“I felt hopeless.”
Another complicating factor is that historically, psoriatic disease has typically been reported and thought to be more prevalent in patients of northern European heritage, he tells SELF. Until recently, it was believed to be relatively uncommon in people of color, however more recent research suggests that under-reporting and selection bias may play a role in that.Many people with psoriatic arthritis face delays in diagnosis, regardless of their skin tone.
“The results from the scan didn’t fit in with any sort of injury, or any sort of wear and tear damage, and with a few other nagging bits in my history, it meant that I was referred straight to the rheumatology team,” Wilson says. Despite inconclusive blood tests, Wilson was diagnosed with rheumatoid arthritis. It wasn’t until she was 28 that she had what she describes as her “largest breakthrough”—she moved to another part of the country and saw a new doctor.
“In the case of a patient who is having regular flares with attacks of swollen joints and severe stiffness, we may need to add immunomodulatory medication since PsA is an autoimmune condition,” says Dr. Fors Nieves. These might include conventional disease-modifying antirheumatic drugs , biologics, or enzyme inhibitors., a rheumatologist in Aventura, Florida, tells SELF.
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