Arthritic psoriasis

[Mrspainting48]

Information on arthritic psoriasis please

I started with very itchy head face twitching....speech...chewing....now hot head tight scalp affected by hot and cold. Headaches.

Draughts a nightmare....Standing under shower helps ....

Any help please

[KittyJ]

Here is a link to Versus arthritis information on psoriatic arthritis and healthunlockeds group. I’m sorry I can’t help more but hope this helps you

versusarthritis.org/about-a...

healthunlocked.com/beyond-p...

[Hidden]

Do you mean arthritic psoriasis, or just psoriasis? In many cases of psoriatic arthritis (PsA) it’s preceded, sometimes by decades, by episodes of psoriasis, which is a red, scaly, patchy skin condition. It’s believed about 20% of people with psoriasis will develop PsA at some stage, but having psoriasis doesn’t mean that you will definitely develop arthritis. Some people can develop PsA first, then get psoriasis at a later stage. I’ve learnt today that some can even only have psoriasis of their finger and toenails and develop PsA.

Treatment for skin psoriasis is usually topical and requires diagnosis and a prescription from a doctor. If arthritis later develops, which is the presence of painful, swollen and inflamed joints, that is then treated by a rheumatologist due to it being autoimmune and inflammatory in nature, therefore requiring similar treatment to rheumatoid arthritis.

If you’ve only got the psoriasis at this point and no joint issues, you need to see the GP for some topical steroid treatment to see if it eases it. From what I can recall of the 12 months I had a patch in my early teens, it was really good for the itching. If you already have an inflammatory arthritis diagnosis, you can still see your GP, but really you need to speak to your rheumatology team and make them aware. I believe psoriasis can be a side effect of some DMARDS, particularly if you’re already prone to it or have suffered with it previously, so it’s of particular concern as a side effect in those of us with a PsA diagnosis.

Hope that helps.

[Mrspainting48 in reply to Hidden]

Hi thank you for your reply..

I was diagnosed with RA 40 years ago .

I was told then i had the worse one and i would be in a. Wheel chair by my 60 birthday.

Fro then on I developed Oestheo.

One hip..two knees....right hand knuckles replaced.....

Over the years i was on every drug for RA untill 12 years ago I became intollerant to all drugs....around the same time i was diagnosed with Fibromyalgia...

Also around that time i starte with facial movements and my chewing became strange i had a brain scan which showed clear.....

Because of neglect by my dentist i lost all my top teeth and some gum.

I then went through years of dental work

To fit me with a hybred top denture held in with inplants...i still have slight facial movement.

My head started to iitch and burn no headache...only standing under a showe would calm it.

From my crown to above my eyebrows.

I feel scalped my head burns ...this has been going on about 6 years...

My head is very sensitive to hot or cold drafts....i cant bear the sun on it..

Standing under a shower still helps...

My left ankle and leg are swollen and very painfull....

My body seems to produce patches of hard skin all over........

I am to see a Rheumatologist soon as my last conslutant took me off his list because i can take drugs..and he said he could do nothing else for me ...that was also 11 years ago...

I tend to turn to alternative help....

It takes the edge off sometimes.....

Lockdown brought my symptoms to a head......

I am hoping this different Rheumatologist may have a new eye and be able to help me.......

[Hidden in reply to Mrspainting48]

You’ve really been through the mill. I’m sorry that you’ve had such a poor experience and suffered so. I’m new to arthritis, having only been diagnosed in January, but I’ve had active disease for about 20 years. I was repeatedly fobbed off because with PsA, as you may know, it’s almost always seronegative. I kept being told negative bloods meant it couldn’t possibly be arthritis when that’s exactly what it was. Instead of limiting it to effecting only a couple of areas, which appropriate diagnosis at the time would have done, it’s now in both of my knees, a hip, both hands and all the fingers, a wrist, an elbow, all my toes and parts of my spine.

The good news is that JAK inhibitors are a class of drugs that have emerged in the last decade as treatment for all types of inflammatory arthritis, and there may be some additional biologics that have also emerged in that time: hopefully there will be at least some options for you to try and see if you can find relief. There are some JAK inhibitors and biologics that are also used for very severe psoriasis even in the absence of PsA or other arthritis, which might mean that the skin issues settle even if it’s not PsA but more RA with ‘a (coincidental) side’ of psoriasis.

[Mrspainting48 in reply to Hidden]

Thank you for your kind informative replies......

I live in hope....you take care of you...