What is psoriatic arthritis – Psoriatic arthritis is often a form of arthritis gone through by some psoriasis sufferers. Arthritis itself is an inflammation of just one or several joints of the body.
While psoriasis is an autoimmune condition characterized by the appearance of red patches on the skin with whitish crust on the top, due to excessive and very fast skin cell formation.
Psoriatic arthritis can be divided into five types based on the body parts affected, namely:
- Asymmetrical arthritis psoriasis, usually only about a few joints on one side of the body, either large or small joints, for example on the fingers or toes.
- Symmetrical arthritis psoriasis, which involves several joints on both sides of the body, such as both elbows or second knee. This condition can damage the joints and make the joints malfunction.
- Arthritis mutilans, is the most severe and most destructive type of psoriasis arthritis, which can cause changes in shape.
- Spondylitis, which affects the spinal joints and can cause inflammation and stiffness between the bones of the neck, back, and pelvic bones. It can also attack ligaments that connect muscles to bones and other connective tissue.
- Distal interphalangeal predominant (DIP), about small joints on the tips of the fingers and toes, and nails.
Symptoms of Arthritis Psoriasis
Arthritis psoriasis can cause swollen and painful joints diagnosis. In addition, inflamed joints feel warmer.
Psoriatic arthritis sufferers can also complain of joint stiffness when they wake up and the body feels tired. Patients are generally more prone to obesity, high blood pressure, high cholesterol levels, heart disease, and diabetes.
Causes of Arthritis Psoriasis
A person can get psoriasis arthritis when his immune system starts attacking healthy cells and tissues. This abnormality of the immune system response is called an autoimmune disorder.
In psoriasis arthritis, the body tissues that are attacked are joints, causing inflammation.
Until now the cause of the abnormality of the immune system response is still unknown.
Genetic, psychological and environmental factors are thought to be the trigger.
Several factors can increase a person’s risk of developing psoriatic arthritis, including:
- Psoriasis. This is the biggest factor that increases a person’s risk of suffering from psoriasis arthritis.
- Age. Arthritis psorysis is mostly found at 30 to 50 years of age, although this disorder can also occur in all age groups.
- Genetic. Most psoriasis arthritis sufferers have family members who also suffer from this disorder.
Arthritis psoriasis can be treated with non-steroidal anti-inflammatory drugs (aspirin), immunosuppressive drugs (methotrexate), or what is psoriatic arthritis biological drugs given by injection or infusion. With arthritis diagnosed before, treatment can start early so that severe joint damage can be prevented, Voorhees said.
“Arthritis psoriasis starts with symptoms of swelling, joint pain, low back pain and stiffness,” said Dr. Abrar A. Qureshi, chair of the department of dermatology at Brown University in Providence, Rhode Island.
“When psoriasis patients go to a dermatologist, they don’t inform the pain and stiffness. Most patients don’t make a connection between skin disease and musculoskeletal disease.” Musculoskeletal is a complex system that involves the muscles and skeleton of the body, including joints, ligaments, tendons, and nerves.
Psoriasis arthritis is a form of inflammatory rheumatism that can affect millions of people who have psoriasis, which is a skin disease that causes red skin, scaly rashes most often on the elbows, knees, ankles, legs, hands and other areas.
Psoriatic arthritis type
There are five types of arthritis psoriasis. This is important to know so you can understand the characteristics of this disease so that it can be treated properly.
1. Symmetrical psoriasis arthritis: Symmetrical psoriasis affects the same joint on the opposite side of the body. Symmetrical treatment psoriasis arthritis can paralyze and cause various progressive levels, this disease is damaging and reduces 50 percent joint function in patients with this type of arthritis. Symmetrical psoriasis arthritis resembles rheumatoid arthritis.
2. Spondylitis: Spondylitis affects the spine and can cause inflammation and stiffness in the neck, lower back, spine, or pelvic area, and make movements difficult. Spondylitis can also attack connective tissue, such as ligaments, or cause rheumatic disease in the joints of the arms, hips, legs, or feet.
3. Asymmetrical psoriasis arthritis: asymmetrical rheumatism usually involves 1-3 joints in the body, such as knees, hips, or one or several fingers. Asymmetrical psoriasis arthritis does not affect matching pairs of joints on the opposite side of the body.
4. Distal interphalangeal dominant (DIP): Distal interphalangeal dominant psoriatic rheumatism is mainly experienced by small joints in the fingers and toes that are closest to the nail. DIP psoriasis arthritis is sometimes equated with osteoarthritis, a chronic disease that causes damage to joint cartilage and bone spurs in the joints.
5. Rheumatic mutilans: Rheumatic mutilans affect the small joints on the fingers and toes that are closest to the nail. This causes the joint to not function properly. This is also often associated with lower back and neck pain. Fortunately, this type of psoriatic arthritis is rare.
Both men and women are at risk of suffering from psoriatic arthritis. What is psoriatic arthritis psoriatic arthritis can be experienced at any age, but usually affects people between the ages of 30 and 50. Although the cause is unknown, genetic factors and the immune system may play a role in triggering the disorder.
As many as 40% of people with psoriatic arthritis have a family history of skin disease or joint disease. Having parents with psoriasis is three times as likely to develop psoriasis and thus increases the chances of developing psoriasis arthritis.