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Artritis psoriásica - Treatment

Nombres alternativos

Artritis soriásica

Tratamiento:

El médico puede prescribir antinflamatorios no esteroides (AINES) para reducir el dolor y la inflamación de las articulaciones.

La artritis más grave requiere un tratamiento con fármacos más potentes llamados medicamentos antirreumáticos modificadores de la enfermedad (DMARD, por sus siglas en inglés), tales como:

  • Leflunomida
  • Metotrexato
  • Sulfasalazina

Nuevos medicamentos que bloquean una proteína inflamatoria, llamada factor de necrosis tumoral (FNT), se están convirtiendo en la opción de tratamiento para la artritis psoriásica. Estos medicamentos abarcan:

  • Adalimumab (Humira)
  • Etanercept (Enbrel)
  • Golimumab (Simponi)
  • Infliximab (Remicade)

En ocasiones, las articulaciones particularmente dolorosas se pueden inyectar con medicamentos esteroides.

En casos excepcionales, los pacientes necesitan cirugía para repararles o reemplazarles las articulaciones lesionadas.

El médico puede aconsejar una mezcla saludable de descanso y ejercicio. La fisioterapia puede ayudar a incrementar el movimiento de articulaciones específicas. También se puede utilizar la terapia de calor y frío.

Pronóstico:

La enfermedad a menudo es leve y afecta sólo unas pocas articulaciones. Unas pocas personas presentarán artritis psoriásica grave en las manos, los pies y la columna que ocasiona deformidades.

En las personas con artritis grave, el tratamiento aún puede aliviar el dolor y prevenir la destrucción de la articulación, especialmente si se inicia a tiempo.

Posibles complicaciones:

Se pueden presentar episodios repetitivos.

Cuándo contactar a un profesional médico:

Solicite una cita médica si se desarrollan síntomas de artritis junto con psoriasis.

  • Reviewed last on: 6/29/2011
  • Neil J. Gonter, MD, Assistant Professor of Medicine, Columbia University, NY and private practice specializing in Rheumatology at Rheumatology Associates of North Jersey, Teaneck, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Gottlieb A, Korman NJ, Gordon KB, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 2. Psoriatic arthritis: overview and guidelines of care for treatment with an emphasis on the biologics. J Am Acad Dermatol. 2008;58(5):851-864.
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