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Psoriatic arthritis

Arthritis psoriatica · Psoriatická artritida

What it is

Arthritis in up to 30% of people with psoriasis; it can destroy joints fast.

Symptoms & signs

  • Swollen sausage fingers or toes
  • nail pitting
  • heel pain (enthesitis)
  • psoriasis patches
  • back pain

🚩 Get help if…

  • call 112 / 911 now Red, peeling skin over most of the body with chills
  • see a doctor soon Hot, swollen joint with fever
  • see a doctor soon Painful red eye with blurred vision or light sensitivity
  • see a doctor soon Fever, cough or sore throat on methotrexate or biologics

Where it strikes

Medical treatment

  • Methotrexate
  • TNF, IL-17 and IL-23 inhibitors
  • apremilast
  • JAK inhibitors
  • treat skin and joints together
  • Bimekizumab (dual IL-17A/F blocker) — approved (EMA 2023, FDA 2024)

Natural & lifestyle

  • Weight loss (improves drug response)
  • exercise
  • Mediterranean diet
  • smoking cessation
  • stress management

Emerging & experimental

  • Precision biomarkers

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Fish oil — trials show modest benefit mixed evidence
  • Curcumin — small studies early / small studies
  • Gluten-free diet in those with gluten antibodies — a small study improved skin early / small studies

ICD codes