Disease, with which a need fighting.

 In readction mail are meeting letters, which readers sharing an own diagnosis and diseases, and interesting more in modern curing methods. One  from such request by Anna from Kostroma is share about psoriatic arthritis, not about a skin damage, but chronic inflammatory joints, ligaments, vertebra, which  a risk for loosing theirs function. And  Correspondent Marina Grib talked about this with Dr. Rheumatologist, nephrologist Alena Molodova.

1.Alena Gennadjevna, am never heard about this disease, which  reasons for origin a psoriatic arthritis?

This  disease  attacks everybody, but in a most often in adult, and males, and on the moment diagnosis putting are lots of patients having psoriasis, thus psoriatic arthritis displaying in 7–10 years after skin symptoms displaying, but by a second theory a damage of  skin covers happens in failure in work of  cells of immune system,  and on a time happening, when joints damaging for a primary/developing psoriatic arthritis/ , without psoriasis, and skin and not damaging.A reason for organism allowing attacking for an own tissue  is staying unknown. Provoking diseases are stresses, injuries, infection diseases as measles, streptococcus angina, destroying work for endocrine system , cells pathologies, provoking melanin is pigment of skin covers, and lots of suffering with psoriatic arthritis having family anamnesis.

2. Patient having   psychological , and physical discomfort.

Yes, that arthritis causing these symptoms, skin its an   interferes in usual life, psoriatic plaques on an opened body parts are not allowing to work, care for family members and for home. But if joints damaging, thus a life quality worsening on a few times, but not an all aches in joints evidences about psoriatic arthritis. A  most often meeting one side damage to joint, which not having in damaging joint of other ethiology  , suffering are big joints as knee, hip, shin, and in damaging of fingers end as a destroying  small wrists' motility     diagnosing distal disease form.And,  am to add ,that these called joints are not damaging in rheumatoid arthritis, but deforming and inflaming in osteoarthrosis. Very rare are big and small joints inflammation from both sides and in difference from rheumatoid arthritis  fingers of hands not curvature in different sides.A hard disease stage as mutilians  arthritis begins,when shortening are fingers of feet  and wrists, but bone tissue destroying, and its happens just in psoriasis. In axis damaging joints are inflammation places for ligaments attaching in joint region: finger staying,like on sausage, inflammation Achilles ligament /achiitis and ligament from a heel side is under heel fasciitis  causing ache in walk. 

3. A please share, on  what to pay attention need in ache joints"

 A skin in a damage place is blue or dark-purple colour, and touching to joint is hurt, he is hot,swollen, thus a swelling of distal phalanges between joints looks,like red radish forming deformation, is never having in osteoarthritis And thus nails too suffering, thus visit pedologist or dermatologist for exclude fungus damage. In diagnosis putting doctor paying attention on signs a one from inflammatory diseases of joint :arthritis, spondylitis/vertebra inflammatory/, or enthesitis is ligament inflammatory. And,  if not having psoriatic  rashes  thus will interest ,that in your  family would have been in a family this, attention on psoriatic dystrophy of nails, which  confirmed by dermatologist, thus  diseases of nails are much, and by externally  they are same as psoriasis. But laboratory tests are specifically, if inflamed small joints, thus in theirs stats for changes are not finding .  Also doing x-ray  for wrists, feet, pelvis, and transition region of vertebra.On an early disease stage prescribing MRT for vertebra, and connection of pelvis bones and  sacrum , and ultrasound with an energy Doppler   mapping.

4. And which complications are here?

On periods when symptoms are left and condition normalizing, alternating with acutings periods, and improving or worsening skin conditions and joints happens at the same time. But a calm development of diseases is not excluding are damaging inside organs, as heart muscle inflammation is myocarditis, rare pericard is pericarditis and endocard, pathology of heart and vessels fades away in a cure joint syndrome, and in 1/3 of patient showing by ultrasound test in liver enlarging. Metabolism wrong bad effects on kidneys is rising level of urea acid, diagnosis atherosclerosis of vessels kidneys, in a damaging many joints are development of kidneys amyloidosis. Thus, a complications are serious, thus to control blood stat, liber function and kidneys, urea acid level, C reactive protein, and doing peritoneum region ultrasound test, kidneys, heart echocardiography. Without a right selected cure is progressing inflammation leading to irreversible changes in joints, causing theirs deforming. And later,  joints loosing mobility, after stopping doing an own function.In patients with chronic inflammation in a long using glucocorticosteoids, later lowering density for bone tissue, it's  a rising risk for fractures.

5.  A how to relive symptoms, decrease inflammation, delay progressing for disease?

Psoriatic arthritis is hard cure and risk to progressing, but an early cure begun, thus more chances  receive control over diseases, and remedies taking within many years, as a such non steroid anti-inflammatory preparations as:Diclofenac, Aceclofenac, Naproxen, Nimesulid , Celexoxib,  Etoricoxib   are not stopping damaging joints, having side effects, but  ,   they are keeping saving function for joints. Adding to remedies are adding anti inflammations as Metotrexate, Leflunomid, Sulfasalazin, Ciclosporin, Prednisolone,Methylprednisolone , Diprospan are glucocorticosteroids by short courses  or locally, inside in joints, in place for ligaments attachment in very active inflammatory processes.