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- Living with PsA
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PsA and your body
Psoriatic arthritis (PsA) or psoriasis might affect different parts of your body, sometimes at different times.1,2 Take a look below for more information, including the different parts of the body that can be affected and how PsA can appear.
Plaque Pso can develop before, during or after PsA3 and causes itchy, painful plaques that usually affect the knees, elbows, trunk, scalp, behind the ears, navel, and between the buttocks.4-7 You may have a few, spaced-out plaques, or they can join together to form larger plaques.6
Psoriasis can cause changes to the nails, such as pitting (deep to shallow holes) or ridges (lines running from the nail bed to the end), crumbling, loss of nails, and the ‘oil drop sign’ – a salmon pink discoloration of the nail bed.6-8 If you have nail psoriasis, you are more likely to develop psoriatic arthritis.7
When PsA affects the joints and tendons in the fingers and toes, it’s called dactylitis [pronounced dack-till-eye-tis].9 It can give fingers and toes a ‘sausage’ like appearance, which can make them difficult to use and might affect the way you live your life.9,10
When PsA affects the part of the body where the ligaments or tendons meet the bones, it’s called enthesitis [pronounced enth-ess-eye-tis].11 It can be painful, and if it affects your feet, especially near the heel, it can make it difficult to walk.11
When PsA affects the joints of your arms and legs, like knees, elbows, wrists, hands and feet, it’s called peripheral arthritis.10 People with peripheral arthritis are more likely to develop dactylitis and enthesitis.10 It can be painful and make movement difficult.12
Spondylitis [pronounced spon-dill-eye-tiss] is inflammation of the spinal column and can affect the neck, lower back and hips, causing pain and discomfort.12
If you have PsA (psoriatic arthritis) or Pso (psoriasis) and you have any questions or concerns about how you’re feeling, be sure to speak to your healthcare professional. We’ve put together some tips for making the most of each appointment.
You may be interested in:
1. Creakyjoints. Psoriatic arthritis flare-ups. Available at: https://creakyjoints.org/living-with-arthritis/psoriatic-arthritis-flare-ups/ Accessed: June 2020.
2. National Psoriasis Foundation. About psoriatic arthritis. Available at: https://www.psoriasis.org/about-psoriatic-arthritis Accessed: June 2020.
3. Ritchlin CT, et al. N Engl J Med 2017;376:957-970.
4. NHS. Psoriasis: symptoms. Available at: https://www.nhs.uk/conditions/psoriasis/symptoms/ Accessed: June 2020.
5. WebMD. Psoriasis. Available at: https://www.webmd.com/skin-problems-and-treatments/psoriasis/understanding-psoriasis-basics Accessed: June 2020.
6. British Association of Dermatologists patient hub; Psoriasis: an overview. Available at: https://www.skinhealthinfo.org.uk/condition/psoriasis/ Accessed: June 2020.
7. National Psoriasis Foundation. About psoriasis. Available at: https://www.psoriasis.org/about-psoriasis. Accessed June 2020.
8. DermNet NZ. Nail psoriasis. Available at: https://dermnetnz.org/topics/nail-psoriasis/ Accessed: June 2020.
9. Creakyjoints. What is dactylitis? Available at: https://creakyjoints.org/symptoms/what-is-dactylitis/ Accessed: June 2020.
10. Creakyjoints. The different types of psoriatic arthritis. Available at: https://creakyjoints.org/symptoms/psoriatic-arthritis-types/ Accessed: June 2020.
11. Versus arthritis. Psoriatic arthritis. Available at: https://www.versusarthritis.org/about-arthritis/conditions/psoriatic-arthritis/ Accessed: June 2020.
12. National Psoriasis Foundation. Classification of psoriatic arthritis. Available at: https://www.psoriasis.org/psoriatic-arthritis/classification-of-psoriatic-arthritis Accessed: June 2020.