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Whitened thickened nails
Roughness and dryness of the skin
Joint pain
Not seeing your symptoms? No worries!
What is Psoriatic Arthritis?
Psoriatic Arthritis is an inflammatory joint condition associated with the skin disorder Psoriasis, which causes red, scaly patches on the skin. Joint pain, swelling and stiffness are typical signs of Psoriatic Arthritis.
Typical Symptoms of Psoriatic Arthritis
- Lower back pain that improves with physical activity
- Thick, leathery skin
- Skin lumps
- Dry and flaky skin
- Rough and scaly skin
- Scalp rash
- Change in nail color
- Skin over the entire body is red
Diagnostic Questions for Psoriatic Arthritis
Your doctor may ask these questions to check for this disease:
- Does your lower back pain improve with physical activity?
- Do you have areas of rough or thick skin?
- Have you noticed any lumps on your skin?
- Do you have dry and flaky skin?
- Do you have rough and scaly skin?
Treatment of Psoriatic Arthritis
Since Psoriatic Arthritis is a chronic condition with no cure, treatment is aimed at controlling the various symptoms and preventing damage of the affected joints. Disease-modifying antirheumatic drugs (DMARDs) are among the most commonly used treatments.
Reviewed By:
Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.
Kaito Nakamura, MD (Rheumatology)
Dr. Nakamura is a rheumatologist who has practiced in the Ota Nishinouchi Hospital attached to Ota General Hospital, National Health Insurance Matsudo City Hospital, Chiba University Hospital, and the National Health Insurance Asahi Central Hospital.
Content updated on Apr 2, 2024
Following the Medical Content Editorial Policy
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This questionnaire is customized to your situation and symptoms, including the following personal information:
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Skin is dark and hard
- Lumps under skin
- Increase in dandruff
- Leathery skin
- Skin is rough and dry
- Reddish skin lumps
- Hard skin
- Skin peeling
- The skin is thick and rough
- Bumps on my arm
- Rough dry spot on skin
- My skin became harder
- Dry flaky skin
- Lumps on my wrist
- My skin became thick
See full list
Symptoms Related to Psoriatic Arthritis
Diseases Related to Psoriatic Arthritis
FAQs
Q.
Is it Psoriatic Arthritis? Why Your Joints Ache & Expert Medical Steps
A.
There are several factors to consider. Psoriatic arthritis is an autoimmune cause of inflammatory joint pain that often occurs with psoriasis or nail changes, brings morning stiffness over 30 minutes and swelling that eases with movement, and benefits from early rheumatology care with medicines like NSAIDs, DMARDs, and biologics plus lifestyle steps to prevent joint damage. See below for the full symptom checklist, risk factors, how doctors diagnose and rule out lookalikes, urgent red flags, and expert next steps including how to prepare for your visit and a helpful symptom check before speaking with a clinician.
References:
* Boehncke WH, Bissonnette R, Mease PJ. Psoriatic arthritis: an update on diagnosis and management. N Engl J Med. 2021 Mar 4;384(9):839-851. doi: 10.1056/NEJMra1909890. PMID: 33657211.
* Coates LC, Gossec L, Neimann AL, et al. Diagnosis and management of psoriatic arthritis: a narrative review for the practicing clinician. J Clin Rheumatol. 2023 Nov 1;29(8):445-454. doi: 10.1097/RHU.0000000000001968. PMID: 37910900.
* Gossec L, Coates LC, de Wit M, et al. EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2019 update. Ann Rheum Dis. 2020 Jan;79(1):70-82. doi: 10.1136/annrheumdis-2019-216550. Epub 2019 Oct 30. PMID: 31666282.
* Eder L, Chandran V. Psoriatic Arthritis: Pathophysiology, Clinical Features, and Epidemiology. Rheum Dis Clin North Am. 2020 Feb;46(1):1-14. doi: 10.1016/j.rdc.2019.09.001. Epub 2019 Nov 8. PMID: 31753123.
* Coates LC, FitzGerald O, Mease PJ, Kavanaugh A, Ritchlin CT. Psoriatic arthritis: the journey to diagnosis and the impact of delayed diagnosis on the patient. Clin Exp Rheumatol. 2021 Mar-Apr;39(2):294-302. doi: 10.5556/CER.10027. PMID: 33797960.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Liu JT, Yeh HM, Liu SY, Chen KT. Psoriatic arthritis: Epidemiology, diagnosis, and treatment. World J Orthop. 2014 Sep 18;5(4):537-43. doi: 10.5312/wjo.v5.i4.537. PMID: 25232529; PMCID: PMC4133459.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4133459/Coates LC, Helliwell PS. Psoriatic arthritis: state of the art review. Clin Med (Lond). 2017 Feb;17(1):65-70. doi: 10.7861/clinmedicine.17-1-65. PMID: 28148584; PMCID: PMC6297592.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297592/Psoriatic arthritis - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/symptoms-causes/syc-20354076