Psa Causes: What Are The Main Causes Of Psoriatic Arthritis
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Do you suffer from psoriasis? Do you also experience joint pain and inflammation? Have you been tested for psoriatic arthritis?
Psoriatic arthritis is one of the three most common types of arthritis, along with rheumatoid arthritis. Men and women are equally affected by the disease. About 1-2 people per 1000 in the general population suffer from PsA. According to theNational Psoriasis Foundation, the onset of PsA usually occurs in your fourth and fifth decade. Eighty-five percent of individuals with PsA also have psoriasis.
On the flip side, up to thirty percent of the individuals with psoriasis will develop PsA. Of patients with psoriasis who did not have PsA at presentation, almost 2 percent per year will be diagnosed with PsA.
Can Psa Cause Dental Problems
PsA mainly affects the joints, but it appears to have a link to gum disease and dental problems, too.
One 2013 study found that people with PsA had more severe gum problems than those who did not have the condition. Gum disease can lead to chronic bad breath, changes in bite, and, in severe cases, tooth loss.
A more recent study suggests that the inflammation in PsA gum inflammation. However, researchers need to explore this further to fully understand the link.
People with PsA have
When Psoriatic Disease Strikes The Hands And Feet
We take many common movements and activities for granted â until they become difficult or impossible to do. Get a grip on whatâs happening.
Our hands and feet are ultra-sensitive. Sensory neurons, which trigger pain sensations in the brain, cluster at the fingertips. The complex anatomical structure of hands and feet â with many joints, tendons and ligaments packed tightly together â gives us an acute sense of touch and lets us do precision movements. Our hands, particularly when used for communication through gesture, draw attention.Our feet are so important for our balance and mobility.
Thatâs why psoriatic disease, when it strikes the hands and feet, has an outsize effect. The symptoms can be more intense and more upsetting. Fingernail psoriasis, for instance, is often immediately noticeable and can make something as basic as a handshake feel uncomfortable. Pain and other symptoms of psoriasis and psoriatic arthritis in the hands and feet can make other routine tasks hard to accomplish.
Gary Bixby, who lost all his fingernails and toenails to severe psoriasis , says psoriatic nail disease makes it painful to chop fuel for his wood-burning stove, a frustrating problem during winters at his home in Blair, Wisconsin.
âIt was affecting more fingernails, then my toenails and large areas on my arms, legs and trunk,â says Bixby. âThatâs when I went to a podiatrist, who thought I had psoriasis, and then to a dermatologist, who confirmed it.”
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Things About Psoriasis And Its Complications
1. Psoriasis can progress to psoriatic arthritis
Left untreated, patients with moderate-to-severe psoriasis could develop psoriatic arthritis , which affects up to 40% of patients. Similar to rheumatoid arthritis, PsA can cause pain, disability, and permanent joint deformities. Compared with patients with psoriasis who do not have PsA, patients with psoriasis and PsA have greater disease burdens and different treatment patterns. A 2015 study calculated the economic burden of psoriatic disease at up to $135 billion a year.
2. Psoriasis has been linked to some cancers
In particular, certain cancers may be a special concern. A recent meta-analysis found a number of site-specific cancers that seem to carry an elevated risk. Overall, in the 9 included studies of patients with severe disease, there was a significantly elevated risk ratio of 1.22 for all cancer types. By site, cancers that stood out as having particular risk for patients with severe disease include squamous cell carcinoma, lymphoma, and basal cell carcinoma.
3. Psoriasis is more than just itchy skinit carries risk for other diseases
More severe disease is also associated with more comorbidities. Patients with PsA may have more severe atherosclerotic disease as well as a higher risk of cardiovascular disease, endothelial dysfunction, metabolic syndrome, hypertension, hyperlipidemia, obesity, and diabetes.
4. More psoriasis research is needed
Medical Writing And Editorial Assistance
The authors thank Kheng Bekdache, PhD, and Eric Deutsch, PhD, CMPP, of Health Interactions, Inc, Hamilton, NJ, USA, for providing medical writing support/editorial support, which was funded by Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA, in accordance with Good Publication Practice guidelines .
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Causes Of Purple Spots On Skin
Your skin can develop purple spots due to various causes. The causes of purpura spots on your skin are classified into two major categories depending on the level of blood platelet in your body. They include nonthrombocytopenic and thrombocytopenic.
Nonthrombocytopenic causes are those that lead to purples spots on your skin with a normal level of platelet count in your body. Thrombocytopenic causes are related to low count of blood platelet in the body.
Diagnosing Toenail Psoriasis What To Expect
Toenail psoriasis is often misdiagnosed as a fungal infection under the toenail the symptoms of these conditions are often the same and can be difficult to distinguish, particularly if your doctor does not have a background in dermatology.
Differential diagnosis of toenail psoriasis from toenail fungus is further complicated by the fact that toenail psoriasis can often cause onychomycosis.
One test that is frequently employed to distinguish fungal infections from other skin disorders is the KOH wet mount. This involves taking a specimen from under the nail and examining it under a microscope.
