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In most patients, the psoriasis precedes the arthritis by months to years. There can be tiny pitting nail changes of the finger and toenails.

Accordingly, there are five types of psoriatic arthritis: symmetrical, asymmetric and few joints, spondylitis, distal interphalangeal joints, and arthritis mutilans. The memory basic information frequently продолжить чтение the knees, ankles, and joints in the feet.

Usually, only a few joints are inflamed at a time. The inflamed joints become painful, stiff, swollen, hot, tender, and red during flare-ups. There is usually loss of range of motion of the involved joints. Sometimes, psoriatic joint inflammation in the fingers or toes can cause swelling of the entire digit (dactylitis), giving them a sausage-like appearance.

Joint stiffness is a memory basic information arthritis symptom and is typically worse early in the morning. Less commonly, psoriatic arthritis may involve many joints of the body in a symmetrical fashion, mimicking the pattern seen in rheumatoid arthritis. Psoriatic arthritis can also cause inflammation of memory basic information spine (spondylitis) and the sacrum (sacroiliitis), causing memory basic information symptoms like pain and stiffness in the low back, buttocks, neck, and upper back.

Occasionally, psoriatic arthritis involves the small joints at the ends of the fingers. A very destructive, though less common, form of arthritis called "mutilans" can cause rapid memory basic information damage. Fortunately, this form of перейти на страницу is rare in patients with psoriatic arthritis.

People with psoriatic arthritis can also develop inflammation of the tendons (tendinitis), tendon insertion points on bone (enthesitis, inflammation of the entheses), and around cartilage. Inflammation of the tendon behind the heel causes Achilles tendinitis, leading to pain with walking and climbing memory basic information. Inflammation of the chest wall and of the cartilage that links the ribs to the breastbone (sternum) can cause chest pain, as seen in costochondritis.

Aside from arthritis and spondylitis, psoriatic arthritis can cause symptoms like memory basic information and inflammation in other organs, such as the eyes, lungs, and memory basic information. Inflammation in the colored memory basic information of the eye (iris) causes iritis, a painful health condition that can be aggravated by bright light as the memory basic information opens and closes the opening of the pupil.

Corticosteroids injected directly into the eyes are sometimes necessary to decrease inflammation and prevent blindness. Inflammation in and around the lungs (pleuritis) causes chest pain, especially with deep breathing as the lungs expand against memory basic information inflamed areas, as well as shortness of breath.

Inflammation of the aorta (aortitis) can cause leakage of the aortic valves, leading to heart failure memory basic information shortness of breath. Acne and nail changes are symptoms commonly seen in psoriatic arthritis. Onycholysis, or separation of the nail bed, may also occur. Interestingly, these characteristic nail changes are observed in only a minority of psoriasis patients who do not have arthritis. Acne has been noted to occur in higher frequency in those with psoriatic arthritis.

In fact, a syndrome exists that features inflammation of the joint lining (synovitis), acne, pustules on the feet or palms, thickened and inflamed bone (hyperostosis), and bone inflammation (osteitis). This syndrome is, therefore, named by the eponym SAPHO syndrome. What types of doctors treat psoriatic arthritis. Psoriatic arthritis is generally treated by rheumatologists, health specialists in diagnosing and treating arthritis and autoimmune diseases. Other doctors who may be involved in the care of patients memory basic information psoriatic arthritis include dermatologists and primary care doctors, including family and general practitioners and internal medicine specialists.

When surgical treatment is needed for severe joint disease, orthopedic surgeons can be consulted. Other health care givers can include occupational and physical therapists. How does a health care professional diagnose psoriatic arthritis. There is no laboratory test to diagnose psoriatic memory basic information. Blood tests such as C-reactive protein and sedimentation rate may show an abnormal elevated result and merely reflect presence of inflammation in the joints and other organs of the body.

Other blood tests, such as rheumatoid factor, are obtained to exclude rheumatoid arthritis. When one or two large joints (such a knees) are inflamed, arthrocentesis can be performed. Arthrocentesis is an office procedure whereby a sterile needle is used to withdraw (aspirate) fluid from the inflamed joints.

The fluid is then analyzed for inflammation, infection, gout crystals, and other inflammatory conditions. Typical X-ray findings include e clinical medicine erosions resulting Nucynta (Tapentadol Immediate-Release Oral Tablets)- Multum arthritis, but these may not be present memory basic information early disease.

Memory basic information scanning is sometimes used to identify early erosion of joints. The blood test for the genetic marker HLA-B27, mentioned above, is often performed.



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