Understanding Psoriatic Arthritis – Its Signs and Symptoms

Psoriatic arthritis is a chronic disease that can be diagnosed by the inflammation of the joints and the skin. It is actually two deadly disease combined, arthritis and psoriasis. It is commonly seen that around 10 % of patients who suffer from psoriatic also develop inflammation on the joint and vice versa. The disease can be featured by the patchy, red and raised skin with fish like scaling. The areas of the skin that is most venerable are tips of fingers, knees and elbows, the navel, scalp and the genital areas around the anus. The disease mainly affects the people who are in there mid 40s or 50s. Both male and female are equally affected by the disease.

In most cases it has been found that one disease precedes the other. Most patients suffer from psoriatic for at least 20 years before they have arthritis or they develop arthritis 20 years prior to psoriatic.


In medical terms, Psoriatic arthritis is a systematic rheumatic disease. It can also affect other parts of the body tissue than only the joints and the skin, like the hearts, lungs, eyes and kidneys. It also shares similar feature with the other arthritic condition like the reactive arthritis, ankylosing spondylytis and is also associated with Crohn’s disease and ulcerative colitis. The condition causes inflammation in the joints and also the spine. The similarity between these types of arthritis is called “spondyloarthropathies”.

Causes of psoriatic arthritis: The causes of psoriatic arthiritis are still unknown. Commonly, it is suspected to occur due to a combination of immune, genetic and environmental factors. Most patients who suffer from arthritis in the spine are diagnosed with a gene marker called HLA-B27 in 50% cases. In aids patients, decline in the helper cell called the T cell leads to psoriatic arthritis. Certain changes in the immune system can also lead to the development of this disease. Today, blood testing is available to diagnose the disease.

The Symptoms and Signs: In most cases, psoriasis precedes arthritis. Psoriasis includes infection in the skin and when it is combined with arthritis the patient will suffer from inflammation knees, feet and joints. The inflamed part becomes swollen, painful, hot and red. It particularly affects the area near the toes and fingers and the whole part may appear to you like a piece of sausage which becomes worse in the early morning. Joint stiffness is common to the patients and sometimes the patient can also suffer from rheumatoid arthritis. Sometimes patients also suffer from stiff pain and inflammation of spine (spondylitis) having pain in the neck, upper back, lower back and buttocks. Sometimes small joints at the end of the finger also get affected by it. The worst form of the disease is known as “mutilans” which causes rapid damage to the joints. Fortunately, this stage is rarely found in any patients.

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