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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.
Psoriasis can cause a type of arthritis similar to rheumatoid arthritis in some individuals. Psoriasis is more common in women, in colder climates, and lighter-skinned people. There is a genetic component to psoriasis, as psoriasis tends to run in families.