In this video "If You Have Psoriasis Of The Skin, You Will Also Get Psoriatic Arthritis", Dr. Hatem Eleishi explains how some patients can have only psoriatic arthritis and not psoriasis of the skin.
Prof. Dr. Hatem Eleishi is a professor of rheumatology (Egypt - Saudi Arabia). Dr. Hatem Eleishi also provides online consultations to patients with arthritis.
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The complete of videos about psoriatic arthritis in this series include:
What is psoriasis and psoriatic arthritis
Who gets affected by psoriatic arthritis?
If I have psoriasis of the skin, do I have to get psoriatic arthritis
Symptoms of psoriatic arthritis
Three ways doctors diagnose psoriatic arthritis
Six ways doctors can tell if it is rheumatoid arthritis or psoriatic arthritis
Treatment of psoriatic arthritis and psoriasis of the skin
Medications used in the treatment of psoriatic arthritis and psoriasis of the skin
Sometimes when we diagnose a patient with psoriatic arthritis, he or she will tell us they don’t have any psoriasis of the skin. The question here is: Do all patients with psoriatic arthritis have to have psoriasis of the skin or the scalp or the nails?
I am Dr. Hatem Eleishi, professor of rheumatology, and what we are here to answer this important common question that the patients asked everyday.
The word "psoriasis" in medicine is commonly relates to an autoimmune disease of the skin called "skin psoriasis" that affects either the skin itself or the scalp or the nails. However, psoriasis in medicine is also related to the autoimmune disease called psoriatic arthritis which affect the joints.
Seventy percent of the patients that we, rheumatologists, see in our clinics who have psoriatic arthritis also have a diagnosis of psoriasis of the skin or the scalp or the nails.
A smaller percent of patients with psoriatic arthritis do not report that they ever had a diagnosis of psoriasis made by the dermatologist but we discover that they do have psoriasis of the skin when we examine them; very mild lesions that were missed and not diagnosed.
A smaller percent of patients that we diagnose as psoriatic arthritis do not have a diagnosis of psoriasis and do not have any evidence of psoriasis when we examine them. They might develop psoriasis of the skin later on maybe or they might never develop this psoriasis ever.
In all cases you need to know that when we, rheumatologists, diagnose psoriatic arthritis, we do not base our diagnosis on a mandatory presence of skin psoriasis. We base the diagnosis on other criteria that are related to the pattern of the arthritis and on features of the arthritis that are specific to psoriatic arthritis regardless of any skin affection.
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