painful swelling in the fingers and toes.
- Foot pain: It can cause pain at points where tendons and ligaments attach to bones, especially at the back of the heel or the soles of the feet.
- Lower back pain: Some people develop spondylitis due to psoriatic arthritis, which causes inflammation in the joints between the vertebrae and between the spine and pelvis.
- Nail changes: Nails may develop small pits, become crumbly, or separate from the nail bed.
- Eye inflammation: Inflammation of the eye, or uveitis, can cause eye pain, redness, and blurred vision. If left untreated, this condition may lead to blindness.
Causes of Psoriatic Arthritis
Some people with psoriasis develop psoriatic arthritis. This type of arthritis sometimes appears years after someone has been diagnosed with psoriasis.
Like psoriasis, psoriatic arthritis is caused by the immune system attacking healthy tissue. However, it is not yet fully understood why some people with psoriasis develop psoriatic arthritis while others do not.
Diagnosis of Psoriatic Arthritis
Doctors diagnose psoriatic arthritis through physical examinations and several tests. They will also ask about symptoms and examine the patient’s skin and joints.
There is no single test that can diagnose this condition. However, doctors may recommend certain tests to rule out other causes of the symptoms. For example, a blood test might be conducted to check for signs of infection.
Additionally, imaging tests may be recommended to examine the joints for damage or inflammation. These imaging tests may include:
- X-rays
- MRI
- CT scans
- Ultrasound
Treatment of Psoriatic Arthritis
The primary treatment for psoriatic arthritis involves medication, such as:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Steroid injections
- Disease-modifying anti-rheumatic drugs (DMARDs)
- Biologic therapies
Doctors may also refer patients to a physiotherapist, occupational therapist, or both. A physiotherapist can teach exercises that help strengthen the joints and prevent further damage.
An occupational therapist can suggest adjustments at home and work. For instance, they may recommend tools that make specific tasks easier.
If you have specific questions regarding psoriatic arthritis or want to consult further about overall skin health, visit Mandaya Royal Hospital Puri. Our hospital is equipped with advanced medical technology and supported by a multidisciplinary team of experienced specialists.
Schedule an appointment now through the Chat feature via WhatsApp, Book Appointment, or the Care Dokter app available on Google Play and the App Store to simplify your visit, view your queue number, and get complete information.