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psoriatic arthritis

What is the life expectancy of someone with psoriatic arthritis?

What is the life expectancy of someone with psoriatic arthritis?

does not usually affect a person’s life expectancy and it is not life-threatening. However, it can increase the risk for other conditions (co-morbidities) that can, such as cardiovascular disease, fatty liver disease, high blood pressure, and diabetes.

psoriatic arthritis

The psoriatic arthritis , is a chronic disease characterized by heart disease progresses where other spells and ease the severity of the disease, which affects about 0.1% of adults, or practically, arthritis appears in psoriasis in 5% – 7% of patients with psoriasis ( Psoriasis of the skin, which affects about 2% of people. It should be noted that psoriasis begins between the ages of 5-15 years, and psoriatic arthritis usually appears between the ages of 50-55.

The skin disease appears in 70% of patients, many years before the onset of arthritis . The disease of the skin and joints begins at the same time in 15% of patients, in the rest of the cases, arthritis appears before psoriasis. Arthritis usually appears gradually, but sometimes the onset of inflammation is very severe.

Often, dermatitis and arthritis do not worsen at the same time, but in patients whose psoriasis and arthritis started at the same time, exacerbation and remission of the disease also occur at the same time. Skin lesions may be few and in hidden places, such as the scalp, the navel and around the anus.

Psoriatic arthritis can occur in many forms. In psoriatic arthritis, only one or several joints are affected, in two-thirds of patients. Arthritis appears only in the distal joints of the fingers, in a special group of patients who have injuries to the nails.

The second type of psoriatic arthritis is symmetric (the inflammation appears symmetrically on both sides of the body), and it is polyarticular, affecting the joints of the hands, feet and large joints. This type occurs in about a third of patients with osteoarthritis, and is usually more difficult than type 1.

The most severe form of psoriatic arthritis, the mutilans, causes severe deformities, seen in about 5% of patients. In this type of arthritis, small joints in the fingers and toes are destroyed. Also, a third of patients with psoriatic arthritis have injuries to the spine and hip joints. In this case, the patient suffers from back pain, which increases in intensity during rest times, eases when exerting effort, and is accompanied by prolonged morning stiffness. Spinal injury can also be independent, without injury to the surrounding joints.

Inflammation where tendons and bones meet, particularly in the Achilles tendon, is very common in patients with psoriatic arthritis.

Sometimes, in psoriatic arthritis, injuries to other organs of the body, such as inflammation of the eye, damage to a heart valve , fibrosis in the upper part of the lungs, and amyloidosis.

Causes and risk factors for psoriatic arthritis

The cause of psoriasis and psoriatic arthritis is unknown, but genetic and environmental factors are of great importance in the development of this disease; It is known that in families with patients with psoriasis, there are many people with the same disease. The chance of developing psoriasis is 50 times greater if a first-degree relative has psoriasis. Studies of identical twins have shown that if one of them is sick, in 70% of cases, the second twin will develop psoriasis at some point in his life.

Environmental factors that cause psoriatic arthritis include various types before the onset of psoriatic arthritis. Exposure to infection can also be an important factor in psoriatic arthritis in patients with psoriasis of the skin.

Diagnosis of psoriatic arthritis

An X-ray of the joints can help diagnose arthritis, especially in the case of prolonged illness. It is also possible in the images of the spine, to obtain a distinctive picture of the disease, especially in patients with the cervical and dorsal spine and pelvic joints.

Psoriatic arthritis treatment

At the beginning of the disease, non-steroidal anti-inflammatory drugs are given, which are effective for almost all patients with psoriatic arthritis, especially spondylitis. If only one joint is affected, the joint can be pricked and locally injected with corticosteroids.

If the patient does not respond to treatment with these drugs, consider the possibility of using treatment with second-line drugs, such as salazoprine, methotrexate or cyclosporine; These medications are supposed to reduce inflammation and prevent joint damage (Methotrexate and cyclosporine also contribute to skin disease).
Blood formula (CBC), liver and kidney function tests should be done regularly, due to the side effects of the medications.

If these drugs do not help (in difficult cases), there is the possibility of giving new drugs, among them Remicade, which can contribute to the treatment of joint disease and skin psoriasis in more than 80% of patients.

source : wikipedia

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