I have a fairly definite diagnosis of PA. Its mild but extensive. The skin symptoms are fairly mild with typically only small plaques on the elbows, but I get inverse psoriasis in the fletches fairly frequently. The arthritis is farily mild but basically affects every major joint in my body (the spine is not funny!) and most of the minor ones. There is psoriasis in the family but no one has had PA before; hence no one has had chest symptoms before and I don't know what to make of them. The following sequence has happened twice now.
I get a sudden very sharp pain when breathing in on the left side of my chest, I breath through the pain expanding my chest and finally something gives and the sharp pain subsides to become a dull ache that lasts weeks to months. The ache is spread over the whole left side of the chest but is focused a little under the armpit where the ribs are tender. The medics check out my heart and find nothing, they do an xray and see nothing. The doc tells me its either inflammation in the ribcage or pleurisy because of the PA, but he's not worried and just keeps me on my 2x400mg ibuprofen.
1. Can PA really cause Pleurisy?
2. Does this sound like pleurisy?
3. Any body out there who has experienced this themselves?
4. How do I tell Pleurisy from inflammation in the rib cage (perhaps I have both?)?
5. How serious is PA related Pleurisy?
6. What should I do about this?
The doc doesn't seem to be that concerned but its disconcerting to feel dull pain in your chest 24/7.