Fibromyalgia with Psoriatic Arthritis Impacts Treatment, Study Says

Fibromyalgia with Psoriatic Arthritis Impacts Treatment, Study Says

A recent study in the Journal of Rheumatology shows that patients with both fibromyalgia (FM) and psoriatic arthritis (PsA) can experience worse arthritic symptoms, and suggests that clinicians should consider different ways to determine treatment plans for patients with both diseases so that unnecessary treatments can be avoided.

The study, The Effect of the Presence of Fibromyalgia on Common Clinical Disease Activity Indices in Patients withPsoriatic Arthritis: A Cross-sectional Study, led by S. Birkman of the departments of Rheumatology and Dermatology at Tel Aviv Sourasky Medical Center, included 73 people with PsA.

The researchers measured whether study participants also had FM according to American College of Rheumatism criteria. The team gave all subjects a clinical evaluation of disease activity. The scientists quantified disease activity using the Composite Psoriatic Disease Activity Index (CPDAI), minimal disease activity (MDA), and the Disease Activity Index for Psoriatic Arthritis (DAPSA) scores.

The participants also completed several established questionnaires, including the Health Assessment Questionnaire (HAQ), the Bath Ankylosing Spondylitis Disease ActivityIndex (BASDAI), the Dermatology Life Quality Index, and the Leeds Enthesitis Index (LEI).

Thirteen patients with PsA also had FM. DAPSA scores were significantly higher in patients with both PsA and FM when compared to patients with PsA only. HAQ, BASDAI, and LEI scores were also more severe in patients with PsA and FM.

Investigators concluded: “Coexisting FM is related to worse scores on all tested measures in with PsA. Its influence should be taken into consideration in the treatment algorithm to avoid unnecessary upgrading of treatment.”

Fibromyalgia is a painful disorder that healthcare providers sometimes fail to recognize as an actual medical condition. Characterized by extreme fatigue and chronic pain, often in localized body regions, FM can occur along with other painful conditions, such as arthritis. PsA is a type of arthritis that affects some people with psoriasis,  a skin condition characterized by red and itchy scales and the build up of skin cells.



  1. Shelly Latimer says:

    Yes! Yes! Yes!! Please focus on fms and psa!!! I have both and at times I feel like they are fighting each other! If fms is low inflammation and psa I high inflammation, which to treat? Treatment doesn’t seem to help at all. I’ve tried just about every stinking dmard and TNF to no avail.
    Irk how to treat them both together. My rheumy is great but she treats them the same pretty much. Because my psa is symmetrical she thinks I don’t have enthesitis and it’s all my Fibro causing the pain I have.. I don’t swell, like dacylitis but I get hot all over like I have fever and hurt from up to down. I don’t have HBLA-27 so it has to be the Fibro … NOOOOOO

  2. Mickey Kornbluth says:

    My Rhmo Dr doesn’t believe that I have Fibro, only PSA. My Neuro Dr described my every night painful leg cramps as neural fasciculation. My daily symptoms are exactly as Fibro. I’m totally lost. I take everything imaginable for the pain – pills, shots, creams, sometimes too much and I become a zombie.
    There must be something,anything, a combination of drugs that will let me sleep more than 3 hours a night without having to dance to break the spasm and let me walk my little pup without moaning. I take massive amounts of Gabapentin, Cymbalta ,sometimes Hydrocodone and shots. I’m a male. old, (77) and I dr’s telling me that Fibro is a female disease. That’s BS. THERE MUST BE SOME TYPE OF MED THAT WILL ALLOW ME TO WALK WITHOUT PAIN, AT LEAST A FEW HOURS A DAY.

  3. TC says:

    I have thoroughly done my research! Be your own Advocate folks. Recently diagnosed by my new Rheumy 3 weeks ago first with ‘Spondyloarthropathy’ then she was able to narrow it down further to Psoriatic Arthritis Mutilans. I got lucky with her, she explained to me that there is NO difference in Fibromyalgia & Psoriatic Arthritis what so ever & I agreed, telling her I’ve done much research and that is the conclusion I came up with as well. In my opinion, Fibro is a ‘lazy’ Dr.’s excuse for not treating a patient properly, thus, they will not get the correct treatment plan and continue to have more damage as time goes on. Google it, Fibro is merely based on ‘Central Sensitization’. Interesting reading. This has gotten ‘messy’ with my long time PCP as he now has ‘copped an attitude’ because I told him she doesn’t believe in Fibro. Prior to seeing her he told me to expect that diagnosis. So, upon my visit with him yesterday as he was typing in my refill prescription for Cymbalta he vocally said…Fib–ro–myalgia. Now my bottle has the word Fibromyalgia on it. Although no where do I even have that diagnosis in my records!

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