Psoriatic Arthritis
Understanding Psoriatic Arthritis (PsA)
When skin and joints tell the same story.
What is Psoriatic Arthritis?
Psoriatic Arthritis (PsA) is a chronic, inflammatory arthritis that develops in some people with psoriasis (a skin condition causing red, scaly patches). It can affect joints, tendons, and even internal organs.
Up to 30% of people with psoriasis may develop PsA, sometimes years after skin symptoms appear.
Who is at Risk?
- People with psoriasis or a family history of psoriasis
- Individuals aged 30–50 (though it can occur at any age)
- Those with nail changes (pitting, ridging, separation of nail from nail bed)
Key Signs & Symptoms
- Joint pain, swelling, and stiffness (often worse in the morning)
- Pain at tendon and ligament attachment sites (heels, elbows)
- Nail changes: pitting, ridging, or separation
- Swelling of entire fingers or toes (“sausage digits”)
- Fatigue and reduced mobility
- Eye inflammation (uveitis) and, rarely, gut involvement
Why Early Diagnosis Matters
- PsA can damage joints permanently if left untreated.
- Delay in treatment often leads to disability.
- Early medical care prevents progression and protects quality of life.
Treatment & Lifestyle
- Medication: NSAIDs, DMARDs, and biologic therapies can control inflammation.
- Exercise & Physiotherapy: Maintain flexibility and muscle strength.
- Skin Care: Regular dermatology and rheumatology follow-up.
- Healthy Lifestyle: Balanced diet, weight control, stress management, and no smoking.
Extra-Articular Impact
PsA doesn’t just affect joints, it can also involve:
- Eyes: Uveitis
- Gut: Inflammatory bowel disease
- Metabolism: Increased risk of diabetes, hypertension, and heart disease
Takeaway Message
If you have psoriasis and joint pain, don’t ignore the link.
Early treatment = Healthy joints + Better life.
With modern therapies, Psoriatic Arthritis can be controlled, and people can continue to live active, fulfilling lives.