Link to the video “Undifferentiated arthritis”
In this video “Six Ways Doctors Can Tell If This Is Rheumatoid Arthritis Or Psoriatic Arthritis”, Dr. Hatem Eleishi explains the most important signs and symptoms doctors use to sort out the two entities.
Prof. Dr. Hatem Eleishi works as a professor of rheumatology (Egypt – Saudi Arabia). Dr. Hatem also provides online consultations to patients with arthritis throught the online platform tabibakom.com
For online consultations, click here: www.tabibakom.com/en or contact us on WhatsApp 00201010098868
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#psoriaticarthritis #rheumatoidarthritis
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
Doc, is it rheumatoid arthritis what I am suffering of? One doctor told me this is psoriatic arthritis. How do doctors know which is which? I am Dr. Hatem Eleishi, Professor of Rheumatology at Cairo University in Egypt. Stay with us while we answer this question in this video. If you have not subscribed to my channel, please do now. You will watch a lot of videos that will help you with different types arthritis. There are several symptoms and signs that can help us sort out rheumatoid arthritis from psoriatic arthritis. You don’t have to have all those symptoms and signs together. You need to have some of them. We weigh the strength of each of those symptoms and signs in the process of sorting out rheumatoid arthritis from psoriatic arthritis. Number 1: the pattern of joint affection. Rheumatoid arthritis tends to affect the joints of both sides in a symmetrical fashion unlike psoriatic arthritis that tends to be asymmetrical. This is not a rigid rule though and exceptions can exist of course and it’s up to the evaluation and assessment of the doctor to what extent he/she can rely on that sign. Number 2: Psoriatic arthritis, in one of its patterns of joint affection, loves to inflame the distal row of the joints of the fingers and rheumatoid arthritis does not show much interest in that row of joints. If this is the pattern of joint affection in a patient with psoriatic arthritis, it really helps a lot in the differentiation process. Number 3: In fifty percent of psoriatic arthritis patients there is not much stiffness of the joints in the morning unlike rheumatoid arthritis where morning stiffness is a more recognized symptom. Number 4: Sometimes, patients with psoriatic arthritis will get what we call sausage digit. This is inflammation of all the tissues of a finger or a toe. The joints and the tendons and even the soft tissues of that finger or that toe in that case are swollen and look like a piece of sausage. This sign, if present, is very much diagnostic or suggestive of psoriatic arthritis. Number 5: Having psoriasis of the skin or nails or scalp. If you have psoriasis, skin psoriasis for example, it is likely that your arthritis is psoriatic arthritis. But, again, this is not a rule. We cannot confidently say that any patient who has psoriasis of the skin and complains of symptoms in their joints that they have to have psoriatic arthritis. They need to be assessed for that and as I mentioned the doctor will do that assessment and decide. Number 6: Imaging: we can do some imaging studies.
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