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Living with Psoriatic Arthritis (PsA)

List of Symptoms - all PsA related?

#1

These are my symptoms but not sure if all are PsA related:

  1. Psoriasis
    Type: mostly guttate, some inverse psoriasis in folds, rare plaques, and once had tiny water filled blisters that seemed to become guttate(?)
    Location: scalp, eyebrows, nares, ears, back, belly button, underarms, back of thighs, top of feet, skin folds including down under. Strangely NOT on elbows or knees so far.
  2. Fatigue
  3. Stiffness in morning that improves during day so long as I move
  4. Plantar fasciitis
  5. Dactylitis aka sausage fingers
  6. Joint pain/enthesitis/costochondritis (?)
    Location: metatarsals in both feet, knees - Lt worse, SI joint, lumbar and cervical vertebrae, DIP joints both hands - Lt worse, wrists, lower ribs where they meet sternum, sternoclavicular joint
  7. Recurrent Blepharitis/conjunctivitis - cracking and peeling at the outer corners plus dry, crusty eyes
  8. Inability to close my left hand
  9. Loss of hand strength bilaterally
  10. Tinnitus - loud and high pitched but no hearing loss per testing
  11. Bilateral rotator cuff tears/bursitis/partial frozen shoulder
  12. Loss of libido
  13. Ridges on nails and splitting longways
  14. Tingling and loss of hot/cold sensation in fingers and toes (constant)
  15. Tingling and odd sensations on cheeks/nose (comes and goes)
  16. Very painful muscle spasms that occur in random places - hip, low back, neck, toes, upper back, arches, jaw
  17. Sciatica

So many symptoms, sometimes I feel like a hypochondriac but since the PsA diagnosis I know there is a cause for at least some of what I am feeling and it is NOT all in my head.

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#2

Hello @Blue_Waters. Gosh that’s a load of symptoms all at once. Personally I’d say yes most of them can be all PsA. The tingling could be neuropathy and if so can be medicated separately, which I’m told can ease it considerably. Others on here have recently posted just about that. So maybe have a look. Let’s hope your PsA meds ease some of these other symptoms down some more thought.

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#3

Hello there.

I agree with @Poo_therapy, most of them could well be PsA-related. Though no. 12 sounds more like a logical result of all the others!

The many and varied symptoms do tend to make us feel as if we’re going nuts. But then this is a whole body disease. However the plus side is that when treatment and self-management start to be effective, the whole body (and indeed the mind) also benefit. Oh wow, that’s so easy for me to say from my perspective … I’m guessing you’re newly diagnosed. I should rather say ‘travel hopefully / keep at it’, things are very likely to improve.

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#4

Thank you for the encouragement. I have most of the top ten currently but the rest of them come and go. But these are all the symptoms I reported to doctors over the past couple decades and was basically dismissed. Bursitis in both shoulders is very old. Loss of ROM but no longer painful. I mentioned it because doctors could never figure out why I had it suddenly (not a pro baseball pitcher) first in rt shoulder and then moved to left. Treatment had little effect and then it went away 2 years later. Very weird. Also no sciatica now but multiple bouts in past. (No fun!!). No inverse and only ~30% guttate psoriasis coverage.

Forgot 2 symptoms:

  1. Brain fog
  2. GI problems for decades… celiac negative blood test.
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#5

Hi Blue Waters,

I’d say most of them are pretty typical. For example, in my 7 years of PsA, I’ve had all 19 (including the two new ones you listed) except number 8, 11, 14, and 15 (though I’ve had other shoulder issues, and other types of neuropathy in my extremities).

Unfortunately, I could still add quite a few to this list :joy::rofl:

In most cases, I find that when the PsA meds are working well, all of the associated symptoms subside (at that point you can actually identify if you have something else - or - Yay! - if it is all PsA and your meds are working for it).

The only one of the list above that does not appear to have a close correlation with how my meds are working is Tinnitus. It is so often mentioned on here though, that it almost seems too coincidental.

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#6

I believe I have pulsatile tinnitus, not sure if it’s related but it appeared around onset of PsA. It is when I can feel my blood pressure in my ear tubes in my neck area and hear my heart beating. It can be scary like I am going to have a heart attack but it usually just comes, lasts for a while, an hour at most usually, then suddenly I realize it has gone away. I’ve checked my blood pressure when it’s happening at it is normal. I read up on it and one of the possible causes is inflammation or infection of the ear canals or throat. I don’t get sick or infections very often, even with all the immunosuppressants, so I don’t think I’ve had an infection for 3 years since onset. Inflammation I will buy though since it manifests in so many other ways.

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#7

Wow, that’s interesting! That would certainly go some way to explaining why tinnitus is so commonly mentioned here!

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#8

Gosh I’ve always (I think) heard my heart beating and certainly have it disturb me getting off to sleep at times. And I’ve certainly suffered low grade tinnitus since PsA made worse by certain meds too. And I’ve always thought the tinnitus was anyway PsA related.

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#9

Hi Blue Waters,
I’d say nearly every one of your symptoms have been experienced by most of us here, including myself. You didn’t mention tendinitis, but I think maybe wrist tendinitis could be the cause of your weak hands? I HAD terrible tendinitis in my shoulders and wrists. OMG your number 8–I had forgotten I couldn’t make a fist with my right hand before I started Enbrel! I couldn’t see my knuckles in either hand! WOW, sometimes I forget how much improved my life is since being on Enbrel!!!
Sad thing is, the years of not treating PsA brought on a lot of damage and other health problems.I can tell you that numbers 2,4,5,7,8,9,11,14,15,16,17 are non-existent anymore and I’m hoping Enbrel keeps them at bay…a couple of them I didn’t have or I’d describe them differently for myself—such as the tingling in hands and feet—I had severe burning and sharp pain as walking on a bed of hot coals and nails. My eye/vision problems are different, too. Lots of blurred/double vision and a weak left eyelid.
Although I’m very pleased how well Enbrel works for me—my health is definitely not good. I’m pretty sure my coronary artery disease is from PsA.
I guess it’ll always be an uphill battle, although things could be a lot worse. Also, I’m 65. My PsA symptoms started in my early 50s. Actually I had psoriasis since 22, back trouble in my mid 30s, plantar fasciitis at 40, IBS from mid 40s to late 50s and weird heart problems starting in my late 40s.
For some of us, the diagnosis of PsA takes a long time—doctors looked at my fingernails at every visit. It wasn’t until my fingernails had pitting and lifting that the dots were connected.
I hope you get a treatment plan so you can eliminate the worst of your symptoms.

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#10

I recognize all the symptoms…i just assume I am auto-immuny, with meniere’s disease, chronic bursitis in shoulder and hips (steroid shots are amazing!) My Rheumi tends to look at labs not me… so fustrating.
I think its all connected! Now i have bronchiectasis…?

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#11

I can identify with 1,2,6,7&9. Have you had a HLBA27 blood test?

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