What is Psoriatic Arthritis
Psoriatic Arthritis is a life-long 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.
Psoriatic arthritis typically affects the large joints, especially those of the lower extremities, small joints of the fingers and toes, and can affect the spine and sacroiliac joints of the pelvis. Eyes, tendons, gastrointestinal system, and nails can also be involved.
It is uncertain of what causes Psoriatic arthritis but it may be caused from 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.
There is no cure for psoriatic arthritis but medication treatments are used to decrease or prevent flare ups and decrease joints damage. Physical activities such as exercising and yoga can helps maintain movement of the joints. Ultimately, living with psoriatic arthritis can be manageable and daily life can be durable.
How common is Psoriatic ArthritisPsoriatic Arthritis is common in 2–4% of Western adults. 20 to 30% of psoriasis patients will develop psoriatic arthritis. The disease often appears between the age of 30 and 50 in both men and women. For many people, it starts about 10 years after psoriasis develops, but some develop psoriatic arthritis first or without ever developing or noticing psoriasis.
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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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 joints or ligaments damage. When symptoms occur, they can cause:
- 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
How is it diagnosed
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.
Doctors will take a physical exam and a medical history. They also will get an x-ray, MRI, ultrasound, or CT scan to look for joint damage.
They also will run blood test 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.
They include C-reactive protein and rheumatoid factor (RF). People with psoriatic arthritis are almost always RF-negative, so if blood tests are positive for rheumatoid factor, the doctor will suspect rheumatoid arthritis.
The following specialty medications are available at Accredo, a specialty pharmacy for Psoriatic Arthritis.
|Cimzia (certolizumab pegol)||UCB Inc||Cosentyx (secukinumab)||Novartis|
|Orencia (abatacept)||Bristol Myers Squibb|
|Simponi Aria (golimumab)||Janssen|
Financing Your Care
Financial assistance is available to support your drug costs including manufacturer and community programs. Accredo specialists are available to assist in finding the right program(s) for you.
Life-saving specialty medication can be expensive. Learn how the Accredo teams help individuals find ways to afford the medication they need to survive in this video.
There are many organizations that support research and advocacy for Psoriatic Arthritis. See below for a few of those organizations.
- American Academy of Dermatology Association |
- American College of Rheumatology |
- Arthritis Foundation
- National Psoriasis Foundation
- Psoriasis and Psoriatic Arthritis Alliance
Meet the Team
Accredo’s Psoriatic Arthritis team is dedicated to serving you and we understand the complexity of your condition. Our specialty-trained clinicians are available 24 hours a day, seven days a week, to answer any questions.
Why We Do It
Accredo supports patients with chronic and complex conditions and helps them live their best life. Watch our video to learn why we do what we do for our patients.