St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Psoriatic arthritis

    Arthritis - psoriatic

    Psoriatic arthritis is a joint problem (arthritis) that often occurs with a skincondition calledpsoriasis.

    Causes

    Psoriasis is a common skin problem that causes red patches on the body. It is a chronic (ongoing) condition. About 1 in 20 people with psoriasis will develop arthritis with the skin condition. In most cases, psoriasis comes before the arthritis.

    The cause of psoriatic arthritis is not known. Genes may play a role.

    Symptoms

    The arthritis may be mild and involve only a few joints. The joints at the end of the fingers or toes may be more affected.

    In some people the disease may be severe and affect many joints, including the spine. Symptoms in the spine include stiffness, burning, and pain. They most often occur in the lower spine and sacrum.

    Most of the time, people with psoriatic arthritis have the skin and nail changes of psoriasis. Often, the skin gets worse at the same time as the arthritis.

    Exams and Tests

    During a physical exam, the health care provider will look for:

    • Joint swelling
    • Skin patches (psoriasis) and pitting in the nails
    • Tenderness

    Joint x-rays may be done.

    Treatment

    Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDS) to reduce pain andswelling of the joints.

    Worse arthritis will need to be treated with more powerful drugs called disease-modifying antirheumatic drugs (DMARDs). These include:

    • Leflunomide
    • Methotrexate
    • Sulfasalazine

    New medicines that block an inflammatory protein called tumor necrosis factor (TNF) are being widely used for progressive psoriatic arthritis. These drugs include:

    • Adalimumab (Humira)
    • Certolizumab (Cimzia)
    • Etanercept (Enbrel)
    • Golimumab (Simponi)
    • Infliximab (Remicade)

    Very painful joints may be injected with steroid medicines.

    In rare cases, surgery may be needed to repair or replace damaged joints.

    Your doctor may suggest a mix of rest and exercise. Physical therapy may help withincrease joint movement. You may also use heat and cold therapy.

    Outlook (Prognosis)

    The disease is often mild and affects only a few joints. In some people, very bad psoriatic arthritis may cause deformities in the hands, feet, and spine.

    Early treatment canease pain and prevent joint damage even in very bad cases.

    When to Contact a Medical Professional

    Call your health care provider if arthritis symptoms develop along with psoriasis.

    References

    Fitzgerald O. In: Psoriatic arthritis. Firestein GS, Budd RC, Gabriel SE, et al, eds. Kelley's Textbook of Rheumatology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2012:chap 77.

    Husni ME. Psoriatic arthritis. In: Carey WD, ed. Cleveland Clinic: Current Clinical Medicine. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2010.

    BACK TO TOP

    • Psoriasis, guttate on th...

      illustration

    • Psoriasis, guttate on th...

      illustration

      • Psoriasis, guttate on th...

        illustration

      • Psoriasis, guttate on th...

        illustration

      A Closer Look

        Talking to your MD

          Self Care

            Tests for Psoriatic arthritis

              Review Date: 4/20/2013

              Reviewed By: Gordon A. Starkebaum, MD, Professor of Medicine, Division of Rheumatology, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

              The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
              adam.com

              A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


              Back  |  Top
              About Us
              Contact Us
              History
              Mission
              Locations & Directions
              Quality Reports
              Annual Reports
              Honors & Awards
              Community Health Needs
              Assessment

              Newsroom
              Services
              Brain & Spine
              Cancer
              Heart
              Maternity
              Orthopedics
              Pulmonary
              Sleep Medicine
              Urgent Care
              Women's Services
              All Services
              Patients & Visitors
              Locations & Directions
              Find a Physician
              Tour St. Luke's
              Patient & Visitor Information
              Contact Us
              Payment Options
              Financial Assistance
              Send a Card
              Mammogram Appointments
              Health Tools
              My Personal Health
              mystlukes
              Spirit of Women
              Health Information & Tools
              Clinical Trials
              Health Risk Assessments
              Employer Programs -
              Passport to Wellness

              Classes & Events
              Classes & Events
              Spirit of Women
              Donate & Volunteer
              Giving Opportunities
              Volunteer
              Physicians & Employees
              For Physicians
              Remote Access
              Medical Residency Information
              Pharmacy Residency Information
              Physician CPOE Training
              Careers
              Careers
              St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
              Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile