Psoriasis shows up in the skin and nails — but immune system abnormalities cause the disease, and they can damage internal organs as well. Arthritis. Up to 25% of patients with psoriasis develop joint inflammation. In some cases, the arthritis can precede the skin involvement.
Subsequently, one may also ask, what other health problems are associated with psoriasis?
- Health Conditions Associated With Psoriasis.
- Psoriatic arthritis. One in every three people with psoriasis also develops psoriatic arthritis, a condition that causes pain, stiffness, and swelling in the joints.
- Cardiovascular disease.
- Mood disorders.
- Kidney disease.
Is Psoriasis caused by inflammation?
Inflammation causes the red, flaky plaques seen in psoriasis and the joint pain of psoriatic arthritis. Research is now showing that inflammation is also tied to a host of other conditions, such as diabetes, heart disease and depression.
Inflammation is one of the weapons used by the immune system to fight an invader. In psoriasis, this inflammation happens in the skin, leading to the red, itchy and scaly patches known as plaques. In psoriatic arthritis, this inflammation happens inside the body, leading to swollen and painful joints and tendons.
Although rare, chest pain and shortness of breath can be symptoms of psoriatic arthritis. These might happen when the chest wall and the cartilage that links your ribs to your breastbone get inflamed. Even more rarely, your lungs or your aorta could be affected.
“That clears psoriasis, but as you take them off of the steroids, you can develop a horrific flare where your body gets covered head to toe with red skin, or covered with puss pimples… Many of these patients will grow bacteria in their blood and can actually die from sepsis.”
Psoriatic arthritis causes inflammation in the joints. It can affect a single joint or many joints throughout the body. Stiffness, swelling, and joint pain are classic symptoms of psoriatic arthritis. Inflammation in the knees or shoulders can limit range of motion, making it hard to move freely.
Could You Have Psoriatic Arthritis? Know the Signs.
- Pain, swelling or stiffness in one or more joints.
- Joints that are red or warm to the touch.
- Frequent joint tenderness or stiffness.
- Sausagelike swelling in one or more of the fingers or toes.
- Pain in and around the feet and ankles.
Psoriatic Arthritis Types and Pictures
- Symmetric Arthritis. Affects the same joints on both sides of the body, for instance, the right and left knees, right and left wrists, etc.
- Asymmetric Arthritis.
- Distal Interphalangeal Predominant (DIP)
- Arthritis Mutilans.
Anti-Inflammatory. PsA causes swelling. So do certain foods, like fatty red meats, dairy, refined sugars, processed foods, and vegetables like potatoes, tomatoes, and eggplants. Avoid them and choose fish, like mackerel, tuna, and salmon, which have omega-3 fatty acids.
Most forms of arthritis have one thing in common: chronic pain. When you have psoriatic arthritis, that pain can involve any of the joints and range from mild to severe. Although there's no cure for psoriatic arthritis, you can control the inflammation that causes pain and can lead to permanent joint damage.
Foods to include in your diet that have been shown to reduce inflammation:
- Cold-water fish (see the Heart-Healthy diet above).
- Flaxseeds, olive oil, pumpkin seeds and walnuts. These are plant sources of omega-3 fatty acids.
- Colorful fresh fruits and vegetables. Choose foods from the colors of the rainbow.
While psoriasis is a mere annoyance to may people, for some, it can cause joint pain, arthritis, and frequent skin infections that may make it difficult to work. One way to qualify for Social Security disability benefits if you can't work is to meet the requirement's of one of Social Security's disability listings.
Prognosis for psoriatic arthritis. PsA can be a serious chronic inflammatory condition that can cause significant pain and disability. In most cases, the joint pain and inflammation caused by PsA respond well to treatment and rarely cause severe deformities.
PsA Progressive Disease — Complications. Psoriatic arthritis (PsA) is a chronic inflammatory joint disease associated with psoriasis, a chronic inflammatory skin condition that causes painful, red, scaly patches. PsA can cause progressive joint damage over time.
Muscle or joint pain can occur without joint inflammation (swelling). Tendonitis and bursitis may be prominent features. Swelling of the fingers and toes can suggest a "sausage-like" appearance, known as dactylitis. Psoriatic arthritis usually affects the distal joints (those closest to the nail) in fingers or toes.
There is no definitive test for psoriatic arthritis. The diagnosis is made mostly on a clinical basis and by a process of elimination. Medical history, physical examination, blood tests, MRIs and X-rays of the joints that have symptoms may be used to diagnose psoriatic arthritis.
Physical exam and medical history. Your doctor usually can diagnose psoriasis by taking your medical history and examining your skin, scalp and nails. Skin biopsy. The sample is examined under a microscope to determine the exact type of psoriasis and to rule out other disorders.
Rheumatoid factor (RF) and anti-CCP antibody tests can rule out rheumatoid arthritis. People with that condition may have higher levels of these in their blood. More than half of people who have psoriatic arthritis with spine inflammation will have the genetic marker HLA-B27.
The big differences between the two are the presence of psoriatic skin lesions and the distribution of the affected joints. Rheumatoid arthritis is a symmetrical disease (meaning that symptoms are often mirrored on both sides of the body), primarily involving the hands and wrists.
If blood tests are positive for rheumatoid factor, the doctor should suspect RA first. A blood test to measure the sedimentation or "sed" rate is often done. The higher the “sed rate,” the greater the level of inflammation in the body. The doctor may also test joint fluid to exclude gout or infectious arthritis.
It can be used to monitor the disease course and treatment. As there is evidence supporting the link between inflammation and CVD in patients with psoriasis, elevation of CRP may be considered as a risk factor for CVD in patients with psoriasis.
In other people, it is continuous and can cause joint damage if it is not treated. Early diagnosis is important to avoid damage to joints. Psoriatic arthritis typically occurs in people with skin psoriasis, but it can occur in people without skin psoriasis, particularly in those who have relatives with psoriasis.