Psoriatic arthritis (PsA) often — but not always — develops in people who already have psoriasis. Early signs of PsA include swelling in the fingers, eye inflammation, fatigue, nail changes, and joint stiffness.
For some people, PsA may start with mild symptoms that develop slowly over a long period of time. For others, PsA symptoms can quickly become severe. Knowing the early signs of PsA is critical for receiving a timely diagnosis and treatment.
Here are some pictures of some early signs and symptoms of PsA.
People with psoriasis or PsA can feel tired for long periods. Fatigue is a tiredness that persists regardless of rest. According to one
2. Pitted nails
Research suggests that nail changes occur in
Pits are superficial depressions within the nail plate that are a symptom in people with PsA. People may notice that they have pits next to smoother sections of the nail. This indicates past periods of symptom flare-ups.
3. Ridged nails
Onycholysis may occur alongside pitting or ridged nails. It is not usually painful. As the nail peels from the nail bed, it can turn a number of different colors, including yellow, white, or purple.
5. Lower back pain
Dactylitis is where a finger or toe swells into a sausage-like shape. This swelling can cause pain in the fingers or toes. Dactylitis may also occur with gout or pseudogout but is less common in other forms of arthritis.
Studies suggest around
In people with PsA, the swelling involves the entire finger or toe rather than just the area around the joint. It can also impact individual fingers and toes differently. For example, it may only affect one hand or foot.
7. Inflamed eyes
Another early symptom of PsA is for people to experience eye problems. These can include redness and inflammation.
- light sensitivity
- blurry vision
- loss of peripheral vision
- eye redness and pain
- dark, floating spots in the field of vision, known as floaters
8. Joint stiffness in the morning
Some people will have periods where they are not stiff at any point during the day, which doctors refer to as remission.
The areas of the body where tendons and ligaments attach to a person’s bones are known as entheses. In people with PsA, these areas can become painful and inflamed. Doctors refer to this condition as enthesitis.
Enthesitis can occur anywhere in the body, including the:
- Achilles tendons
Treatment may include:
- nonsteroidal anti-inflammatory drugs (NSAIDs)
- physical therapy
- resting the joint
- injections of steroids
10. Swollen joints
PsA causes inflammation in joints. People may experience swelling, pain, and stiffness, or tenderness in the affected joints. It can occur in one or many joints.
PsA can affect any joint around the body, including the:
People may also report that their joints feel warm to the touch. They may find that their grip becomes weak or that they have difficulty lifting things.
Healthcare professionals may suggest a number of medications to treat PsA, including:
- disease-modifying antirheumatic drugs
- topical analgesics
- phosphodiesterase 4 inhibitors
- Janus kinase inhibitors
11. Limited range of motion
Some people will find it more difficult to bend their knees, extend their arms, or manipulate their fingers. This can cause problems with performing day-to-day activities, such as getting dressed or bathing.
Rest and heat therapy can help someone return to their full range of motion. Physical therapy may also help prevent movement problems.
12. Skin irritation
It is not always possible to prevent PsA from developing.
For many people, PsA may develop around 10 years after they begin to have symptoms of psoriasis. Other people may develop PsA without any signs of psoriasis beforehand. This means that it can be difficult for healthcare professionals to determine who will develop the condition.
Here are some questions people often ask about PsA.
What are six early signs of psoriatic arthritis?
Six early signs of PsA are joint pain and swelling, swollen fingers, nail changes, fatigue, eye inflammation, and enthesitis, which affects the places where the tendons and muscles join the bones. Around
What causes psoriatic arthritis?
Psoriatic arthritis is a symptom of psoriatic disease, which is also the underlying cause of skin psoriasis.
Factors that can trigger or worsen symptoms include stress, smoking, obesity, and the use of some medications.
How is PsA different from other types of arthritis?
Psoriatic arthritis stems from psoriatic disease, an inflammatory condition that can affect the skin, joints, and eyes. It
Osteoarthritis happens when cartilage wears away, leading to bone damage. Rheumatoid arthritis is also an inflammatory type of arthritis that can affect the whole body, but it does not involve psoriatic skin lesions or enthesitis.
If a person has psoriasis, they should be aware of the early signs and symptoms of PsA. This way, they can speak with a healthcare professional immediately after new symptoms begin.
It is important to treat PsA as early as possible to help prevent permanent damage.