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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.
Not everyone who has psoriasis will get psoriatic arthritis, even though the conditions are often related. Psoriasis causes patches of scaly, red, or white skin called plaques. Psoriatic arthritis sets off joint swelling and pain that can lead to permanent damage. Your immune system is responsible for both. Inflammation is part of both psoriasis and psoriatic arthritis.