Patient's Query
Hello doctor,
I have had a small patch of psoriasis on my ankle on and off for 10 years. I have also had debilitating fatigue and joint pain flare-ups for 10 years. I have been checked for lupus, RA, and MS and have received a negative diagnosis. I just today learned about psoriatic arthritis and I am wondering if that could be my problem. My lower back hurts so bad in bed that it wakes me to turn over. My right hip and shoulder also hurt. During a flare-up, all of my joints on the right side and my left knee and thumb also hurt. Is this how psoriatic arthritis acts? I am currently on Ibuprofen. I also underwent ANA, RA factor, anti-dsDNA, MRI, and TSH.
Hi,
Welcome to icliniq.com.
Your symptoms include swelling of joint as well as morning stiffness and it looks associated with psoriatic arthritis. I would rather say it is seronegative rheumatoid arthritis associated with psoriasis also known as mixed connective tissue disorder (MCTD). Now I would recommend the following tests for you:
1. Anti-CCP antibody.
2. ESR (erythrocyte sedimentation rate).
3. CRP (C-reactive protein).
If done, share the reports. I would also like to know what treatment you have been on. And which medicines give you relief? Revert with the asked details for better help.
Thank you.
Patient's Query
Thank you doctor,
The only medication I have ever been giving for the pain has been Prednisone and it did help some. I cannot remember the names of the steroid creams I was given for psoriasis, they sometimes helped with itching but never made a difference in the actual patch of psoriasis. I did have an ESR and it was not elevated. I was not having a flare-up during that time. I am not sure if that made a difference.
Hi,
Welcome back to icliniq.com.
Your history and response to Prednisolone make me suspect highly that you have seronegative rheumatoid arthritis. Now get the above-discussed tests done and discuss with your doctor to start you on Methotrexate and a low dose steroid.
I hope this helps.
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