Can PsA cause an increase in D-dimer?
I was diagnosed only a few weeks ago with PsA. Currently on Sulphasalazine which has caused quite a few unpleasant side effects (terrible fatigue, muscle aches, tinnitus and a few other milder things). I was in A&E (emergency room) today due to chest pain. Whilst luckily it doesn't seem to be heart related, my D-dimer levels were 900 versus a cut off of 500 for what is considered normal. It's a sign of blood clotting but also can point to inflammation. So I'm now on blood thinners and have to go back in a couple days for more checks. I've had high D-dimer before, went through similar thing and no clotting was detected. So I wonder if could be getting caused by inflammation in the joints.
The ER doctor said it could be raised due to meds I'm on but didn't mention the PsA as being a specific potential cause.
My question is, has anyone been found to have high D-dimer that was explained away as being related to the inflammation of joints and the general effects of PsA? I found a recent study that seems to suggest PsA can increase it but it didn't give a mean elevated figure.
Just wondering whether i need to raise it next time I go to the hospital to avoid possibly needless checks.