Psoriatic Arthritis What is it
Psoriatic arthritis is an arthritis seenindividuals who have psoriasis. And we find that about 30% of individuals with psoriasis may have psoriatic arthritis to varying degrees. When you talk to a rheumatologist, or when you see patients from a rheumatologist, frequently there is a lot of arthritis but very little psoriasis. It may be that there is a subgroup of people with very little skin involvement, but their joints are very affected. Typically, the patient will complain of painthe joint and stiffnessthe morning that may last for half an hour or an hour, and as the day goes on, their symptoms improve.
And there are a number of different subtypes of this arthritisyou can either define them as arthritis occurring along the spine, or arthritis that occurs on the fingers, the distal joints or perhaps on a single joint. And there is often inflammation where tendons are attached to bones. The differencearthritis and psoriasisthe skin is that the skin can recover. You have a patch of psoriasis, you treat it, and the skin goes back to normal for all intents and purposes. A joint that has been inflamed potentially scars, and you have destruction of collagen that is lifelong. It's very important for us as dermatologists to recognize the early signs of arthritis because we now know there are these biologics, which are probably much better than older ugs,trying to prevent the destruction of joints.
Psoriatic Arthritis psoriatic arthritis worsens with gut inflammation
You are what you eat unless you have psoriaticarthritisâ€¦ next Gut Inflammation Tied To Worsening SpA.Mitchell Zoler writing for Rheumatology News reported that according to the results ofa 63patient study presented at the annual European Congress of Rheumatology, â€œamongpatients with newly diagnosed spondyloarthritis SpA, microscopic gut inflammation at baselinewas linked to a twofold higher rate of antiTNF treatment initiation.â€� The study found thatâ€œSpA patients with microscopic gut inflammation initiated antiâ€“tumor necrosis factor (TNF)therapy roughly twice as quickly as those without gut inflammation at each time periodexamined â€“ at six, 12, and 18 months after
their initial diagnosis.â€� After the 18monthpoint, â€œ56% of patients with inflammation were on treatment with an antiTNF agent,compared with almost 29% of the followed patients without microscopic gut inflammation.â€� Comment: Gut inflammation due to microbesis linked to rheumatoid arthritisâ€¦ and maybe now another form of arthritis.