Potassium hydroxide is applied to the sample, which dissolves hair, skin cells, and other debris, leaving behind any fungus that may be present. If the KOH test is inconclusive, your doctor may take a sample of your nail for biopsy.
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How To Manage The Pain
Psoriasis pain can stem from a few different sources. Psoriatic arthritis brings pain and swelling to joints youll probably notice the tenderness more when you apply any pressure to the spot and severe plaque outbreaks can trigger nerve endings in a number of uncomfortable ways. But there are also things you could be doing to diminish your pain.
Chest And Back Pain At The Same Height
Chest and back pain at the same height, such as the one that occurs between the shoulder blades, specifically in the upper back and chest, can have many causes, ranging from a muscle strain, which is the cause more common, even an organic problem.
However, the main cause of chest and back pain at the same height is stress, anxiety and being subjected to depressive symptoms . These alterations contribute to the appearance of anxiety, nervousness, tightness and pain in both the upper back and the chest.
These discomforts can be controlled as the necessary treatment to manage stress and anxiety is carried out.
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How Is Psoriasis Treated
Psoriasis is usually treated by a dermatologist . A rheumatologist may also help with treatment. Treatments can include:
- ultraviolet light from the sun or from home or office treatments. But in some children, sunlight can make psoriasis worse.
- creams, lotions, ointments, and shampoos such as moisturizers, corticosteroids, vitamin D creams, and shampoos made with salicylic acid or coal tar
- medicines taken by mouth or injected medicines
A doctor might try one therapy and then switch to another, or recommend combining treatments. Its not always easy to find a therapy that works, and sometimes what works for a time stops helping after a while.
How Arthritis In The Back Is Treated
Treatment for back arthritis depends on many factors, including your age, level of pain, type and severity of arthritis, other medical conditions and medications, and personal health goals. Because joint damage caused by arthritis is irreversible, treatment usually focuses on managing pain and preventing further damage.
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How Did I Get Toenail Psoriasis
It is not known exactly what causes psoriasis. The disease is known to have a strong genetic componenta third of all sufferers have a family history of psoriasis, and if an identical twin develops the disease it is 70% likely that the other twin will also develop itbut other factors also seem to have an effect.
Certain drugs and medications have been reported to cause psoriasis, and lifestyle factors such as drug and alcohol abuse, stress, smoking, and obesity are all known to exacerbate existing cases. Environmental factors such as excessive heat or dryness can also have this effect.
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Physical And Occupational Therapy
Physical therapy can help you remain active while managing PsA-related knee pain. A physical therapist will work with you to assess your mobility and movements and address your unique needs. The goal of physical therapy is to reduce pain, make it easier to perform everyday tasks, and prevent disability.
Occupational therapy provides alternative ways of performing various daily activities to help reduce joint strain and pain.
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Osteoarthritis Of The Spine
Osteoarthritis is the most common form of spinal arthritis. It usually affects the lower back and develops through wear and tear. As the cartilage between the joints slowly breaks down, it leads to inflammation and pain. Because the pain is from mechanical damage, it is typically more noticeable when you bend or twist your back. Past back injuries may also contribute to the development of degenerative arthritis of the spine.
Osteoarthritis of the spine usually affects the facet joints between the vertebrae. It is also known as facet joint arthritis, facet joint syndrome and facet disease. In some cases, degeneration of the spinal discs may contribute to facet joint arthritis. As discs between the vertebrae become thinner, more pressure is transferred to the facet joints. This leads to more friction and more damage to the cartilage.
When these degenerative changes occur in the neck, this condition is called cervical spondylosis. Arthritis in the neck doesnt always cause pain, and many people have no noticeable symptoms.
Over The Counter Anti
This is one of the most important medication to treat red spot on your legs and even some other parts of your body if the cause is fungal infection. There are both topical and oral can help hasten the removal of the red rash on your legs. Results may be noted after a week or so of using antifungal creams or oral ones.
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How Can I Help My Child Live With Psoriatic Arthritis
Help your child manage his or her symptoms by sticking to the treatment plan. This includes getting enough sleep. Encourage exercise and physical therapy and find ways to make it fun. Work with your child’s school to make sure your child has help as needed. Work with other caregivers to help your child take part as much possible in school, social, and physical activities. Your child may also qualify for special help under Section 504 of the Rehabilitation Act of 1973. You can also help your child find a support group to be around with other children with pediatric arthritis.
Common Triggers Of Psoriasis On Legs
Treatment for psoriasis on legs varies. Its focused on keeping the symptoms at bay and preventing flare-ups.
Even for people who suffer from mild psoriasis on legs prevention is the key to an improved quality of life.
One of the most common ways to treat psoriasis on legs is to make a list of triggers. For that, patients have to monitor their behavior and keep a log of what they eat and do. This can help them figure out which actions lead to flare-ups.
The most common triggers for psoriasis on legs are:
· Skin injuries, such as cuts, sunburn, insect bites, and the like.
· Emotional stress
· Weather elements that lead to skin dryness
· Illness or infection
· Certain medication
When you speak to your doctor, its important to mention that you have psoriasis on legs. This can help set up the right treatment for other conditions without triggering psoriasis outbreaks.
