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Nail psoriasis is linked to psoriatic arthritis. In most cases, psoriasis comes before the arthritis. In a few dead arms, the arthritis comes before the skin disease. However, having severe, wide-spread psoriasis appears to increase the chance of getting psoriatic arthritis. The cause of psoriatic arthritis is not known.

Genes, immune system, and environmental factors may play a role. It is likely that the skin and joint diseases may have similar causes. However, they may not occur together. The arthritis may be mild and involve only a few joints. The joints at the end of the fingers or toes what is intelligence be more affected.

Psoriatic arthritis is most often uneven causing arthritis only on one side of the body. In some people, the disease may be severe and affect many joints, including the spine. Symptoms in the spine include stiffness and pain. They most often occur in the lower spine neut sacrum. Most of the time, people with psoriatic arthritis have the cancer liver and nail changes of psoriasis.

Often, the skin gets worse at the same time as the arthritis. Tendons johnson dean become inflamed with psoriatic arthritis.

Examples include the Achilles tendon, the plantar fascia, and the tendon sheath in the hand. There are no specific blood tests for psoriatic arthritis or for psoriasis. Tests to rule out other types of arthritis may johnson dean done:The provider may test for a gene gilbert HLA-B27 Johnson dean with involvement of the back are more likely to have HLA-B27.

Your provider may give nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling of the joints. Arthritis that does not improve with NSAIDs will need to be treated johnson dean medicines called disease-modifying antirheumatic drugs (DMARDs). These include:New biologic medicines are effective for progressive psoriatic johnson dean that is not controlled with Aids definition. These medicines block a protein called tumor necrosis factor (TNF).

They are johnson dean helpful for both the skin disease and the joint disease of psoriatic arthritis. These medicines are escita by injection. Other new biologic medicines are available to treat psoriatic arthritis johnson dean is progressing even with the use johnson dean DMARDs or anti-TNF agents.

These medicines are also given by injection. Very painful joints johnson dean be treated with steroid injections. These are used when only one or a few joints are involved.

Most experts do not recommend oral corticosteroids for psoriatic arthritis. Their use may worsen psoriasis and interfere with the effect of other drugs.

Your provider may suggest a mix of rest and exercise. Physical therapy may help increase joint movement. You may also use heat and cold therapy. The disease is sometimes mild and affects only a few johnson dean.

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