There are a heck of a lot of acronyms that surround Psoriatic Arthritis and its related diseases! With that in mind, here's a running list of the acronyms you're likely to encounter on this blog, or in conversation with your doctor or fellow patients:
- AS - ankylosing spondylitis. This is a related form of arthritis that can cause the spine and sacroiliac joints to fuse.1
- CRP - C-reactive protein. This is a blood test that measures a form of protein. Elevated levels can indicate inflammation.2
- DDX - differential diagnosis.
- DIP - distal interphalangeal predominate. Distal interphalangeal refers to the last knuckle of the fingers or toes. DIP is the "classic" presentation of psoriatic arthritis, but not the most common.3
- DMARD - disease modifying anti-rheumatic drug. This is a class of treatment for various forms of inflammatory arthritis. They are particularly "disease modifying" for rheumatoid arthritis patients. Methotrexate, sulfasalazine, and plaquenil are a few drugs in this class.
- Dx - diagnosis.
- ESR - erythrocyte sedimentation rate. This is a blood test performed to check for inflammation. It's commonly called the "sed rate".4
- FM or FMS - fibromyalgia syndrome. Fibromyalgia is a condition that causes chronic widespread muskuloskeletal pain. It is a common misdiagnosis for psoriatic arthritis, but also occurs alongside psoriatic arthritis and other autoimmune diseases quite frequently.5
- GP - general practitioner.
- HLA B27 - human leukocyte antigen B27. This is a blood test for a protein found on the surface of white blood cells. HLA B27 is an indication of ankylosing spondylitis and some other spondyloarthropothies.6
- JIA or JRA - juvenile idiopathic arthritis or juvenile rheumatoid arthritis.
- MTX - methotrexate. This is a type of DMARD. Methotrexate is a chemotheraphy drug, but is used in smaller doses for inflammatory arthritis treatment.7
- NPF - National Psoriasis Foundation.
- NSAID - non-steroidal anti-inflammatory drug.
- OA - osteoarthritis. Also known as your grandmother's arthritis.
- PCP - primary care provider.
- PsA - psoriatic arthritis.
- RA - rheumatoid arthritis.
- ReA - reactive arthritis.
- RF - rheumatoid factor. An indication of rheumatoid arthritis, this test is rarely positive for psoriatic arthritis patients.
- Rx - prescription.
- SAA - Spondylitis Association of America.
- SIJs - sacroiliac joints.
- SpA - spondyloarthropothy or spondyloarthritis. This is the name of the group of diseases that includes psoriatic arthritis.8
- SSDI - social security disability insurance.
- SSZ - sulfasalazine, a type of DMARD.
- TB - tuberculosis. Testing for tuberculosis is required before starting TNF inhibitor treatment. Latent infections must be treated to prevent them from becoming active while taking TNF inhibitors.9
- TNF and Anti-TNF - tumor necrosis factor. Anti-TNFs or TNF-alpha inhibitors block a portion of the immune system thought to cause inflammation. This is a common treatment for moderate to severe psoriatic arthritis.10
- USpA - undifferentiated spondyloarthropothy. This is the diagnosis given to patients whose disease has not differentiated itself as psoriatic arthritis, ankylosing spondylitis, or another specific spondyloarthropothy.11
References
1. Spondylitis Association of America. (n.d.). About ankylosing spondylitis. Retrieved from
http://www.spondylitis.org/about/as.aspx
2. Mayo Clinic. (2011, December 16). C-reactive protein test. Retrieved from
http://www.mayoclinic.com/health/c-reactive-protein/my01018
3. National Psoriasis Foundation. (n.d.). Types of psoriatic arthritis. Retrieved from
http://www.psoriasis.org/psoriatic-arthritis/types
4. Mayo Clinic. (2010, November 19). Sed rate (erythrocyte sedimentation rate). Retrieved from
http://www.mayoclinic.com/health/sed-rate/MY00343
5. Buskila, D., & Sarzi-Puttini, P. (2008, January). Fibromyalgia and autoimmune diseases: the pain behind autoimmunity.
The Israel Medical Association Journal, 10, 77-78. Retrieved from http://www.ima.org.il/imaj/ar08jan-20.pdf?q=antipolymer
6. Dugdale, D.C. (2011, May 23). HLA-B27 antigen. In MedlinePlus Medical Encyclopedia. Retrieved from
http://www.nlm.nih.gov/medlineplus/ency/article/003551.htm
7. Methotrexate. (2009, April 1). In MedlinePlus Medical Encyclopedia. Retrieved from
http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682019.html
8. Spondylitis Association of America. (n.d.). Ankylosing spondylitis & related diseases: an overview. Retrieved from
http://www.spondylitis.org/about/overview.aspx
9. Solovic, I., Sester, M., Gomez-Reino, J.J., Rieder, H.L., Ehlers, S., Milburn, H.J., . . . Lange, C. (2010, November 1). The risk of tuberculosis related to tumour necrosis factor antagonist therapies: a TBNET consensus statement. European Respiratory Journal, 36(5), 1185-1206. Retrieved from http://erj.ersjournals.com/content/36/5/1185.full
10. Mayo Clinic. (2010, December 9). Psoriatic arthritis: treatments and drugs. Retrieved from
http://www.mayoclinic.com/health/psoriatic-arthritis/DS00476/DSECTION=treatments-and-drugs
11. Spondylitis Association of America. (n.d.). Undifferentiated spondyloarthropothy. Retrieved from
http://www.spondylitis.org/about/undif.aspx