Saturday, November 26, 2022

Psoriatic arthritis flares up to three times a year

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A 35-year-old Lifang (pseudonym) works as a salesman. Three years ago, she had swollen fingers and psoriasis on her scalp, but she didn’t take it seriously because the symptoms were mild. Later, he had a burning sensation in his eyes, which came three times within a year. In addition, the problem of psoriasis on the body became more and more serious. I was concerned that this would affect the client’s perception and decided to seek a medical examination.jointinflammation”!

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Dr. Wang Wenxiu of the Department of Rheumatology and Immunology at Mackay Memorial Hospital, who treated the case, said the patient developed iriditis due to psoriatic arthritis. After initial use of anti-inflammatory pain relievers and disease-modifying anti-rheumatic drugs, the therapeutic effect was limited, so he applied for anti-tumor benefits paid for by health insurance. Biologic agent treatment of necrosis factor (anti-TNF) eventually greatly improved the condition, allowing the patient to return to work and quality of life, and is no longer required to wear a hat to cover up when outside.

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Physician Wang Wenxiu explained that psoriatic arthritis is a systemic autoimmune disease that occurs in people aged 30 to 55 and is associated with family history genes. In addition to the obvious redness, swelling, and exfoliation of the skin caused by psoriasis, the synovial membrane in the joints of the extremities will also become inflamed, causing joint swelling and pain. The joint may deform and cannot be flexed, which severely affects social activities and quality of life. In addition, the disease is also associated with immune disorders, such ashigh blood pressurePeople with diabetes, hyperlipidemia, overweight or smoking habits are all high-risk groups and need more attention.

Dr. Wang Wenxiu said that at least 70% of patients will have symptoms of skin psoriasis first and then arthritis, and another 30% of patients will also have co-morbidities such as iritis, uveitis and Crohn’s disease. If it is not treated for more than a year, it can even cause heart disease, which will lead to an exacerbation of the disease and increase the difficulty of treatment!

Physician Wang Wenxiu said that for the treatment of psoriatic arthritis, if it is found that the treatment effect is not good after using traditional skin drug smear, analgesic and anti-inflammatory drugs, or disease-modifying anti-rheumatic drugs, So he will further use biological agents for treatment, which are more effective than anti-rheumatic drugs, are more specific and can target inflammatory substances more precisely. Currently, there are oral and subcutaneous injections to choose from. There are also short-acting or long-acting drugs that can reduce the risk of patients forgetting to take their medications. In addition, for female patients who are pregnant or want to conceive, there are also biological agents that can be used as a treatment option. As long as they follow the doctor’s advice and return to the clinic regularly, the safety of use is quite high. And there is no need to worry about affecting the health of the fetus and yourself.

Physician Wang Wenxiu reminded patients that psoriatic arthritis and other immune system diseases usually require long-term treatment. Current diagnostic and treatment techniques are quite advanced, and patients should not simply give up or stop taking medications at will. Since the disease activity of psoriatic arthritis is high in young adults, but it will gradually stabilize with age, it is recommended to actively and patiently cooperate with treatment. Follow-up Follow-up is the only way to maintain a good quality of life.

【Extended Reading】

Ignoring Psoriatic ArthritisHealththe coach almost lost his job

Swelling in ankles and fingers actually caused by psoriatic arthritis, which relies on biological agents to reduce inflammation

Source: Health and Medical Network

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