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Psoriatic arthritis is an inflammatory joint condition affecting people with psoriasis, causing joint pain, stiffness, and swelling. It occurs when the immune system attacks healthy joints and skin cells, triggering chronic inflammation. The HLA-B27 Antigen test is the most important test for assessing genetic risk and predicting disease severity.
Psoriatic arthritis is caused by an overactive immune system that mistakenly attacks healthy joint tissues and skin cells. The exact trigger is unknown, but genetic factors play a significant role, particularly the presence of the HLA-B27 antigen, which increases susceptibility to the condition. Environmental factors like infections, physical trauma, and stress can also trigger the onset of symptoms in people who are genetically predisposed.
The HLA-B27 Antigen test is the most important test for psoriatic arthritis because it identifies the genetic marker associated with increased risk and more severe disease forms. This test helps predict disease progression and guides treatment decisions. Additional supporting tests include the Interleukin 17 Serum test, which measures inflammatory activity, and the Anti-CCP3 IgG test, which helps differentiate psoriatic arthritis from rheumatoid arthritis in cases where symptoms overlap. The HLA B Low Resolution test provides comprehensive genetic typing for thorough risk assessment.
You should get tested if you have psoriasis and start experiencing joint pain, stiffness, or swelling, especially in the morning or after periods of rest. Testing is also recommended if you notice swollen fingers or toes that look like sausages, heel pain, lower back pain, or nail changes like pitting or separation from the nail bed. Early testing is crucial because early diagnosis and treatment can prevent permanent joint damage and improve long-term outcomes.
What this means
Your test came back negative, meaning the HLA-B27 antigen was not detected in your blood. This is the most common result and significantly reduces the likelihood that your symptoms are caused by ankylosing spondylitis or reactive arthritis, though it doesn't completely rule out these conditions.
Recommended actions
Continue working with your doctor to identify other causes of joint pain or inflammation
Maintain anti-inflammatory lifestyle habits including regular exercise and healthy diet
Keep a symptom journal to track patterns in your pain and stiffness
Consider other diagnostic tests if symptoms persist or worsen
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