Understanding Psoriatic Arthritis: Symptoms and Treatment Options

Psoriatic arthritis is a condition that affects both the skin and joints, leading to inflammation in both areas. It often occurs in individuals with psoriasis, a skin condition marked by red, scaly, and inflamed patches. Approximately 20% of those with psoriasis develop joint inflammation. This condition can affect men and women and usually appears after age 40. In most cases, psoriasis precedes arthritis symptoms by about 80%. The exact cause remains unknown, but genetics and environmental factors are believed to play a role.

Family history is a significant risk factor for psoriatic arthritis. Symptoms include joint swelling, redness, stiffness, and pain, especially in ankles, knees, and feet, which may limit movement. Some individuals experience inflammation in the spine, fingers, toes, tendons, or around cartilage. Additional symptoms involve inflammation of organs like the lungs and eyes, along with fatigue. Research indicates that affected individuals may develop allergies to certain foods, medications, or insect bites. While there is no cure yet, treatment aims to manage symptoms effectively.

Common medications used include:

• NSAIDs: Non-steroidal anti-inflammatory drugs like ibuprofen (Advil, Motrin IB), and naproxen (Aleve) help reduce pain and swelling. Stronger options require prescriptions. Potential side effects include heart complications, kidney and liver issues, and stomach irritation.
• DMARDs: Disease-modifying anti-rheumatic drugs such as Trexall, Arava, and Azulfidine slow disease progression, preventing joint and tissue damage. Side effects may involve lung infections, liver damage, or bone marrow suppression.