Guest guest Posted October 14, 2010 Report Share Posted October 14, 2010 Welcome, ! Congrats on your pregnancy! My daughter, age 16, has psoriatic arthritis with nail involvement. In fact, that is the only place she has psoriasis on her body. She endured 2 very painful nail biopsies in order to confirm the psoriasis. Her main pain/sweeling areas are: DIP joints in fingers, knees, ankles, hips, and back. Before her diagnosis and treatment, her fingers looked like sausauges. She had involvement in 8 of her 10 nails as well as toenails. There are many people with RA who have psoriasis. According to my daughter's pediatric rheumatologist, the main differences in RA and PsA are: 1) Negative RA Factor and 2) PsA seems to attack the soft tissues around the joints rather than the joint itself causing less joint damage. I think to have a diagnosis PsA, it is important to have a very thorough physical exam where the doctor focuses on joints and skin areas affected by PsA. Best of luck to you! Kami From: Sent: Tuesday, October 12, 2010 8:35 PM Subject: [ ] Psoriatic Arthritis Hi, I haven't posted for awhile. I am seronegative blood but present with joint pain in back, neck, wrists, hands and feet. Sometimes knees. I have been on Plaquenil for 4 months. I think it may be helping, but hard to tell because I found out I was pregnant a month ago. Plaquenil is safe for pregnancy. The RA doctor has been leaning towards a diagnosis of RA, however, I have developed nail problems. I blamed the Plaq. but she assured me it does not do this. I went to dermatologist who tested for fungus infection which came back negative and she said most likely its psoriasis of the nails. I went to my RA doctor and let her look at my nails and she concurred with dermatologist that it is. She said it can be associated with joint pain and swelling. When I looked it up on internet, looks like I may have psoriatic arthritis. What does anyone know about this disease? Or, can I have RA still and psoriasis of the nails? Any input is welcomed. Thanks Quote Link to comment Share on other sites More sharing options...
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