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Managing Chronic Pain And Fatigue
The key to reducing pain is reducing inflammation.
Thanksgiving 2019. Andrea Klockow of Alpharetta, Georgia, notices the middle finger on her right hand looks really âcreepyâ â like a sausage. Fortunately, it goes away, and Klockow doesnât give it much more thought.
Over the next four months, though, she starts struggling with overwhelming fatigue, sore fingers and pain in her ankles and knees. âMy joints, particularly the joints in my fingers, hurt the most,â 36-year-old Klockow recalls.
Summer 2020. Klockowâs scalp begins to itch so badly that it wakes her up from a deep sleep. âI couldnât see what was going on with my scalp, but I suspected something was up because I have always been a very sound sleeper,â she says. Klockow knows not to take all these symptoms lying down, so back to the rheumatologist she goes. This time, the rheumatologist suspects Klockow has psoriatic arthritis and suggests she see a dermatologist.
The dermatologist examines Klockow, looks at her scalp and puts her on a biologic, which works like a charm for her itching. âWithin 10 days of my first injection, I was starting to feel great,â Klockow says. The biologic doesnât help the joint pain as much right away, but her doctors tell her to be patient. With time, it will help her PsA as well, they say. They turn out to be right about that too. âNow I have all my energy back, and my joints donât hurt,â Klockow says happily.
Common Psoriatic Arthritis Symptoms Include:
Swollen fingers and toes
Tender, painful, or swollen joints
Reduced range of motion of joints
Morning stiffness
Lower back, upper back, or neck pain
General fatigue
or separationfrom nail bed
If you are experiencing any symptoms of psoriatic arthritis listed above, it’s important to talk to your doctor.
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Complications Of Toenail Psoriasis You Should Be Aware Of
As noted above, toenail psoriasis can lead to a condition known as onycholysis, in which the nail detaches from the nail bed. This can allow bacteria access to the nail bed, leading to infection.
Subungual hyperkeratosis, the accumulation of a chalky substance under the nail, can cause the nail to become raised, which may be painful and can cause difficulty walking normally or wearing shoes.
Can Psoriatic Arthritis Affect Other Parts Of The Body
Having psoriatic arthritis can put you at risk of developing other conditions and complications around the body.
The chances of getting one of these are rare. But its worth knowing about them and talking to your doctor if you have any concerns.
Eyes
Seek urgent medical attention if one or both of your eyes are red and painful, particularly if you have a change in your vision. You could go to your GP, an eye hospital, or your local A& E department.
These symptoms could be caused by a condition called uveitis, which is also known as iritis. It involves inflammation at the front of the eye.
This can permanently damage your eyesight if left untreated.
Other symptoms are:
- blurred or cloudy vision
- sensitivity to light
- not being able to see things at the side of your field of vision known as a loss of peripheral vision
- small shapes moving across your field of vision.
These symptoms can come on suddenly, or gradually over a few days. It can affect one or both eyes. It can be treated effectively with steroids.
Heart
Psoriatic arthritis can put you at a slightly higher risk of having a heart condition. You can reduce your risk by:
- not smoking
- staying at a healthy weight
- exercising regularly
- eating a healthy diet, thats low in fat, sugar and salt
- not drinking too much alcohol.
These positive lifestyle choices can help to improve your arthritis and skin symptoms.
Talk to your doctor if you have any concerns about your heart health.
Crohns disease
Non-alcoholic fatty liver disease
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Important Considerations For People With Arthritis Of The Hip
There is no cure for arthritis. Typically, it starts gradually and worsens over time. Eventually, all forms of arthritis of the hip may permanently damage the hip joint. While osteoarthritis is more common in older people, there are forms of arthritis that affect younger people.
Fortunately, there are things that can be done to help minimize the effect of arthritis, and we are glad to discuss these option.
Arthritis Statistics*:
- 22% of the U.S. population in 2010 reported some form of arthritis
- Among adults over 65, 50% have some form of arthritis
- The most common form of arthritis is osteoarthritis
- Weight loss of just 11 pounds can reduce a womans risk of developing knee arthritis by 50%
- Of working age people , one-third of those who had arthritis reported it limited their ability to work
*Centers for Disease Control and Prevention
Why Your Mental Health Matters When Living With Psoriatic Arthritis
Living with a chronic condition that requires life-long management to ease pain and reduce disease progression can take its toll on a persons mental and emotional reserves. Anxiety and depression are both prevalent in people with psoriatic arthritis, with data showing 1 in 3 patients with at least mild anxiety and 1 in 5 with at least mild depression.
Not only do anxiety and depression interfere with your quality of life, but they also are linked to greater disease activity.13 So it is important to recognize any mental or emotional challenges you may be feeling and seek help.
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Impacts Of Psoriatic Arthritis In The Knees
PsA tends to be asymmetric, meaning different joints on either side of the body are affected . Symptoms in the knees can be mild and develop slowly or arise suddenly and severely. Arthritis usually follows the appearance of psoriasis on the skin. In addition to pain, swelling, and stiffness in the knee joints, PsA can lead to enthesitis and peripheral arthritis.