Just as the name suggests, psoriatic arthritis (PsA) is a type of arthritis that combines joint pain with skin inflammation (psoriasis). It affects joints and often manifests in fingers, toes, lower back, and joints.
Symptoms are varied but typically include stiffness, swelling, and pain. These impacts cannot only limit mobility but also impact your daily life.
In fact, untreated psoriatic arthritis can cause irreversible joint damage which may actually end up leaving you disabled. See the possible causes, symptoms, diagnosis and treatment for psoriatic arthritis in Singapore on this page: https://aarc.sg/condition/psoriatic-arthritis/.
Because of how adverse the impacts of this disease can be, it is best to have it diagnosed early to manage symptoms, and that also is the reason why we created this guide. In it, you will discover the red flags for psoriatic arthritis and, how a severe psoriatic arthritis looks like. Read on!
What is the Red Flag for Psoriatic Arthritis?
One of the key steps in the effective management of psoriatic arthritis in Singapore is being able to recognize the red flags for early diagnosis and effective management. Here are ten key red flags to watch out for if you suspect that you could be having or at risk of psoriatic arthritis;
I. Nail Changes
One of the most notable red flags for psoriatic arthritis (PsA) is nail changes. These changes may manifest as nail pitting.
Nail pitting is when small holes develop in the nails. Also, PsA can cause deformities in the nails, discoloration, thickening, and separation of the nail bed. These nail symptoms often accompany skin psoriasis but can also be suggestive of psoriatic arthritis.
II. Eye Pain and Redness
Psoriatic arthritis can also affect the eyes. This may lead to inflammation, particularly in the middle layer of the eye, known as uveitis.
This condition may present with eye pain, redness, and blurry vision. Untreated cases of eye inflammation can lead to vision loss so it is important to address these changes as soon as they appear.
III. Fatigue
Fatigue is a common symptom in both psoriasis and PsA. The persistent inflammation and pain associated with PsA can significantly contribute to fatigue.
This can massively impact your daily activities and overall quality of life. Managing fatigue often requires a combination of medication and lifestyle adjustments. For the best health outcomes, you will also want to ensure proper self-care.
IV. Tenderness
People with PsA often experience tenderness in areas where tendons or ligaments attach to bones. This tenderness may be accompanied by pain and swelling in the toes, ankles, heels, and soles.
For those who experience these symptoms, they tend to interfere with mobility. If left untreated, they may worsen over time.
V. Back Pain
Psoriatic arthritis can also cause pain in the lower back. This pain may disrupt sleep or result in morning stiffness that lasts 30 minutes or longer.
This pain can also radiate into the hips and buttocks. If it gets to this point, it may begin to impair mobility and daily activities. Proper management of back pain in PsA involves a combination of medication, exercise, and posture correction.
VI. Sausage Fingers
Dactylitis, often referred to as “sausage fingers,” is a characteristic symptom of PsA. It involves painful swelling in the fingers and toes due to inflammation.
Around 40% of individuals with PsA experience dactylitis. Prompt recognition and treatment are essential to alleviate discomfort and prevent joint damage.
VII. Scaly Patches on Elbows and Knees
As mentioned earlier, PsA commonly presents with scaly, itchy, and painful patches of red skin. These patches mostly appear on the knees, elbows, and scalp.
They are a hallmark of psoriasis and often accompany joint involvement in PsA. Proper skin care and medication management can help alleviate skin symptoms in conjunction with PsA treatment.
VIII. Joint Pain and Stiffness
PsA causes varying degrees of joint pain and stiffness. It can range from mild to severe.
This pain and stiffness can significantly impact mobility and quality of life if not effectively managed. Treatment strategies may include medication, physical therapy, and lifestyle modifications to alleviate symptoms and prevent joint damage.
IX. Stomach Issues
Inflammation associated with PsA can extend beyond the joints and affect the digestive tract as well. In fact, many individuals with PsA also experience inflammatory bowel disease.
This is what leads to symptoms like abdominal pain, diarrhea, and nausea. Proper diagnosis and management of gastrointestinal symptoms are essential for comprehensive PsA care.
X. Difficulty Moving
As you now understand, PsA progression can lead to reduced range of motion and difficulty moving affected joints. Over time, this may result in increased disability if left untreated.
Early intervention with medication, physical therapy, and lifestyle modifications can help preserve joint function. It can also improve overall mobility in individuals with PsA.
And, what does Severe Psoriatic Arthritis look like?
Psoriatic arthritis is a complex condition. So, if you suspect that you or a loved one could be having the condition you may wonder, what does severe psoriatic arthritis look like?
Well, PsA symptoms vary and can range from mild to severe. A PsA may be considered mild if it affects four or fewer joints (oligoarticular). This PsA may seem manageable, but it’s still impactful.
On the other hand, severe PsA (polyarticular) is the PsA that affects five or more joints. It is a worrisome condition as in severe cases, PsA can cripple mobility, causing intense pain and hindering daily activities.
Joints may become swollen, tender, and warm to the touch. Inflammation can extend beyond joints to the point of affecting even the tendons and ligaments, further limiting movement. Also, severe PsA can lead to irreversible joint damage if left untreated, something which can significantly impair quality of life.
The Bottom Line
Psoriatic arthritis manifests differently in each individual. The best course of action is early recognition of these red flags for timely diagnosis and effective management.
If you suspect you may have PsA or experience any of these symptoms, consult a healthcare professional for proper evaluation and treatment. If you’re in Singapore, use the details below to connect with us and schedule your appointment;
Asia Arthritis & Rheumatology Centre – Dr Annie Law | Senior Rheumatologist | Lupus Treatment Singapore
3 Mt Elizabeth #05-03
Mt Elizabeth Medical Centre
Singapore 228510
(65) 6235 3909.
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