Psoriatic arthritis
What is Psoriatic arthritis?
Psoriatic arthritis is a chronic inflammatory arthritis associated with psoriasis. Approximately one in three patients with psoriasis develop psoriatic arthritis.
Symptoms
- Joint pain and swelling along with stiffness in your joints in morning
- Sausage-like swelling of your fingers or toes
- Pain and stiffness in your lower back in the morning
- Nail pitting (tiny dents in your nails)
- Psoriasis (flaky reddish or silver appearing plaque on your skin)
- Redness and pain in your eyes due inflammatory eye disease
Risk factors
- Psoriasis
- Family history
Diagnosing psoriatic arthritis
- Detailed medical history and physical examination
- Laboratory testing
- Imaging (X-ray or MRI)
Treating psoriatic arthritis
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Traditional disease-modifying anti-rheumatic drugs (DMARDs), such as methotrexate, leflunomide and apremilast
- Biologic DMARDs, such as TNF inhibitors, interleukin 17 inhibitors and interleukin 23 inhibitors
- Small molecule advanced DMARDs, such as tofacitinib