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Arthritis Psoriasis

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Psoriatic arthritis, also called arthritis psoriasis, is an illness of the skin and joints that results in inflammation.  Symptoms of psoriasis are patches of skin that are raised, scaly, and red.  About ten percent of people with psoriasis also develop inflammatory arthritis.  When these two diseases are present it is called arthritis psoriasis.

The psoriasis and arthritis usually don’t appear at the same time.  In around 80% of the cases of psoriatic arthritis, the psoriasis occurs first.  Arthritis happens first in around 15%.  The time between the two conditions varies for each individual, but they can appear years apart.

Arthritis psoriasis can occur in both men and women and onset typically happens when the person is in his or her forties or fifties.  The cause of psoriatic arthritis is unknown, though it is, in part, a hereditary disease.  While treatments are available, there is no cure.

Psoriasis can occur anywhere on the body.  The scalp, knees, and elbows are three of the most common areas affected by psoriasis.  Arthritis causes joints to inflame and become swollen, hot, painful, and red.  The hip, knees, ankles, and wrists are some of the most affected joints with arthritis psoriasis.

A variety of medications exist to control the inflammation.  Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, disease-modifying antirheumatic drugs (DMARDs), immunosuppressant medications, or TNF-alpha inhibitors.  For severe cases of psoriatic arthritis, immunosupressent medications or TNF-alpha inhibitors may be prescribed.  Both are effective but can cause damaging side effects.

Corticosteroids are useful for mild cases of arthritis psoriasis.  These can be taken orally or injected into the joint. They can have serious side effects and are not prescribed long term. NSAIDs are another drug that should be used on a short term basis.  These can be over-the-counter, like aspirin, or be prescribed by your doctor.  DMARDs can take months to work, but they can limit joint damage.  They may be prescribed with a pain reliever.

With so many medications available and so many potential side effects, it is important that you discuss the pro and cons of any treatment plan with your doctor.  The right treatment will help you control your arthritis psoriasis.

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