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By Mayo Clinic staffMost often, you develop skin problems before signs of arthritis appear, but it's possible for arthritis to develop first or for both problems to be diagnosed at the same time. If you have psoriasis, your doctor will examine you carefully for joint problems, and vice versa.
You aren't likely to need any special preparation for your appointment, but because both psoriasis and psoriatic arthritis are complicated conditions, it can be very helpful to prepare a list of questions to ask your doctor. These questions might include:
- If I have psoriatic arthritis, will it get worse than it is now?
- What kinds of symptoms and complications should I watch for?
- How is this different from other forms of arthritis?
- Will I be able to do everything I used to do, or will I be disabled in some way?
- Will I always have pain?
- What kinds of treatments are available?
- What are the side effects of those treatments?
- Can I treat this successfully with lifestyle changes, such as diet and exercise?
- What about alternative treatments?
- Do you have literature — or can you recommend a Web site — where I can learn more about this condition?
Another good suggestion is to bring a friend or family member with you to your appointment. It's hard to absorb everything about a complicated condition, and another person may remember information that you miss.
- Questions and answers about psoriasis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/hi/topics/psoriasis/psoriafs.htm. Accessed Sept. 9, 2008.
- Psoriatic arthritis. American College of Rheumatology. http://www.rheumatology.org/public/factsheets/psoriatic_new.asp. Accessed Sept. 9, 2008.
- Psoriasis of the nails. National Psoriasis Foundation. http://www.psoriasis.org/about/psoriasis/sites/nails.php. Accessed Sept. 9, 2008.
- Psoriatic arthritis. National Psoriasis Foundation. http://www.psoriasis.org/about/psa. Accessed Sept. 9, 2008.
- Gordon KB, et al. The treatment of psoriasis and psoriatic arthritis: An interdisciplinary approach. The Journal of the American Academy of Dermatology. 2006;54(3)(suppl):S85-S91.
- Cerhan JR, et al. Antioxidant micronutrients and risk of rheumatoid arthritis in a cohort of older women. American Journal of Epidemiology. 2003;157(4):345-354.
- Imokawa S, et al. Methotrexate pneumonitis: Review of the literature and histopathological findings in nine patients. The European Respiratory Journal. 2000;15(2):373-381.
- Tobin AM, et al. TNF alpha inhibitors in the treatment of psoriasis and psoriatic arthritis. BioDrugs. 2005;19(1):47-57.
- Gladman DD, et al. Patient information: Psoriatic arthritis. http://www.uptodate.com/home/index.html. Accessed Sept. 11, 2008.