Psoriasis Arthritis: Causes, Symptoms and Treatment
Psoriasis arthritis is a chronic disease characterized by seizures in which the disease is exacerbated, and other attacks that reduce the severity of the disease in which it affects about 0.1% of adults, arthritis appears in psoriasis at 5% – 7% of patients suffering from psoriasis (psoriasis), which is between the age of 2%, and effect. 5 – 15 years, and joint inflammation psoriasis usually appears between the age of 50 – 55. The skin disease appears at 70% of patients a few years before the occurrence of arthritis, and skin and joint disease start at the same time with 15% of patients, in other cases arthritis before psoriasis, and arthritis usually appears very severe. Often, the state of dermatitis and joints does not worsen at the same time, but in patients whose psoriasis and arthritis have begun at the same time occur at the same time. Psoriasis arthritis can occur in different forms, and arthritis in psoriasis affects a single joint or a number of joints only in two -thirds of patients. Arthritis appears only in the accurate joints of the fingers, in a special group of patients with nail injuries. Types of psoriasis arthritis There are different types of psoriasis arthritis, the most important of which are: 1. Symmetrical psoriasis arthritis shows in harmony on both sides of the body, which are multi -ordinates that affect the joints of the hands, feet and large joints. This type occurs in about a third of patients with arthritis. 2. Destroyed psoriasis arthritis causes severe abnormalities that occur in about 5% of patients. In this kind of arthritis, small joints are destroyed in the fingers of the hands and feet, which are also in a third of patients with psoriasis arthritis, spine injuries and hip joints. In this case, the patient suffers from back pain, which increases his intensity in comfort times and is hidden when he is struggling and is accompanied by a long morning stiff. The spine can also be independent without injuries in the oceanic joints. Symptoms of psoriasis arthritis are the most important symptoms of psoriasis arthritis: swelling in the fingers of the hands and feet. Foot pain. Pain in the lower back. Causes and factors of the risk of psoriasis arthritis The cause of psoriasis and psoriasis arthritis is unknown, but genetic and environmental factors are of great importance in the rise of this disease. Risk factors There are many factors that increase the risk of developing the disease: 1. Family history is known to be in families where there are psoriasis patients, there are many people with the same disease. Psoriasis can be 50 times greater if a family member of the first class suffers from psoriasis. 2. Psoriasis increases the chance of psoriasis arthritis in patients with psoriasis in the skin. 3. Age affects psoriasis arthritis people of all ages, but the chance of developing a disease increases at the age of 30 – 50 years. Complications of psoriasis arthritis are complications of temporal arthritis: inflammation in the places of tendons and bones. Eye inflammation. One of the heart valves was damaged. Fibrified at the top of the lungs. Amyloidosis. Diagnosis of psoriasis arthritis is diagnosed by the following: 1. The physical examination of the doctor takes note of clinical signs of joint swelling and others. 2. Imaging tests can help to portray x -rows of the joints in the diagnosis of arthritis, especially in the case of continuous disease. In spinal images, a distinctive image of the disease, especially in patients with cervical and back -backbone, and pelvic joints can also be obtained. 3. Blood tests are taken to perform the following tests: Rheumatoid factor. Detailed fluid examination. The treatment of psoriasis arthritis The treatment is as follows: 1. The initial treatment for psoriasis arthritis is given at the beginning of the disease not steroidal anti -inflammatory drugs that are effective for all patients with almost psoriasis arthritis, especially spin inflammation. Only one joint can be infected with a detailed, and a stroid injection is localized. 2. Secondary therapy for psoriasis arthritis. In the event that the patient does not respond to the treatment with this medication, examines the possibility of using second -degree medication treatment, such as: Salazoprine. Methotrexate. Cyclosporine. Since this medicine is supposed to reduce inflammation and prevent joint damage. Extensive blood tests (CBC), liver and kidney function examinations should be performed regularly due to the side effects of the medicine. 3. Biological therapy If previous medicine is not useful, there is a possibility to give new medications, including infliximab that can contribute to the treatment of joints and psoriasis in the skin at more than 80% of patients. Prevention of psoriasis arthritis There are no special ways to prevent psoriasis arthritis.