Psoriatic arthritis: treatment and prevention

Псориатический артрит: способы лечения и профилактики

Psoriatic arthritis is a form of inflammation of the joints. It is observed in people suffering from psoriasis. Previously, the disease was considered as a variant of the course of rheumatism. But in the course of the study it became clear that this form of the disease, and rheumatic disease is not linked.

This disease is quite common in people aged 20 to 50 years. The books describe cases of psoriatic arthritis even in children. This disease affected seven percent of patients with psoriasis.


Kind of arthritis

There are five types of this disease.

  • Symmetric psoriatic arthritis. In this case, the joints affected symmetrically. The disease progresses quickly enough. Fifty percent of people become disabled due to illness and receive disability. The disease symptoms very similar to rheumatoid arthritis.
  • Asymmetric psoriatic arthritis. In this type of the disease affects 1, 2 or 3 joint. For example, knee, hip, interphalangeal, and other. The symmetry of the lesions is not observed.
  • The defeat of the distal interphalangeal joints. In particular, it affects the small joints of the extremities. Often this disease is confused with osteoarthritis (a disease that causes destruction of joint cartilage and bones).
  • Spondylosis. Arthritis affects the spine. It causes inflammation in the cervical and lumbar-sacral spine. Articular tissue affected.
  • Псориатический артрит: способы лечения и профилактикиArthritis, resulting in deformation. This is the most severe form of the disease. The joints are deformed and collapse. Especially often this type of arthritis affects the small joints of the extremities, cervical spine. Joints lose their mobility, and arthritis deformans inevitably leads to disability. However, it should be noted that this type of disease is quite rare.
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    Symptoms and causes of pathology

  • Inflammation of the affected joints accompanied by pain, swelling, redness. When feeling you can feel that the area around the joints hot.
  • Joints become stiffness.
  • Soreness and stiffness in the lumbar or cervical spine. These symptoms are typical of spondylitis.
  • Inflammation of cartilage and tendons (tendonitis). If the inflamed Achilles tendon, the person feels pain when walking.
  • Псориатический артрит: способы лечения и профилактики

    Symptoms can vary depending on the type of disease. There is a risk, which includes those who have a predisposition to the development of psoriatic arthritis. Among others is people:

    • suffering from psoriasis;
    • having a genetic predisposition to this disease;
    • after infectious diseases and with changes in the immune system;
    • having burdened heredity.

    You should know what factors can trigger the onset of the disease.

  • Damage to the skin (cutaneous infection, extensive abrasion).
  • Ultraviolet irradiation. The sun is not always helpful for the skin. To abuse them is not desirable.
  • Infection caused by streptococci. It may cause guttate psoriasis.
  • Immunodeficiency of the person. The immune system is weakened, exacerbated psoriasis, and as a result, there is inflammation.
  • Псориатический артрит: способы лечения и профилактикиDrug therapy can cause the development or exacerbation of the disease. Such medicines are drugs based on lithium, beta-blockers, antihypertensive, antimalarial drugs, anti-inflammatory drugs.
  • Smoking, alcoholism.
  • Frequent stressful situation.
  • Hormones. The peak incidence is in the period of menopause and puberty in adolescents of both sexes.
  • Arthritis can be acute and can occur almost asymptomatic.


    Diagnosis and therapeutic measures

    Psoriatic arthritis can be diagnosed using the following methods.

  • X-ray examination. It can detect osteoporosis, osteolysis, etc.
  • Analysis of rheumatoid factor. About the presence of psoriatic arthritis would indicate a negative result of the analysis.
  • Arthrocentesis and biopsy.
  • General analysis of blood (but it’s not very informative arthritis).
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    After the diagnosis of «psoriatic arthritis», the doctor shall promptly appoint a medical event. The history contains all the data of their surveys. The treatment of such diseases as psoriatic arthritis, is the impact on the root cause of the disease, eliminating pain, reducing relapses, slowing the progression of the disease. Medical history the patient should describe causes, symptoms and treatment.

    Therapeutic measures are complex and conducted over a long period. After examination doctor can be assigned the following drugs.

  • Drugs-antiplatelet agents. They improve blood circulation.
  • Anti-inflammatory drugs. Can be used as steroid and non-steroidal tools. If the inflammatory process in this disease, like psoriatic arthritis, minor, the doctor may recommend nonsteroidal PVP.
  • Chondroprotectors. They contribute to the improvement of the condition of the cartilage. These drugs are prescribed, if the patient has erosive lesions of cartilage. Chondroprotectors increase the activity of chondrocytes — the cells that form the cartilage tissue. These drugs take from six months to two years. Side effects are very rare.
  • The muscle relaxants.
  • The drugs to combat such diseases as osteoporosis.
  • Medicines can only prevent psoriatic arthritis. Full recovery does not occur. Over time, one learns to notice signs of the onset of the disease and taking drugs beforehand.


    Non-drug treatments

    Mandatory physiotherapy, including daily physiotherapy. Useful paraffin baths, baths with radon and hydrogen sulfide. Very important diet, which is to limit salty foods.

    Surgical treatment is necessary if the arthritis occurs as a persistent synovitis or there are significant changes in the joints. The result after surgery is less resistant, so this method is resorted to only in extreme cases. Shown sanatorium-resort treatment in such cities as Sochi, naphthalene and others.

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    Псориатический артрит: способы лечения и профилактики

    Many people, having a confirmed diagnosis of «psoriatic arthritis» have disabilities. Very often the disabled are those who in due time didn’t go to the doctor. Often a disability is assigned to patients who ignore the doctor appointments or take the medicines for long.

    It should be remembered that disability arthritis indicates a serious condition of the patient. These patients usually have significant changes in joint tissue. But there are advantages. Disability gives the sick person a lot of benefits. For example, incentives for the purchase of medicines, travel, etc., that makes life easier for the disabled person. Naturally, in order to apply for disability, you will have to collect a lot of papers and medical reports.

    Prevention is the timely treatment to the doctor, especially if the person is at risk. You must eliminate bad habits, lead a healthy lifestyle.