Bone erosion and psoriatic arthritis

[mataribot]

~86 give or take a few have bone erosions. Can someone explain why that wasn't the first line in the conclusion?

[D Foster]

Objective:
Psoriatic arthritis (PsA) has been recognized as a severe erosive disease. However, some patients do not develop erosions. We aimed to determine the prevalence, characteristics, and predictors of erosion-free patients (EFP) as compared with erosion-present patients (EPP) among patients with PsA followed prospectively.

That's because the primary Objective is to look at EFP patients and why they have no erosions .

[reham abdullah]

I am a PsA patient from 8 years ago, before 3 months there is pain and limited ROM, so when I went to rheumatologist he confirmed that there is development of distal clavicle bone erosion “ x-ray showed” , and ask for MRI for more investigations,

so the Q what will i do? Iam confusing right now. 
ANd my Rt knee start develops the same symptoms that I feel on my shoulder. 
Am I psychologically terrified?

[jiml]

I am a PsA patient from 8 years ago, before 3 months there is pain and limited ROM, so when I went to rheumatologist he confirmed that there is development of distal clavicle bone erosion “ x-ray showed” , and ask for MRI for more investigations,

so the Q what will i do? Iam confusing right now. 
ANd my Rt knee start develops the same symptoms that I feel on my shoulder. 
Am I psychologically terrified?

Hi reham and   to the club I see you are on humira for Psoriasis, does that help with the Psoriatic Arthritis if not you will need to work with your rheumatologist or dermatologist to find a drug that can slow or stop the erosion in your joints... there should be a biological drug that will limit the erosion and might stop it for a while
I wish you luck and hope you can get on to something that works for you, unfortunately we are all different and what works for one may not work for another, so it’s s bit of trial and error .... you can check the different biologicals out on this link Biological Treatments For Psoriasis

[Caroline]

I am a PsA patient from 8 years ago, before 3 months there is pain and limited ROM, so when I went to rheumatologist he confirmed that there is development of distal clavicle bone erosion “ x-ray showed” , and ask for MRI for more investigations,

so the Q what will i do? Iam confusing right now. 
ANd my Rt knee start develops the same symptoms that I feel on my shoulder. 
Am I psychologically terrified?

Hi Reham,

Welcome to psoriasisclub.

Can you tell us more about the treatments you already have had? E.g. Did you have systemic treatments?
How is the availability of biolocal treatments at your location?

Cheers,
Caroline

[reham abdullah]

I am a PsA patient from 8 years ago, before 3 months there is pain and limited ROM, so when I went to rheumatologist he confirmed that there is development of distal clavicle bone erosion “ x-ray showed” , and ask for MRI for more investigations,

so the Q what will i do? Iam confusing right now. 
ANd my Rt knee start develops the same symptoms that I feel on my shoulder. 
Am I psychologically terrified?

Hi Reham,

Welcome to psoriasisclub.

Can you tell us more about the treatments you already have had? E.g. Did you have systemic treatments?
How is the availability of biolocal treatments at your location?

Cheers,
Caroline

Hello there, yeah I used enbrel injections for 6 years already and change it to humira injections last two years. 

The doctors consider to add MTX for my medication list. 
I am truly depressed that my bone erosion get another step or something. 

Always keep fighting. 
Reham.

[Caroline]

I am a PsA patient from 8 years ago, before 3 months there is pain and limited ROM, so when I went to rheumatologist he confirmed that there is development of distal clavicle bone erosion “ x-ray showed” , and ask for MRI for more investigations,

so the Q what will i do? Iam confusing right now. 
ANd my Rt knee start develops the same symptoms that I feel on my shoulder. 
Am I psychologically terrified?

Hi Reham,

Welcome to psoriasisclub.

Can you tell us more about the treatments you already have had? E.g. Did you have systemic treatments?
How is the availability of biolocal treatments at your location?

Cheers,
Caroline

Hello there, yeah I used enbrel injections for 6 years already and change it to humira injections last two years. 

The doctors consider to add MTX for my medication list. 
I am truly depressed that my bone erosion get another step or something. 

Always keep fighting. 
Reham.

MTX is not such good stuff. Reham.
Did you ever consider the fumarates? I think your location in the world is Saudi Arabia, it might be possible to get DMF over there.

Most people will finally fail with Humira, that is the experience we derive from the results of the people over here. I guess the Enbrel also stopped working?

Never give up.
Caroline

[Fred]

I think your location in the world is Saudi Arabia.

I was thinking South Africa.

[reham abdullah]

I am a PsA patient from 8 years ago, before 3 months there is pain and limited ROM, so when I went to rheumatologist he confirmed that there is development of distal clavicle bone erosion “ x-ray showed” , and ask for MRI for more investigations,

so the Q what will i do? Iam confusing right now. 
ANd my Rt knee start develops the same symptoms that I feel on my shoulder. 
Am I psychologically terrified?

Hi Reham,

Welcome to psoriasisclub.

Can you tell us more about the treatments you already have had? E.g. Did you have systemic treatments?
How is the availability of biolocal treatments at your location?

Cheers,
Caroline

Hello there, yeah I used enbrel injections for 6 years already and change it to humira injections last two years. 

The doctors consider to add MTX for my medication list. 
I am truly depressed that my bone erosion get another step or something. 

Always keep fighting. 
Reham.

MTX is not such good stuff. Reham.
Did you ever consider the fumarates? I think your location in the world is Saudi Arabia, it might be possible to get DMF over there.

Most people will finally fail with Humira, that is the experience we derive from the results of the people over here. I guess the Enbrel also stopped working?

Never give up.
Caroline

Yeah am from Saudi Arabia, but this is the first time I hear about fumarates. 
Thank you for your guide I will ask my rheumatologist and dermatologist about it. 
I start using humira injections because the joint pain increased and enbrel didn’t work on my joint just for the skin. 

Thank you. 
Reham

[Caroline]

I am a PsA patient from 8 years ago, before 3 months there is pain and limited ROM, so when I went to rheumatologist he confirmed that there is development of distal clavicle bone erosion “ x-ray showed” , and ask for MRI for more investigations,

so the Q what will i do? Iam confusing right now. 
ANd my Rt knee start develops the same symptoms that I feel on my shoulder. 
Am I psychologically terrified?

Hi Reham,

Welcome to psoriasisclub.

Can you tell us more about the treatments you already have had? E.g. Did you have systemic treatments?
How is the availability of biolocal treatments at your location?

Cheers,
Caroline

Hello there, yeah I used enbrel injections for 6 years already and change it to humira injections last two years. 

The doctors consider to add MTX for my medication list. 
I am truly depressed that my bone erosion get another step or something. 

Always keep fighting. 
Reham.

MTX is not such good stuff. Reham.
Did you ever consider the fumarates? I think your location in the world is Saudi Arabia, it might be possible to get DMF over there.

Most people will finally fail with Humira, that is the experience we derive from the results of the people over here. I guess the Enbrel also stopped working?

Never give up.
Caroline

Yeah am from Saudi Arabia, but this is the first time I hear about fumarates. 
Thank you for your guide I will ask my rheumatologist and dermatologist about it. 
I start using humira injections because the joint pain increased and enbrel didn’t work on my joint just for the skin. 

Thank you. 
Reham

Hi Reham,

There is a lot written on this forum about DMF, a starter to read may be Dimethylfumarates and Psoriasis.
The interesting thing is that it is a very cheap medication while fumarates are natural to your body.
If you want to know more about it, let us know.

We are here to help each other if we can.
Caroline