What Is the Life Expectancy of Someone with Psoriatic Arthritis?

Reviewed on 7/19/2021

People with psoriatic arthritis, a type of arthritis that can occur in people with psoriasis, generally have a life expectancy of approximately three years shorter than the general population. If psoriatic arthritis is left untreated, it can cause severe disability.
People with psoriatic arthritis, a type of arthritis that can occur in people with psoriasis, generally have a life expectancy of approximately three years shorter than the general population. If psoriatic arthritis is left untreated, it can cause severe disability.

Psoriatic arthritis is a type of inflammatory arthritis that may occur in people who have psoriasis, a chronic autoimmune skin condition that causes rapid skin cell growth and renewal. 

If not treated, psoriatic arthritis can lead to severe disability. Patients with psoriatic arthritis have a life expectancy estimated to be approximately three years shorter than the general population.

Aggressive treatment of psoriatic arthritis in the early stages can lead to a significantly improved prognosis. 

What Are Symptoms of Psoriatic Arthritis?

Symptoms of psoriatic arthritis include:

  • Skin rash (psoriasis)
  • Red patches of skin with silvery scales (plaques)
    • Commonly appears on the scalp, elbows, knees, and around the ears
  • Skin redness and warmth 
  • Scaly and itchy skin
  • Thickening skin
  • Joint pain, swelling, and stiffness
    • Often on one side of the body
    • Pain is worse in the morning or after resting
    • Can affect any joint, but commonly occurs in large joints of lower extremities such as the knees and ankles 
    • Reduced range of motion in the joints
    • Pain and stiffness of the neck and lower back
    • Hip and shoulder pain
    • Heel pain and foot pain 
  • Fatigue
  • Sausage-like swelling of fingers and/or toes
  • Nails separate from nail bed
  • Pitted, crumbling nails
  • Eye inflammation such as pink eye (conjunctivitis

How Is Psoriatic Arthritis Diagnosed?

Psoriatic arthritis is diagnosed with a patient history and physical examination, along with tests to help diagnose psoriatic arthritis or to rule out other conditions that can mimic psoriatic arthritis, such as: 

How Is Psoriatic Arthritis Treated?

While there is no cure for psoriatic arthritis, early and aggressive treatment of psoriatic arthritis can lead to a significantly improved prognosis and treatment is aimed at relieving symptoms and preventing further joint damage. 

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin), naproxen (Aleve), aspirin, and celecoxib (Celebrex) can be used to treat pain and inflammation in mild cases of psoriatic arthritis.

More severe cases of psoriatic arthritis may be treated with: 

What Are Complications of Psoriatic Arthritis?

Complications of psoriatic arthritis include: 

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Reviewed on 7/19/2021
References
https://www.psoriasis.org/

https://www.niams.nih.gov/Health_Info/Psoriatic_Arthritis/default.asp

https://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics

https://creakyjoints.org/

https://www.arthritis.org/

https://pubmed.ncbi.nlm.nih.gov/25603589/

https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Psoriatic-Arthritis