Psoriatic arthritis is an inflammatory joint disease associated with psoriasis, which imposes a double burden on the body and mind of patients. Comprehensive management is essential to improve the quality of life of patients.
Dermatologists and rheumatologists need to work together
in the diagnosis of diseases. Patients with psoriasis rash accompanied by joint pain, swelling and stiffness should be highly vigilant. Typical affected joints include finger and toe joints, wrist joints, knee joints, etc. Morning stiffness is also common. In addition, imaging examinations such as X-ray and MRI are helpful to detect joint bone destruction, synovitis and other lesions, while inflammatory indicators and autoantibodies in blood tests can also provide a basis for diagnosis.
In terms of
treatment, medication is the core link. Traditional synthetic disease-modifying antirheumatic drugs (DMARDs) are the basis, and methotrexate is the preferred drug in most cases, which can effectively control the progress of the disease and reduce joint inflammation. Biologics have unique advantages for patients with severe disease or poor response to traditional DMARDs. Biological agents such as tumor necrosis factor-α antagonists can precisely block inflammatory pathways, quickly relieve joint symptoms, and also improve psoriasis rash. New targeted synthetic DMARDs also bring more options for treatment.
Local treatment can not be ignored. For psoriasis rash, topical glucocorticoid cream, vitamin D3 derivatives, etc. Can reduce skin inflammation and relieve itching and scaling symptoms. In local joints, physical therapy such as hot compress and massage can help relieve pain and stiffness and improve joint function. Rehabilitation training is of great significance for maintaining joint range of motion and muscle strength. Patients can carry out moderate joint activity training under professional guidance to prevent joint contracture and muscle atrophy.
Lifestyle management of
patients is also critical. Maintaining a healthy weight is essential. Being overweight can increase the burden on joints and aggravate joint pain and injury. In terms of diet, we should avoid high-sugar, high-fat and spicy stimulating foods, and eat more foods rich in vitamins, protein and dietary fiber, which helps to maintain good health and skin health.
Psychological support is also an important part of overall management. Patients with psoriatic arthritis often suffer from inferiority, anxiety and depression due to changes in skin appearance and joint pain. Healthcare workers and family members should give full understanding and care, and seek the help of psychologists when necessary, so as to help patients establish positive confidence in facing the disease and improve treatment compliance.
At the same time, regular follow-up and monitoring are important measures to ensure the therapeutic effect. Doctors need to adjust the treatment plan according to the symptoms, signs, laboratory tests and imaging results of patients, timely detection and treatment of adverse drug reactions, to ensure long-term and stable control of the disease.
