Re: psoriatic arthritis without psoriasis?

[Guest guest]

Hi caroline,

I had the arthritis from the age of 11 till 23 with no psoriasis and

after I had my first child at 23 the psoriasis started. I am 25 now and

until now the Dr.s were clueless to what it could be. They swore it had to

be rehumatoid arthitis but all blood work came back normal. So yes it is

very possible to have the arthritis first and then psoraiasis to come later

or sometimes not even at all. I think the hormones from pregnancy triggered

the psoriasis to finally come out of hiding. I hope that helps.

Joy

[Guest guest]

In a message dated 03/07/2002 1:34:03 AM Eastern Standard Time,

carchambault@... writes:

> psoriatic arthritis pre-psoriasis? is this

> indeed possible?

Sure is - I think there are numerous posts in the archives regarding this

[Guest guest]

The recent article Meghan referred us to

http://www.healthtalk.com/rain/toc/psoriatic/definition/06.html

stated that 15% of PA patients experience arthritis before developing

psoriasis. Let us hear about your visit to the rheumatologist-- in

Virginia

[ ] psoriatic arthritis without psoriasis?

> hello - i'm new to this group. i'm a 30 year old female who is in the

process

> of being diagnosed for a long history of joint pain and inflammation. my

> doctor is pretty sure that it is psoriatic arthritis - we are awaiting a

> rheumatologist appointment to finalize diagnosis. the thing is - i don't

have

> psoriasis. my father has it and it runs on his side of the family. does

anyone

> out there have this kind of history - psoriatic arthritis pre-psoriasis?

is this

> indeed possible? any advice is great - caroline

>

>

>

>

>

[Guest guest]

> hello - i'm new to this group. i'm a 30 year old female who is in

the process

> of being diagnosed for a long history of joint pain and

inflammation. my

> doctor is pretty sure that it is psoriatic arthritis - we are

awaiting a

> rheumatologist appointment to finalize diagnosis. the thing is - i

don't have

> psoriasis. my father has it and it runs on his side of the family.

does anyone

> out there have this kind of history - psoriatic arthritis pre-

psoriasis? is this

> indeed possible? any advice is great - caroline

Dear caroline:

From what I have learned of AS (ankylosing spondylitis), there are as

many manifestations of the disease as there are people with it--and

actually more (the majority of people who have it remain sub-clinical

as it does not evolve into a more serious condition).

In our (AS) case, many people with the spinal involvement never seem

to have alimentary tract problems, yet these are at the root of AS

and certainly existed but were not noticed, as such.

In the case of psoriasis, it would be lucky to not have the skin

lesions along with the joint pain, but it is a hereditary condition

and almost no doubt from your father's genetic contribution.

I had both psoriasis without knowing it (lesions were singular and

infrequent), and IBD, too and yet first diagnosed with AS due to S-I

pain. One of our group, Carol Sinclair ( " The IBS Starch--Free Diet " )

at first only had symptoms of IBS--so severe that when she figured it

out and fixed it, she never developed any sign of AS aside from the

occasional aches pains.

Good luck to you,

[Guest guest]

Hi Caroline

Yes I have had PA for some 7 years now but have never developed

P. My Dad had P but no PA and my daughter has P but no PA

...very strange. My rheumy told me when I was first diagnosed that I

had about a 50% chance of developing P but touch wood I am clear

so far.

As a keen genealogist I decided to set up a health family tree and

came up with so many auto immune diseases all on one side of the

family and carrying on to the young ones of today. The first

ancestor I picked up died in 1888 of 'rheumatism' he had been

invalided out of the British Army at the age of 43 with chronic

rheumatism he was in his late 80's when he died.. imagine having

arthritis for that many years with NO treatment!! Doesn't bear

thinking about.

Regards

Gaye

[Guest guest]

Hi. My name is and I got Psoriatic arthritis first!! In fact I

was watching the olympics (I am in U.S.) in February of 1996 and was

unable to get up from pain. I went to the doctor and was diagnosed

about 3 months later. Then my Psoriasis came into being. From what I

know of it you don't have to have Psoriasis involvement. My Cousin

shows no outward signs of Psoriasis yet is more severe in that

department then I (until recently we are about the same). Hope this

helps.

[Guest guest]

thank you all for your responses - this group is very helpful. it's nice to

know that you are not alone. after having these symptoms for so many

years and getting no answers, i was starting to feel a little that i was crazy!

i guess now i have to wait for the rheumatologist appointment. i'll let you

know - as i am bound to have some questions if it does indeed turn out to

be PA. -caroline

[Guest guest]

Hi Caroline,

It took over a year for me to get a diagnosis mainly because I was 22 at the

time (too young to have arthritis) and I didn't have any psoriasis. I had one

joint on my pinky finger (the one closest to the nail) that was very red, very

swollen and very painful. The Dr.s thought I had broken it but I knew that I

didn't hurt it. I just woke up one day and it was there. They even went so far

as to say that it could be a reaction to different climate, different food (I

had moved to Portugal with my husband). I also had some yellowing in my

fingernails but the Dr.s thought it was nail fungus and treated it with lamisil.

Well I went through the 3 months of treatment for my nails and they weren't

getting any better. My finger was only getting worse. I was in excruciating

pain and they didn't know what to do. By then it had spread to my middle

finger. My husband and I decided to return to the states to have it looked at.

8 months later when we made it back to the states I saw a dr. in a free hospital

(I didn't have insurance for the first 8 months when we returned. He thought

there was something wrong with the capsule??? He put me on NSAIDS and sent me

to physical therapy for my finger. I had many doubts. He even wanted me to

wrap it to immobilize it (big no no w/ arthritis). When I finally got insurance

I saw a rheumatologist and they flat out said that it was psoriatic arthritis.

By then the arthritis spread to my toes and all my fingers. My fingernails

cleared up with Enbrel and I don't have any psoriasis at all. The arthritis is

pretty much in control with the Enbrel (for the most part). I pray to God that

I never get it on my body. It is hard enough dealing with arthritis, I really

feel for the people who have to suffer from the psoriasis too. Oh by the way,

no one in my family has psoriasis or psoriatic arthritis (not even grandparents

or great grandparents). Go figure.

>>> carchambault@... 03/06/02 07:25PM >>>

hello - i'm new to this group. i'm a 30 year old female who is in the process

of being diagnosed for a long history of joint pain and inflammation. my

doctor is pretty sure that it is psoriatic arthritis - we are awaiting a

rheumatologist appointment to finalize diagnosis. the thing is - i don't have

psoriasis. my father has it and it runs on his side of the family. does anyone

out there have this kind of history - psoriatic arthritis pre-psoriasis? is this

indeed possible? any advice is great - caroline