Doctors Lounge - Rheumatology Answers
"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."
Forum Name: Rheumatology Topics
Question: Swollen hands and fingers
|palliser - Sun Jan 11, 2009 6:36 pm|
For two years, left hand swollen at wrist into full hand. Right hand, swollen thumb.
Cracks and dryness in both palms and some fingers. Dermatologist diagnoses psoriasis, attributes redness and swelling to psoriatic arthritis, refers to
Rheumatologist . Orders x-rays of hands and back. All negative. Orders blood test for certain inflammation causes, comes back negative. Prescribes anti-inflammatory Meloxicam and this helps with lower back pain but not much else.
What is causing swelling? Any treatment for this?
|Tom Plamondon PA-C - Mon Jan 12, 2009 8:31 pm|
Have any skin scrapings or skin biopsy been done?
Negative rheumatoid labs helps confirm psoriatic arthritis.
With pustular type psoriasis, methotrexate (an anti rheumatoid medicine aimed at curbing the immune reaction - which may cause psoriasis) is a treatment option. The arthritis has a good chance of responding to methotrexate too.
Your rheumatologist can discuss risks and benefits of this treatment option.
Keep us posted.
|palliser - Thu Jan 15, 2009 2:31 pm|
No skin scrapings or skin biopsy but am now awaiting an MRI. I am told this could be a lengthy wait. Sigh...
|| Check a doctor's response to similar questions|
Are you a Doctor, Pharmacist, PA or a Nurse?
Join the Doctors Lounge online medical community
Editorial activities: Publish, peer review, edit online articles.
Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.