Author ORCID Identifier

https://orcid.org/0009-0005-9230-3950

Document Type

Article

Publication Date

Winter 3-20-2026

College/Unit

School of Medicine

Department/Program/Center

Family Medicine

Abstract

Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) are widely used for the management of type 2 diabetes mellitus (T2DM) and obesity, with growing evidence of their anti-inflammatory effects. We report the case of a 54-year-old woman with obesity, T2DM, and biopsy-confirmed plaque psoriasis who developed joint pain and stiffness consistent with psoriatic arthritis (PsA). Her symptoms persisted despite appropriate trials of topical corticosteroids, calcipotriene, and oral apremilast. She also declined methotrexate due to concerns about side effects. Imaging of her hands revealed distal interphalangeal joint space narrowing, marginal erosions, and periosteal reaction, supporting the diagnosis of PsA. The patient was initiated on semaglutide (0.25 mg weekly) to address metabolic comorbidities. Within two weeks, she experienced near-complete resolution of both joint and skin symptoms, sustained over six months along with a 20-pound weight loss and stable glycemic control. This case highlights the potential role of GLP-1 RAs in modulating inflammatory disease activity in PsA, particularly in patients with overlapping metabolic conditions. Further research is warranted to explore their therapeutic value in inflammatory arthropathies.

Source Citation

Gelman K, Capito JE. Rapid resolution of psoriatic arthritis symptoms following initiation of a GLP-1 receptor agonist. West Virginia Medical Journal. 2026;122(1):25-27.

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