[Ash79]

#8325

Hello everyone, I have a question for you all. Can you have PSA without the skin breakouts? Family history of scalp psoriasis and my 13 year old son was recently diagnosed with this. I didn’t know it ran in my family until he was diagnosed with it last month and I started asking around. My great grandmother had it and so did some her siblings. Also found out a cousin my age has it. I just thought she always had bad dandruff. I have had a history of hip pain, swollen finger joints, back spasms (one put me in the ER last year. I did go to my GP but they sent me to the ER), every morning my back is tight and burning and takes hours to loosen up but not altogether stop hurting/burning, deep small blisters on the bottom of my feet that itch until I can’t stand it and pop them and itch more when I do pop them 3-4 times a year, dips in my fingernails, just 2 months ago I got the small vertical lines in both my thumbs but my left thumb has had a black line all the way down it for about 3 years now that never grows out it just grows like it is part of my nail now and as of last week a MRI that reads as follows:
Mild discogenic degenerative disease of the upper through mid thoratic spine,worst at T6-T7 through T8-T9 as detailed above. No significant spinal canal or neural foramen stenosis. Here is the detailed findings..
T1-T2 Subtle annular bulging without significant spinal canal foramen stenosis.
T2-T3 Normal
T3-T4 Annular bulging partially effaces the ventral thecal sac without significant spinal canal or neural foramen stenosis.
T4-T5 and T5-T6 No significant abnormality
T6-T7 Annular bulging with superimposed broad-based right paracentral disc protrusion effaces the right paracentral ventral thecal sac and abuts the right ventral aspect of the thoratic cord which is not significantly displaced.
T7-T8 A small focal right paracentral disc protrusion measures approximately 2×3-4 mm without spinal canal or neural stenosis
T8-T9 A right paracentral disc protrusion similar to at the T6-T7 level nearly effaces the right paracentral ventral thecal sac with abutment of the right ventral thoracic cord at this level which is nondisplaced. No significant spinal canal or neural foramen stenosis.
T9-T10 through T-12 No significant abnormality.

Sorry this is so long! Have a appointment with with a neurosurgeon that my GP is refering me to but its far off and was wondering if I could get some information before I go because I am stressing out over this in the meantime!

Ash~

[Donald Corenman, MD, DC]

#8430

I assume you mean psoriatic arthritis when you use the term PSA. You have the symptoms of psoriatic arthritis including finger swelling, deep blister on the soles of your feet (pustular psoriasis) and morning lower back pain that goes away with exercise.

Most likely, you have unilateral sacroilitis causing your lower back pain and morning stiffness. There are different ways to diagnose this but the gold standard is an MRI of the lumbar spine to include the sacroiliac joint. Also, certain lab test (ESR, CRP, HLA-B27 among others) can be helpful.

If you do have psoriatic arthritis, this a rheumatological disorder best treated by a rheumatologist.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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