Psoriatic arthritis: causes, symptoms and treatment of this disease
Psoriatic arthritis — how to stop a double whammy for the body?
Psoriatic arthritis – a form of arthritis which is a chronic inflammation of the joints, in the majority of cases occurring in people suffering from psoriasis (severe skin lesion).
As a rule, first a person is diagnosed with psoriasis after which develops joint damage, but in some cases it is exactly the opposite.
According to statistics, the disease occurs in 5-7% of people suffering arthritis, but in some sources this figure may reach values of 15 to 40 percent.
To give an accurate assessment is difficult when the characteristics of the study populations, and heterogeneity of the disease.
Previously, this disease was considered one of the varieties of rheumatoid arthritis, but after establishing a relationship between skin lesions and joint disease was identified as an independent form of the disease.
This pathology is equally common among men and among women. Children get sick quite rarely, mostly in the period of puberty.
Features of this form of arthritis
The main difference of this form of arthritis is that this disease is closely associated with psoriasis.
It causes swelling bluish color of the skin near the site of inflammation, asymmetric joint involvement. The occurrence of this disease is similar to that for rheumatoid arthritis. It may occur after the development of psoriasis, and after it, and at the same time.
Feature of children’s psoriatic arthritis – half of the cases the disease precedes the development of psoriasis, whereas in adults, this phenomenon is much less – only 10% of cases.
To diagnose illness in a child is somewhat more complicated due to the lower severity of the dermatosis.
What joints are at risk?
Podiatrist Dikul: «the Penny product is No. 1 to restore the normal blood supply to the joints. Back and joints will be like in 18 years, enough time in the day to smear… Read more
In case of complications destructive impact of the disease extends to the spine and joints located between the phalanges.
Often affects the knee joints, and several less – shoulder, metatarsophalangeal and metacarpophalangeal.
You experience stiffness and pain, which are worse towards the morning.
The causes of the disease
Psoriatic arthritis, like psoriasis, his calling, is a disease that is caused by an autoimmune condition.
It occurs when the protective body cells instead of fighting against harmful viruses and bacteria begin to destroy friendly cells, tissues and organs. This irrational response from the immune system causes inflammation of the joints, as well as the rapid formation of skin cells that leads to psoriasis.
Modern medicine has not yet established the exact reasons why the body begins to destroy itself with immunity.
Probably, this reaction is associated with heredity, negative influence of the environment and infectious diseases and mechanical injuries. These reasons are likely to lead to the development of both psoriasis and psoriatic arthritis.
Symptoms of the disease
Like psoriasis, arthritis, due to them, is a chronic disease that regularly manifests the symptoms, and then fades.
As a rule, improvement at the same time applies to the skin and joints.
Periods of exacerbation of psoriatic arthritis are accompanied by the following symptoms:
- red-blue coloring of the skin near the affected arthritis joints;
- pain in the joints, which are aggravated by motion and aggravated by morning;
- the temperature increase in the layout area of the affected areas;
- the limitations of the movement and increasing the discomfort.
Over time one and the same person can appear several types of psoriatic arthritis which differ in the localization of pain.
All four varieties:
- Pain occurring on one side of the body. It is a sign of the development of asymmetric arthritis of moderate degree. Usually affects not more than five joints at the same time on the same side of the spine the skin around them becomes bluish tint.
- Pain on both sides of the body indicates the development of bilateral disease. This type is more common among women, affecting 5 or more joints at a time.
- Flare-UPS of pain in the wrist joint is indicative of a rather rare form of the disease, which mostly gives trouble to the male gender. Affects not only the joints, but the nails – they become thickened and covered with small pits.
- Back pain – symptom spondylitis, which can lead to dangerous inflammation of the spine and its joints with the pelvis and the neck.
- There is also a destructive arthritis, which causes failure of the small joints of the fingers and legs, significantly impairing fine motor skills and causing severe pain in the hands and feet.
Diagnosis of the disease
The special method that would quickly and reliably determine the presence of disease, modern medicine does not exist.
For this reason, a rheumatologist with the support of the dermatologist needs to conduct a visual inspection and General examination of the body, which needs to be ruled out other diseases with a common with this form of arthritis symptoms and signs.
For the diagnosis of disease in modern medicine uses following methods:
- a study using x-ray equipment;
- analysis of the synovial fluid from the joint cavity;
- search in the blood of rheumatoid factor.
After confirming the diagnosis the doctor makes the plan of treating the disease.
The treatment process
Treatment of psoriatic arthritis must be integrated to achieve greater effect. Specific healing of this disease are not available, therefore the process treatment is aimed at reducing inflammation of the joints, reduction of pain and prevention of loss of function.
To achieve these purposes:
- non-steroidal anti-inflammatory drugs type;
- immunosuppressive and basic medicines.
The purpose of these funds is carried out only by the attending physician, who selects the dosage and combination of drugs depending on the character of the disease.
In severe cases plasmapheresis (blood purification) to reduce inflammation and pain.
If conservative treatments do not bring significant results, applied surgical treatment which is prosthetics affected joints.
Even in the treatment of psoriatic arthritis can bring great discomfort and interfere seriously in everyday situations. The complications of the disease include:
- the increase of the phalangeal joints, which turns the fingers in some semblance of «sausages»;
- the appearance of pain in the back and neck, which are transmitted from the affected joints;
- pain in the feet, impeding movement.
To prevent these complications as early as possible to begin treatment of the disease. It is recommended that immediately after detection of the signs of psoriasis to be screened for the development of arthritis.
The appearance of psoriatic arthritis can be prevented with prophylaxis, which includes the following steps:
- regular exercise and active lifestyle;
- tracking of its own weight;
- prevent excessive overheating and overcooling of the joints.
The steps above can help if the arthritis has already proved itself and started its destructive activity.
It is also recommended to find the right movements that will not cause damage to the joints and to deliver pain when performing certain actions.
To be a positive influence and special exercises, regular workouts and maintaining a healthy lifestyle.
To completely cure the disease of modern medicine, unfortunately, is not, however, this chronic disease can largely weaken, reducing inflammation in the joints, reducing pain and frequency of their manifestation.
Be wary in the event if you are in the risk zone, which includes people:
- having a genetic predisposition to autoimmune condition;
- psoriasis patients;
- people aged 30-40 years (but the disease can affect children and adolescents).
Upon detection of a sustained pain in the joints in different parts of the body, stiffness in the limbs and cyanotic color of the skin in painful areas urgently need to visit a rheumatologist to confirm or refute the presence of psoriatic arthritis, and in case of availability to start treatment.