​Get a grip on psoriatic arthritis

October 8, 2019
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Associate Professor Dr Sargunan Sockalingam stressed the importance of understanding and seeking professional help in the early stages to prevent destruction and the loss of joint function.
For people living with severe psoriatic arthritis, performing everyday tasks such as buttoning or zipping up clothing and lifting heavy objects can be a significant challenge. Psoriatic arthritis is a form of inflammatory arthritis that occurs when the immune system mistakenly attacks healthy joint tissues, leading to inflammation, swelling, pain, and stiffness in the joints.

Understanding psoriatic arthritis
This debilitating condition primarily affects individuals who have psoriasis, a chronic autoimmune disorder characterized by raised, red patches covered with silvery-white scales. Typically, individuals develop psoriasis first, followed by the onset of psoriatic arthritis.

In Malaysia, an estimated 500,000 to 800,000 people are living with psoriasis, and approximately 15-20% of these individuals also experience psoriatic arthritis. The flare-ups of this condition can occur unpredictably, often alternating with periods of remission. While psoriatic arthritis can develop at any age, it most commonly appears between the ages of 30 and 50. Genetic predisposition plays a significant role, as individuals with a family history of the condition are at a higher risk of developing it themselves.

Symptoms and impact on daily life
Symptoms of psoriatic arthritis can vary widely among individuals. Common symptoms include:
  • Low back pain
  • Fatigue
  • Nail pitting
  • Swollen and stiff joints
  • Swelling of the toes and fingers

If left untreated, uncontrolled inflammation can severely reduce mobility and significantly impact a patient’s quality of life.

“There is currently no cure for psoriatic arthritis; however, various treatments are available to help manage symptoms effectively. If untreated, the inflammation can lead to permanent joint and tissue damage, resulting in disability,” warns Associate Professor Dr Sargunan Sockalingam, Consultant Rheumatologist at University Malaya Medical Centre.

Emotional toll and mental health challenges
Living with psoriatic arthritis presents numerous challenges beyond physical symptoms. Many patients experience emotional distress, as the condition can lead to increased feelings of depression and anxiety. Studies indicate that individuals with psoriatic arthritis are more likely to suffer from mental health issues compared to those with psoriasis alone. The frustration of coping with daily tasks often exacerbates stress, which can, in turn, trigger flare-ups and intensify pain.

Sofia, a patient diagnosed with both psoriasis and psoriatic arthritis, shares her experience: “I was first diagnosed with psoriasis when I was 12. As if that wasn’t enough, I was diagnosed with psoriatic arthritis shortly after. I felt upset, frustrated, and depressed due to my difficulties with simple tasks like writing and lifting objects. However, as I grew older, I learned to accept my condition and realized that managing it better could improve my life. I feel blessed to still have my limbs.”

Sofia continues, “I am now a more confident and courageous woman. I take pride in being able to stand tall and openly discuss my condition. My journey has shaped my self-confidence and courage, and I am determined to make a difference for the psoriasis and psoriatic arthritis community.”

The importance of early intervention
“It is crucial for psoriatic arthritis patients to understand the importance of seeking professional help early on. Early diagnosis and prompt treatment are vital in preventing joint destruction and preserving function,” Dr Sargunan emphasizes.

By raising awareness and encouraging open discussions about psoriatic arthritis, we can foster a supportive community that empowers individuals to manage their condition and improve their quality of life.

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