概述
What is Psoriatic Arthritis
Psoriatic arthritis is a lifelong or chronic disease associated with psoriasis that is caused by inflammation and pain in the joints and ligaments. Psoriatic arthritis occurs when your body's immune system attacks healthy cells and tissue.1
Psoriatic arthritis typically affects the large joints, especially those of the lower extremities, and the small joints of the fingers and toes, and can affect the spine and sacroiliac joints of the pelvis.2 Eyes, tendons, the gastrointestinal system, and nails can also be involved.2
It is uncertain what causes psoriasis, but it may be caused by genetics or environmental factors such as stress or infections. Psoriatic arthritis is also associated with several comorbidities, including obesity and metabolic disease (diabetes, hypertension, hyperlipidemia, fatty liver disease, and cardiovascular outcomes), depression, and anxiety.3
There is no cure for psoriatic arthritis, but medication treatments are used to decrease or prevent flare-ups and decrease joint damage. Physical activities such as exercising and yoga can help maintain movement of the joints. Ultimately, living with psoriatic arthritis can be manageable and daily life can be durable.
How common is Psoriatic Arthritis
Psoriatic arthritis is common in 2% to 4% of Western adults. 20% to 30% of psoriasis patients will develop psoriatic arthritis.4 The disease often appears between the ages of 30 and 50 in both men and women. For many people, it starts about ten years after psoriasis develops, but some develop psoriatic arthritis first or without ever developing or noticing psoriasis.5
Questions regarding your Psoriatic Arthritis Therapy?
You can reach the Accredo Psoriatic Arthritis care team, anytime, day or night, seven days a week by phone or online.
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- 1Mayo Foundation for Medical Education and Research. (2021, October 2). Psoriatic arthritis. Mayo Clinic. Retrieved March 16, 2023 Mayo Clinic-Psoriatic Arthritis
- 2Psoriatic arthritis - american college of rheumatology. (n.d.). Retrieved March 16, 2023 Rheumatology.org
- 3Ogdie A, Coates LC, Gladman DD. Treatment guidelines in psoriatic arthritis. Rheumatology (Oxford). 2020 Mar 1;59(Suppl 1):i37-i46. doi: 10.1093/rheumatology/kez383. PMID: 32159790; PMCID: PMC7065461
- 4Ocampo D V, Gladman D. Psoriatic arthritis. F1000Res. 2019 Sep 20;8:F1000 Faculty Rev-1665. doi: 10.12688/f1000research.19144.1. PMID: 31583079; PMCID: PMC6758836.
- 5National Psoriasis Foundation. (n.d.). What is psoriatic arthritis (PSA)? The National Psoriasis Foundation: National Psoriasis Foundation. Retrieved March 16, 2023 Psoriasis.org
Symptoms1 2
What are the symptoms of Psoriatic Arthritis
Psoriatic arthritis is a chronic disease that progresses over time. The symptoms can vary from person to person. It can be mild with occasional flare-ups or, if left untreated, can cause joint or ligament damage. When symptoms occur, they can cause:
- 疲劳
- Tenderness, pain, and swelling
- Swollen fingers and toes
- Stiffness and throbbing in one or more joints
- Decreased movement of the joints
- Nail changes, such as pitting or separation from the nail bed
- Redness and pain of the eye
如何诊断
There is no one test that is used to diagnose psoriatic arthritis. The diagnosis is made mostly by your doctor’s observations and by a process of elimination.2
Doctors will perform a physical exam and take a medical history. They also will order an x-ray, MRI, ultrasound, or CT scan to look for joint damage.
They also will run blood tests to assess for inflammation. Blood tests may be done to rule out other types of arthritis that have similar signs and symptoms, including gout, Lyme arthritis, and rheumatoid arthritis.3
These include tests for C-reactive protein and rheumatoid factor (RF).4 People with psoriatic arthritis are almost always RF-negative, so if blood tests are positive for rheumatoid factor, the doctor will suspect rheumatoid arthritis.4
- 1Mayo Foundation for Medical Education and Research. (2021, October 2). Psoriatic arthritis. Mayo Clinic. Retrieved March 16, 2023 Mayo Clinic-Psoriatic Arthritis
- 2National Psoriasis Foundation. (n.d.). What is psoriatic arthritis (PSA)? The National Psoriasis Foundation: National Psoriasis Foundation. Retrieved March 16, 2023 Psoriasis.org
- 3Psoriatic arthritis - american college of rheumatology. (n.d.). Retrieved March 16, 2023 Rheumatology.org
- 4Psoriatic arthritis: Symptoms, diagnosis, and treatment: Arthritis foundation. Psoriatic Arthritis: Symptoms, Diagnosis, and Treatment | Arthritis Foundation. (n.d.). Retrieved March 16, 2023 Arthritis.org
药品
银屑病性关节炎
The following specialty medications are available at Accredo, a specialty pharmacy for Psoriatic Arthritis.
节约护理费用
您还可获得经济援助，以承担您的部分药品费用，包括生产商和社区计划。Accredo 专家可以帮助您找到适合您的计划。
财政指导
急救性质的特殊药品很昂贵。通过此视频，了解 Accredo 团队如何帮助个人找到可以负担他们救命药品费用的方式。
查找支持
There are many organizations that support research and advocacy for Psoriatic Arthritis. 下面是其中部分组织。
支持组织
团队介绍
Accredo’s Psoriatic Arthritis team is dedicated to serving you and we understand the complexity of your condition. 我们的特殊培训临床医师每周 7 天、每天 24 小时为您提供服务，以回答您的任何问题。
我们为什么要这样做
Accredo 为慢性和复杂病症患者提供支持，并帮助他们过上最好的生活。请观看我们的视频，了解我们为什么为患者尽心尽力。