PSa reports and clinical diagnosis
I have been diagnosed with PSa where as all my tests like CRP , antidsdna, cbc, are all fine.. but clinically i my feet toes are swollen and i feel pain in my whole body.
The doctor said that some times reports does not co relate with physical symptoms.
Can some one comment on the above. What to do next.
HI Sabeeh. There are no definitive tests for PsA and blood work comes back normal for about 50 percent of people who have it. So it is possible to have normal results on all those tests and still have PsA. Swollen toes or fingers are common in people with PsA, so that might have been a deciding clue for your doctor. The clinical term is dactylitis. Here is an article about it that might interested you: https://psoriatic-arthritis.com/psa-symptoms/swollen-fingers-toes. Here is article about the diagnostic process for PsA that you might also find interesting: https://psoriatic-arthritis.com/how-doctor-diagnose. If you are not confident in your doctor's diagnosis, there is no harm in getting a second opinion. I hope you get some relief soon. Thinking of you! - Lori (Team Member)
My labs are always "normal" as well but as long as you have the diagnosis you can begin treatment. After several drug trials over the past 2 years I am having some relief. There are many people with clinical diagnosis of PSA with normal inflammatory markers. I'm not sure of the reasoning for that. Part of my diagnosis was my response to prednisone. but , at the moment i am not using any drugs for now. Only take NSAID xobix after 4-5 days to cool inflammation in body.
Read this
https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-020-2111-8
There are other ways to test for PsA when CRP is normal.I was recently questioned about my PSA.
"How do you know you have PSA?".
Who dx'd you? "Where are your skin plaques?".
Even brought along Xrays of my SI joints flaring for the records.
Lose some weight, get a couple shots in your back (not FDA approved) and you will soon feel better.
So insulting. Maybe I can not or will not do that. Maybe I have reactions to the medications.
Don't let a doctor like that get in your head. It's not worth it.
The pain from PSA is over the top on most days. I would not wish it on anyone --'
