PsA ja teie organism

PsA ja teie organism

Psoriatic arthritis (PsA) is a chronic condition caused by inflammation in your body.[1] PsA can affect different parts of the body,[2] with symptoms increasing at certain times.[3] It can also lead to other related conditions developing,[4][5][6] including psoriasis.[7] Everyone’s different, but if you have PsA[8] you may recognise some of the symptoms detailed below, so it’s important to keep an eye out for them. Left unchecked, PsA can cause joint damage,[1] so speak to your doctor if you notice anything new – you know your body best.

Large joints

Areas affected

Peripheral arthritis

Peripheral arthritis can affect the large joints,[8] such as the shoulders,[9] elbows, wrists, knees and ankles,[8] causing severe swelling.[5] Peripheral arthritis can also involve dactylitis, which is swelling that can affect the fingers and toes, and enthesitis, or inflammation where the tendon or ligament attaches to the bone.[8]

Small joints

nails

Areas affected

nails

Dactylitis

When a whole finger or toe becomes inflamed and swollen, it’s called dactylitis [pronounced dack-till-eye-tis].[10] It can give fingers and toes a ‘sausage’ like appearance,[7][8] which can make them difficult to use and might affect the way you live your life.[11] As dactylitis can be the first sign of PsA, if you have it, your doctor may check your skin and nails too, to see if they are affected.[8]

Enthesitis

About half of people with PsA suffer from enthesitis [pronounced enth-ess-eye-tis], or inflammation of the enthesis, where the tendon or ligament attaches to the bone.[8] It may happen in many different areas of the body, but it is common around the heels, the bottom of the feet and the elbows.[8] If you have enthesitis in your feet, it could make it painful to walk.[12]

Küüned

hands

Areas affected

hands

Nail psoriasis

Nail psoriasis happens in about half of people with psoriasis and 80% of people with PsA,[13] so it’s worth watching yours in case they start to show symptoms. It can cause changes, such as pitting (indentations) or ridges (lines running from the nail bed to the end), loss of nails, a salmon pink discoloration of the nail,[14] called the ‘oil drop sign’, and crumbling of the nail.[15] Nail psoriasis is linked to more severe psoriasis and can affect quality of life,[16] so speak to your doctor if you think this is true for you.

Skin

feet

Areas affected

feet

Plaque psoriasis

About 80% of people with PsA may have skin involvement,[17] which can cause self-consciousness or embarrassment,[18] so if you suffer from this, please remember that you’re not alone. Plaque psoriasis can develop before, during or after PsA does,[7] and no one’s experience is exactly the same.[8] Plaques can appear anywhere on your body, but sometimes these itchy, painful lesions appear on the knees, elbows, scalp, lower back[19] behind the ears and between the buttocks.[14] There may only be a few spaced-out plaques, or several larger plaques.[14]

Spine

knees

Areas affected

knees

Spinal pain

Spinal pain in PsA[6] is caused by inflammation of the spinal column and can affect the neck, lower back and the joints that connect your pelvis and lower spine.[20] It can make you feel stiff, make movement difficult[20] and even wake you up at night.[21] Spinal pain often happens at the same time as other PsA symptoms.[20]

People with PsA may suffer from one or more of these symptoms – no two patients are alike.[8] If you have any questions or concerns about how you’re feeling, be sure to speak to your healthcare professional as there are different treatment options that might help you manage the symptoms[2] and help you take control of your life. Before you see your doctor, take a look at some tips for making the most of each appointment.

Kas tahate psoriaasi kohta rohkem teada saada?

Tutvuge psoriaasile pühendatud veebisaidiga, kus on ülevaade ka ravivõimalustest.

Teile võivad huvi pakkuda ka

Toimetulek sümptomitega

Nõuanded toimetulekuks PsA peamiste sümptomitega.

Kas soovite teavet prindituna alles hoida?

Oleme teile allalaadimiseks ette valmistanud mõned lisamaterjalid.

Kuidas kohtuda PsA-ga inimestega

Te pole patsiendina sugugi üksi. On palju teisi inimesi, kellel on samuti psoriaatiline artriit.

References

Scher JU, et al. Nat Rev Rhematol 2019;15:153–166.
National Psoriasis Foundation. About psoriatic arthritis. Available at: https://www.psoriasis.org/about-psoriatic-arthritis Accessed: October 2021.
Creakyjoints. Psoriatic arthritis Flare-ups. Available at: https://creakyjoints.org/living-with-arthritis/psoriatic-arthritis-flare-ups/ Accessed: October 2021.
Durrani K, Foster S. Am J Ophtal 2005;139;106–11.
Watad A, et al. Front Immunol 2018;9:2668.
Schett G, et al. Nat Rev Rheumatol 2017;13;731–41.
Bagel J, Schwartzman S. Am J Clin Dermatol 2018;19:839–52.
Creakyjoints. The different types of psoriatic arthritis. Available at: https://creakyjoints.org/symptoms/psoriatic-arthritis-types/ Accessed: October 2021.
López-Medina C, et al. RMD Open 2021; 7:e001450. doi:10.1136/rmdopen-2020-001450
Brockbank JE, et al. Ann Rheum Dis 2005; 64: 188-190. doi: 10.1136/ard.2003.018184
Creakyjoints. What is dactylitis? Available at: https://creakyjoints.org/symptoms/what-is-dactylitis/ Accessed: October 2021.
Creakyjoints. What is enthesitis? Available at: https://creakyjoints.org/symptoms/what-is-enthesitis/ Accessed: October 2021.
National Psoriasis Foundation. About psoriasis. Available at: https://www.psoriasis.org/about-psoriasis Last accessed October 2021.
British Association of Dermatologists patient hub; Psoriasis: an overview. Available at: https://www.skinhealthinfo.org.uk/condition/psoriasis/ Accessed: October 2021.
DermNet NZ. Nail psoriasis. Available at: https://dermnetnz.org/topics/nail-psoriasis/ Accessed: October 2021.
Augustin M, et al. Br J Dermatol 2010;163:580–5.
Coates LC and Helliwell PS. Clin Med 2017: 17(1):65-70.
Dopytalska K, et al. Reumatologia 2018;6:392–8.
NHS. Psoriasis: symptoms. Available at: https://www.nhs.uk/conditions/psoriasis/symptoms/ Accessed: October 2021.
National Psoriasis Foundation. Classification of psoriatic arthritis. Available at: https://www.psoriasis.org/psoriatic-arthritis/classification-of-psoriatic-arthritis Accessed: October 2021.
Arthritis Foundation. Psoriatic arthritis and back pain. Available at: https://www.arthritis.org/health-wellness/about-arthritis/related-conditions/other-diseases/psoriatic-arthritis-and-back-pain Accessed: October 2021.
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