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I-R

KAREN

Hi My name is Karen
I am 35 years old and have just been diagnosed with psoriatic arthritis. i have been in pain for about a year. I went in the hospital to have a synovectomy on my wrist, and ended up having my pisoform bone in my wrist removed. They diagnosed me with psoriatic arthritis. It was hard to diagnose being that i only had a small bit of arthritis on my neck and a small amount on my forehead.
The arthritis is in my thumb, right and left wrist, left foot and both of my big toes. I am taking methotrexate and celebrex. I get pretty nauseated with the metho..and the celebrex doesnt seem to work all that much.
This is all so new to me and rather depressing. I would like to hear from anyone who can help me out on the subject and methotrexate as well. They will not give me a time frame on how long I will be on this drug. If any of you have taken metho, how long have you been on it? I also am wondering how long it takes until you begin to feel a difference. I am a school teacher, and the arthrits is beginning to take its toll on me..
Thanks for listening..
Karen

KELLY

My name is Kelly Gioia and I'm 28 years old. I have had Psoriasis for 23 years and PA for 3 years. I got married April 27, 1997 at the age of 25 and by September of 1997 I couldn't walk up stairs and started to get stiff. My left big toe had been hurting and swollen and the other digits on that foot followed suit. My first PCP diagnosed me with gout and I thought he was crazy and left him. Two years and two PCP's later found out he was on the right track to diagnosing me properly. I have been to many doctors including orthopedist who wanted to do surgery because he thought my knee pain was a tear not arthritis.

To date my left foot is completely disfigured gone are the days of high heel and platforms. My two knees are effected my right being worse a this time. My wrist, one finger, back, neck, and hips all now have arthritis. I do believe that I would have had a chance to control this with the proper doctors at the beginning when only my toes were inflamed but, due to misdiagnoses I am a mess. I do try to keep optimistic that I will find a light at the end of my tunnel with positive thinking and an open mind. I always try to remember that I am not dying and this will not kill me. Nor will I let it consume my life. It's more of a bother and hassle than life threatening.
Kelly


LEE ANN From: Lee Ann Walter

Hello, I have just recently been diagnosed with Psoriasis and inflammatory Arthritis. I have had the Psoriasis since I was 12. I am 36 now and it has taken many years to get the right diagnosis. My Doc. did a skin biopsy to be sure. My mother has Sjorgrens syndrome which is an auto immune, connective tissue disease. In the same family as Psoriasis - Arthritis. My skin has always been affected in mostly the joint areas on my hands, back, legs, arms, and feet. My joint pain and total body aches and muscle fatigue is affecting my quality of life much more than the rash areas. My Doc. is starting me on a new medication. I am also starting the Folic Acid. I am glad I have found this group. I am looking forward to hearing other peoples stories and how you have dealt with this condition.

Lee Ann Walter

LYN From: Lyn_55@webtv.net

Hello, thought I would do a quick intro, and then slide back into "lurkdom"! LOL!!! I will explain...

I have had rheumatoid arthritis for 17 years, and OA for the last 5, peripheral neuropathy, SjS etc etc...( and a partridge in a pear tree...:), but was just dx'd with PA two weeks ago. I found I really didn't know anything about it, despite the fact that I am a RA support group/mailing list owner/moderator. So although I did do some preliminary research, I find the best way to learn about a condition is to listen to those who have it...so that is what I am going to do..listen to you!

I really do not have the time to participate in another group (but, I probably will anyway) as I also edit and publish a newsletter for FM. I also try to have a life somehere off the net. I am the mother of two, Gramma of 4. I ljust recently moved to Phoenix AZ, but my family is back in Wis.and I miss my grandkids terribly. I am going through a nasty divorce, so I tend to be stressed out most of the time, and flaring. Been on every DMARD except Remcade to no avail, and will be going into a clinical trial program in Dec. Currently I am on MTX in order to qualify for the program . I have been simply called , drug tolerant......:-/ .I use a canadian crutch always due to a tendency for my legs to suddenly paralyze from the PN and I go down. Often I need the wheelchair though, expecially during weather changes.

So...that's me...I will be listening intently to learn about this....

Lyn


MikeD

Here's my background, it will probably sound famliiar to many...

First off, I've had mild psoriasis (mostly of the scalp, but some finger/hand spots)since around 1980...scalp is controlled OK w/Topicort & tgel/tar stuff so far.

Back in 1987, just out of college, moved to DC for a new job...about 7 months later I thought I had somehow fractured my index finger; xrays were negative; so I saw an RD who ran some tests and found out the usual, Negative Rh, Positive HLA-B27, sed rate a little high, slightly pitted nails and proclaimed PA. For the next 10 years I tried just about every NSAID there is and all lost efficacy within 6 months to a year. Over the first 4 years my PA seemed to move around from joint to joint (always extremities), but after a few years appeared in multiple joints at once, assymetrically, and finally in most all extremities, ALL the time (especially my feet), and eventually spread to include my hips and base of my neck. Also, I've tried most DMARDs available over that time but never for periods > year because, frankly, they did nothing for me..no effect at ALL. Oh, and I've also even tried alternative treatments like accupuncture, homeopathy and biofeedback and soaking in the Blue Lagoon in Iceland.....all a bust.

I should add that, in all this time, the joints themselves have showed little if any damage or erosion...It is the tendon sheaths that are inflammed and painful and it's all the fluid in there that makes it painful and hard to bend the joints (fingers and feet mostly, some hip stiffness). In this sense, I am better off than many on this list, but perhaps there are others like me.

In 1997 I stopped all perscription meds out of frustration and just went on high doses of Ibuprofen for a while, but as the PA seemed to be advancing, I finally went to see a new RD again in January 1999 and started Arava in february, along w/Indocin. Got xrays again, and showed NO significant damage or joint erosion visible. Good news, for sure, but still frustrating that nothing is really helping stop the inflammation process. So far the Indocin is helping control the symptoms, but the Arava did NOTHING (stopped it after 23 weeks..no bad side effects, really, just ineffective). Also tried Celebrex recently, and it helps a little, but is not particularly potent for me (1/2 as good as indocin, for me). I may go back to it eventually. though, for long term GI considerations, since it's (supposedly) easier on the stomach/GI..

As of October 1999 I have a new spot of inflammation..my left knee.. swelled up like a baseball behind the knee (RD called it a baker's cyst) and I had to get it drained plus a shot of cortisone...fun fun. I am more than a little upset about this new spot, as it appears the PA continues to spread

I am about to start Antibiotic therapy (minocycline)and wondering if anyone else here has tried that with similar background as mine? I've always been intrigued by the "negative diagnosis" of PA... no positive test for it.... it seems to leave the door wide open for other possible causes and physicians in the dark about treating it...trial and error, basically. I'm sure it's a frustration we all feel.

RANDI
Randi has been kind enough to send us a picture of her left hand.