While joint pain is a predominant symptom for those with psoriatic arthritis (PsA), it's essential to recognize that the inflammation can impact other parts of your body as well. Additionally, comorbidities like obesity and diabetes, frequently associated with PsA, can have effects beyond joint concerns.
Most people think of skin issues first. In fact, 60-80% of individuals with PsA first develop psoriasis, often progressing to arthritis within a decade or so. Psoriasis manifests as inflamed, reddish patches, sometimes accompanied by a burning sensation, primarily found on areas like the elbows, knees, and scalp. It's considered acute when over 10% of the body has these patches.
Eyes can also bear the brunt of PsA or psoriasis. Symptoms might range from pink eye and dry eye syndrome to swelling in the eye's white portion. A significant concern is "uveitis," an inflammation that can potentially cause lasting vision loss.
Those with PsA might also be predisposed to inflammatory bowel diseases, especially Crohn’s disease. A 2018 study indicated a notably higher risk of digestive issues for PsA patients compared to the general populace.
Cardiovascular issues due to prolonged inflammation are alarming comorbidities of PsA, further intensified by higher obesity rates. Elevated inflammation levels, in combination with other factors like high cholesterol, make arteries prone to clogging. Notably, a 2017 study highlighted increased risks of heart attacks and strokes for PsA patients. However, the silver lining is that effectively managing PsA through medication can potentially curtail these risks.
The inflammation causing PsA might also compromise lung health, potentially leading to interstitial lung disease. Symptoms include fatigue, coughing, and shortness of breath. This lung condition is less frequent in PsA compared to diseases like rheumatoid arthritis.
Psoriasis can elevate the risk of chronic kidney disease and certain liver conditions. Surprisingly, one study found that a significant portion of PsA patients had liver-related issues. Given these concerns, it's crucial for doctors to monitor liver and kidney functions regularly.
In conclusion, while managing joint pain is pivotal for those with PsA, it's equally essential to address non-joint symptoms. Establishing transparent communication with your healthcare provider ensures a comprehensive approach to your well-being
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