Is there a link between Bronchiestasis and Psoriatic Rheumatoid Arthritis

[Samye]

Hi everyone, I was diagnosed with Bronchiestasis over 5 years ago, and have just also been diagnosed with Psoriatic Rheumatoid Arthritis, is there anyone else out there with these row conditions as there seems to be a link .🤗

[Hidden]

My understanding is that it’s not a direct link between psoriatic arthritis (PsA) and bronchiectasis, so much as a link between all types of chronic inflammatory, autoimmune driven arthritis and some respiratory conditions, including bronchiectasis. Why it happens they still don’t know, but some people with respiratory conditions go on to develop inflammatory arthritis and vice versa, above and beyond what you would normally expect to see in terms of frequency. There’s also a link between medications used to treat all forms of inflammatory arthritis and subsequently developing a number of respiratory problems, including bronchiectasis (ncfbe), so there are various means by which the two can be linked and you end up with a dual diagnosis. I have PsA and respiratory symptoms, but a ct scan organised by rheum on developing a productive cough and breathlessness last year was clear at that time. In my case, I wonder if it’s more likely to be the start of chronic bronchitis or something under the COPD umbrella linked to my past heavy smoking, but haven’t been able to get spirometry testing done as yet.

[Samye in reply to Hidden]

Many thanks for your informed reply Charlie - G🤗

[Maricopa in reply to Hidden]

Very accurate response.

[Badbessie]

My wife as been diagnosed with PSA since her late twenties. From her understanding there is an indirect link though medications. However from my reading of research there is some evidence that the inflammation from psoriasis can have effects on the lungs. Sadly like most chronic conditions there needs to be more research into cause.

[Badbessie]

medicalnewstoday.com/articl...

[Badbessie]

healthline.com/health/psori...

[Badbessie]

ncbi.nlm.nih.gov/pmc/articl...

[Caspiana]

Hi Samye, 😊👋

is have RA and Bronchiolitis Obliterans. During my evaluation for a lung transplant , the lung consultants together with the surgeons said they doubted my lung disease was idiopathic instead it was a manifestation of having Rhuematoid arthritis. There definitely seems to be a link. My oldest sister had severe, aggressive RA and Bronchiectasis in her right lung. Coincidence? I'm not sure. I hope you have a good weekend.

Best wishes to you.

Cas xx 🙋🐕

[Samye in reply to Caspiana]

Hi Caspiana, I am sorry but I must have missed your reply about PRA/Bronchiestasis, apologies.I am led to believe there definitely seems to be a link, but the thing I am finding hardest to cope with is awful fatigue, I just have no energy or get up and go and that is making me depressed, I feel bad saying this as I know there are a lot of people far worse off than me, but some days I just feel …what is the point.

Ap9logies again for late reply, take care.🤗Samye

[Caspiana in reply to Samye]

Hello Samye, 😊👋

No apology necessary. Fatigue is the hallmark of many autoimmune disorders. With RA I suppose our bodies are constantly in a fight with itself. On one hand trying to destroy healthy tissue and on the other hand trying to protect it. In rather simple terms , imagine the turmoil going on. The constant attacks makes everything go into overdrive. Exhausting, frustrating and at times utterly infuriating. All I can do is to pace myself. I only have X amount of energy a day. I have to decide what I want to use it on because that's all I have. It took a long time to learn this lesson though. I wish you well Samye and hope you are doing better now. Very best wishes.

Cas xx 🌿

[Ergendl]

Curiously, I was taught that you can view skin and the gut as functionally linked because they both come into contact with things outside of the body. That definition would be true for the lungs too, so I can see a possible link.