1. Varieties disease
2. Symptoms of psoriatic arthritis
4. Treatment of psoriatic arthritis
Psoriatic arthritis - isinflammatory disease of the joints, which occurs on a background of psoriasis.It occurs in every tenth patient with psoriasis, and may occur several years after the first diagnosis of skin symptoms.This usually occurs at age 30 - 50 years.
exact cause of psoriatic arthritis is not fully elucidated, but it is known that in 40% of cases, play a role of genetic factors in the remaining cases, the progression of the disease may affect immune factors, as well as adverse environmental conditions.The disease is difficult to predict: it goes sometimes mild and sometimes leads to disability.
disease in clinical practice is shared five forms of psoriatic arthritis, according to the disease localization:
- Arthritis interphalangeal joints: affects the hands and feet.
- Asymmetric arthritis: covers the joints of limbs.
- symmetric polyarthritis: looks like a classic rheumatoid arthritis.
- Mutiliruyuschy arthritis: a rare form of arthritis, which destroys bone.
- Psoriatic spondylitis: affects the spine.
Sometimes patients while there are several forms of the disease.In some cases, it is difficult not only to highlight the specific form of psoriatic arthritis, and even distinguish it from rheumatoid because disease symptoms are similar.
There are a number of characteristic features which allow to diagnose the disease.The main symptoms of psoriatic arthritis include loss distal interphalangeal joints of the hands and feet, especially the big toe, as well as a loss of the metacarpophalangeal and interphalangeal joints in which the fingers look like sausages.On
disease may also indicate an early failure of the big toe and heel pain.A major role in the diagnosis of psoriatic arthritis plays a typical psoriatic skin lesions and nails, as well as cases of psoriasis in the family history.Psoriatic arthritis can develop gradually over the years, or immediately manifest itself in an acute form.
Diagnosis In order to diagnose the disease, the doctor asks about your symptoms in detail, with an emphasis on family history.If among the relatives of the patient has psoriasis patients, even from the patient with a certain probability can be detected as psoriasis and arthritis that develops on the background.
To exclude such related diseases as gout, reactive and rheumatoid arthritis, in addition to setting the symptoms of psoriatic arthritis is an X-ray, and if that's not enough, is carried out blood tests and joint fluid.
disease requires complex treatment with a rheumatologist and a dermatologist.Refusal of treatment can lead to joint deformity and severe disability further.
Since this kind of arthritis develops as a complication of psoriasis, and the therapy should be directed to the original disease.Unfortunately, the methods of full treatment of psoriasis medicine is not known, but there are many ways to improve the quality of life and prevent complications.
Driving treatment of psoriatic arthritis resembles a therapy for rheumatoid arthritis - are appointed by corticosteroids, anti-inflammatory and immunomodulatory agents.However, patients should not only medication.Today, good results in the treatment of psoriatic arthritis in Arthropathic form gives photochemotherapy laser, ultrasound therapy, dinamoterapiya, magnetic.
Many patients showing spa resorts, which combine radioactive sulfur baths with nitrogen-thermal mineral waters.In the prevention of this disease plays an important role physiotherapy which should be aimed at maintaining joint mobility and preservation of muscle mass.
This article is available exclusively in the educational purposes and is not research material or professional medical advice.
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