Not everyone withpsoriatic arthritis以同样的方式经历这种自身免疫性疾病 - 这不仅仅是严重性问题。
There are five subtypes ofpsoriatic arthritis，影响身体的不同部位。有些人可能有一种银屑病关节炎，然后在路上发展不同的形式。
“这些类别倾向于互相流血，”Anca Askanase, MD， 一种风湿病学家纽约市哥伦比亚欧文医疗中心哥伦比亚大学医学中心副教授。“最终，他们都是关于关节疼痛，僵硬和功能丧失。”
知道您拥有哪种类型的银屑病关节炎可以帮助您提供通知您的治疗，也许是您的预后。系统（全身）和生物学药物治疗are similar for the different forms, but the approach to psoriatic arthritis flare-ups may vary, Dr. Askanase notes.
这是看看不同类型的银屑病关节炎。
1.不对称的银屑病arthritis
这是患者倡导群体的患者大约一半的亚型，占所有银屑病关节炎的大约一半CreakyJoints. While it can affect any joint, its defining trait is that it doesn’t impact the same joints on both sides of the body.
当不对称的银屑病关节炎涉及手指和脚趾时，肿胀和发红可以使它们看起来像小香肠，一种称为盲细节炎的病症。
尽管接头较少可能受到影响，但是，askanase说，不对称的银屑病关节炎可能是致残和难以治疗的。对于急性爆发，类固醇注射，非甾体类抗炎药（NSAID）和物理治疗可以帮助。
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2.对称的银屑病arthritis
Rheumatoid arthritistends to affect the same general areas on opposite sides of the body, and symmetric psoriatic arthritis can follow a similar pattern, saysKathleen Maksimowicz-Mckinnon, DO，底特律亨利福特卫生系统的风湿病学。
但随着对称的银屑病关节炎，精确的same joints may not be impacted. For instance, while joints in the fingers of the right and left hands may be involved, those closest to the fingertips might be affected on the right hand, while those near the base of the fingers might be affected on the left, or vice versa.
Symmetric psoriatic arthritis, which makes up about 33 percent of all psoriatic arthritis cases, can also strike the knees, wrists, and ankles.
除了全身治疗外，Askanase还说类固醇注射，nsaids.和物理治疗可以帮助。
3.远端银屑病arthritis
askanase说，这种类型的银屑病关节炎通常相对温和而不是损害其他种类。它影响了“远端”关节，这意味着它导致最接近手指和脚趾上的钉子的小关节中的炎症和僵硬。由于这些关节如此接近钉子，因此症状可以包括从钉子中的钉子或从钉床上提升钉子。
根据a的说法，关节炎症通常与相同手指或脚趾的钉子变化有关研究发表于此皮肤医学与手术杂志in July–August 2015.
Fewer than 20 percent of people with psoriatic arthritis have distal psoriatic arthritis by itself; it frequently occurs alongside other kinds of psoriatic arthritis. NSAIDs and physical therapy can help treat acute flare-ups.
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4.脊柱炎
颈部，脊柱和骶髂关节疼痛，炎症和刚度（位于骶骨之间 - 连接到您的尾骨 - 和骨盆之间的骨骼）是该银屑病关节炎亚型的迹象。
“大部分关切的是这种疾病可以无情地进步并导致严重，对脊柱的损害造成严重，”askanase说，造成了一个人的移动和功能能力的重要问题。
“TNF inhibitors[a type of biologic therapy that blocks the protein called tumor necrosis factor alpha, or TNF-alpha] have made a huge difference in our ability to control pain and provide continuous functionality in early stages [of spondylitis],” Askanase notes.
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5.银屑病A.rththis mutilans.
A relatively rare subtype,arthritis mutilans会对手脚中的关节造成严重损坏和畸形。它也可以影响身体的其他部分，例如颈部和背部。
“在痛苦和僵硬方面可能不会像”吵闹“一样，最终结果是非常非凡的，因为它导致的损伤量，”Askanase说。
The most common problems include bone loss, “telescoping” of the fingers due to bone loss (because the soft tissue of the fingers can’t hold them up), and finger shortening, according to areview in the August 2015Journal of Rheumatology.
Early treatment is important.Disease-modifying antirheumatic drugs (DMARDs)可以防止一些永久性损坏，而NSAID可以缓解疼痛。
Additional reporting by朱莉商标.
