Can You Have PsA Without Psoriasis?

It is possible to develop psoriatic arthritis (PSA) without psoriasisA chronic (sustainable) skin condition which is generally developed first.

It is rare to feel joint symptoms of psoriatic arthritis before having the skin symptoms of psoriasis. Here is a ventilation of how conditions can occur with each other:

• PSA without or before psoriasis: The joint symptoms appear without skin symptoms 17% of the time, or in about 1 in 6 cases. This is more common in children with psoriatic arthritis.
• Psoriasis with PSA: About 15% of people develop the skin and joint symptoms at the same time.
• PSA psoriasis: People have symptoms of psoriasis 68% of time.

Psoriatic arthritis occurs when your immune system mistakenly attacks healthy tissues in your joints and enthusiasmThe areas where ligaments and tendons (support cords) meet bones.

PSA symptoms without skin -related symptoms may include:

• Joint pain: PSA can cause pain and swelling in one or more joints, generally worse in the morning or in the evening. PSA can also affect the joints of your spine, causing back pain and stiffness.
• Fatigue: You may not have energy or motivation for regular tasks.
• Tenderness: Sensitivity or pain is common when ligaments, tendons and bones join, as on the plants or the back of your feet.
• Swollen fingers or toes: Some people develop a serious swelling in a whole finger or toe, which gives it an appearance of sausage.
• Nail symptoms: The PSA can seriously have an impact on the fingers and nails, causing bites (tiny bumps on your nails), collapse and separate from the bed of the nail.
• Eye inflammation: PSA can also cause uveitisor swelling in the eyes. You may feel pain, blur and redness in the whites of your eyes. This can cause permanent vision loss if you do not treat it.
• Inflammatory intestine disease: If inflammation spreads to your intestines, this can cause inflammatory (Mii) inflammatory disease. The common signs include diarrhea, stomach pain, nausea and unexplained weight loss.

Psoriatic arthritis can be difficult to detect when swelling of arthritis and joint pain occurs without the skin symptoms of psoriasis. It can resemble and resemble rheumatoid arthritis a lot, another arthritis that occurs when the immune system attacks joint tissues. Often the diagnosis consists in distinguishing these diseases.

There is no specific test for the PSA, so a health care provider can use several types of exams, in particular:

• Medical history: Health care providers will tell you about your medical symptoms, drugs and history. Since the genes you inherit increase your chances of developing it, they will also ask questions about the family history of PSA or other types of arthritis.
• Physical examination: Health care providers can assess your physical signs of PSA. If you do not have psoriasis, they can seek swelling of the joints, sensitivity and pain, as well as nail symptoms.
• Blood tests: Your health care provider can perform tests that help confirm or exclude other causes of your symptoms. These include tests that are looking for the rheumatoid factor, anti-CCP antibodies and the HLA-B27 gene.
• Imaging: Your health care provider may want an x ​​-ray, a magnetic resonance imaging scan (MRI) or an ultrasound of your affected joints. These allow them to assess the level of damage and inflammation.

PSA is a chronic disease that often gets worse over time, and there is not yet a remedy. Management strategies can help reduce pain and other symptoms, slowdown in the progression of the disease and prevent complications such as joint deformation.

Psoriatic arthritis management options may include:

• Ice or therapy: Gire or warming your joint can help reduce swelling and facilitate pain and stiffness.
• Exercise: Your health professional may recommend regular and soft exercise, such as walking, water aerobic, yoga or tai chi, when you have no thrusts.
• Over -the -counter drugs (OTC): Advil (ibuprofen) or tylenol (acetaminophen) can help to temporarily relieve pain and reduce swelling. Topical drugs (applied to the skin) such as Voltaren (Diclofenac), which is in the form of frost, cream and patch, can also help.
• Prescription drugs: If home methods and over -the -counter drugs are not sufficiently effective, your health professional may prescribe drugs such as corticosteroid injections, Anti -utilatic drugs modifying the disease (Dmard), or biological.
• Physical therapy: This involves working with a physiotherapist to restore your joint function and your amplitude of movement. The therapist can teach you exercises in their clinic or office that you can also do at home.
• Assistance devices: An occupational therapist (a specialist who can help you adapt or welcome your condition) can recommend specialized devices to facilitate pressure on your joints and help you do tasks. The examples include the features, bathtub balustrades and canes.
• Manage stress: Stress can worsen PSA symptoms and increase muscle tension, which can trigger thrusts. Press ways to promote relaxation.
• Surgery: In cases that do not improve with other treatments, health care providers may consider surgery to replace or merge a joint to increase stability.

People with psoriatic arthritis (PSA) generally have symptoms of psoriasis, such as chipping and itchy skin, before their joint symptoms appear. Sometimes, however, PSA symptoms start first. These symptoms may resemble other types of arthritis, but a health care provider can help make an appropriate diagnosis.