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Symptoms, Causes, Treatments – Forbes Health
Psoriatic arthritis is arthritis It causes inflammation in joints (where at least two bones meet) and in the spaces where tendons and ligaments connect bones. F1000 Researchpsoriatic arthritis affects men and women equally and typically presents between the ages of 40 and 50.
As its name suggests, psoriatic arthritis is sometimes (but not always) associated with skin conditions psoriasisPsoriasis is an immune-mediated skin disease that can cause rashes, most commonly itchy, scaly patches on the knees, elbows, groin, and scalp, called psoriasis vulgaris. .
“There are several factors associated with an increased risk of psoriatic arthritis. [psoriasis with] Nail involvement or very extensive skin involvement,” said Elena Weinstein, M.D., rheumatologist and medical director of the UCHealth Rheumatology Clinic in Aurora, Colorado. The severity of psoriasis does not always predict the development of psoriatic arthritis.Many people with psoriatic arthritis have very mild skin disease.In addition, arthritis precedes the development of psoriasis in some patients. “Some patients never develop psoriasis,” she says.
There are several types of PsA, each classified according to the part of the body affected by the disease.
- Spondylitis: This type of PsA affects the spinal column. According to the National Psoriasis Foundation, up to 32% of people with PsA have spondylitis.
- Tenosynovitis: About 50% of people with PsA have enthesitis, which causes inflammation of the entheses, or places where tendons and ligaments attach to bone.
- finger inflammation: This finger or toe inflammation affects about 40% of people with PsA.
What Causes Psoriatic Arthritis?
Psoriatic arthritis is an autoimmune disease. In other words, the immune system sees healthy tissue as an invader and erroneously launches an attack against it. In the case of PsA, such incomplete immune responses lead to inflammation, joint damage, chronic pain.
While medical professionals do not know exactly what causes immune system disorders, they do know that autoimmune diseases, including psoriatic arthritis, tend to run in families, suggesting that genetics may be a factor. We believe there is. According to the American College of Rheumatology (ACR), 40% of people with PsA have a family history of psoriasis or arthritis.
Psoriatic arthritis can also have environmental triggers, such as infections such as strep throat, notes ACR.Physical trauma (or injury) can play a role as well. A 2017 study found that A Chronicle of Rheumatic Diseasepatients with psoriasis exposed to physical trauma had a higher risk of developing PsA than those with psoriasis but no trauma. increased risk by up to 50%.
Psoriatic arthritis flare-ups can also be caused by sudden or rapid withdrawal from stress, infections, smoking, alcohol, medications, inflammatory foods, and corticosteroid medications.
Many studies show that childhood trauma and trauma experienced in adulthood, as well as reduced resilience to trauma, are more common in people diagnosed with psoriasis and psoriatic arthritis. People with arthritis also experience increased psychosocial stress. Acute stress caused by life events can exacerbate or increase disease activity.
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