Could You Have Psoriatic Arthritis?
Nov 6, 2012
- 3 Pencil-in-cup deformity
- 1 Sacroiliitis
- 0 Normal
Which of the following has your doctor described your x-rays?
Normal x-rays can be seen in early or mild psoriatic arthritis; sacroiliitis is seen in approximately 50 percent of psoriatic patients; the pencil-in-cup deformity is indicative of particularly destructive arthritis, and is fairly specific for psoriatic arthritis.
Do you have psoriasis with pitting of the fingernails?
Pitting and uplifting of the fingernail from the bed is associated more with inflammatory arthritis of the most distal finger joints in psoriatic arthritis, and the other diseases that do cause such distal finger joint inflammation are very rare.
How long is your stiffness in the morning?
Psoriatic arthritis is an inflammatory illness, and thus one of the hallmarks of systemic inflammatory arthritis is stiffness---which is often directly proportionate to the severity of the joint disease.
How high is your sedimentation rate?
The sedimentation rate is a lab test which indicates ongoing inflammation in the body; the higher sedimentation rate is usually associated with more severe psoriatic arthritis.
What medications are you taking?
Sulfasalazine is usually reserved for more mild joint disease, methotrexate for moderate to severe (depending on the dose), and Remicade is a biologic agent generally used for the particularly severe psoriatic arthritis patient. These medications can also help with the skin disease.
What degree of fatigue do you have?
Fatigue is generally directly proportional to the severity of joint inflammation in psoriatic arthritis.
Which of the following non-joint problems do you have?
The so-called extra-articular (or, outside-the-joint) manifestations of psoriatic arthritis include inflammatory eye disease such as uveitis; enthesopathy, pain and inflammation where a tendon inserts into bone; so-called “sausage digits” of the toes—or fingers; and inflammatory back pain, similar to that seen in a disease related to psoriatic arthritis, ankylosing spondylitis.