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Psoriatic arthritis usually affects the distal joints (those closest to the nail) in fingers or toes. The lower back, wrists, knees or ankles also may be affected. In 85 percent of patients, skin disease precedes joint disease. Therefore, it is important to tell your dermatologist if you have any aches and pains.
Psoriatic arthritis can affect joints on just one side or on both sides of your body. The signs and symptoms of psoriatic arthritis often resemble those of rheumatoid arthritis. Both diseases cause joints to become painful, swollen and warm to the touch.However, psoriatic arthritis is more likely to also cause: 1  Swollen fingers and toes.2  Psoriatic arthritis can cause a painful, sausage-like swelling of your fingers and toes. 3  You may also develop swelling and deformities in your hands and feet before having significant joint symptoms.4  Foot pain.soriatic arthritis can affect joints on just one side or on both sides of your body. The signs and symptoms of psoriatic arthritis often resemble those of rheumatoid arthritis. Both diseases cause joints to become painful, swollen and warm to the touch.