Severe psoriatic arthritis of both feet and ankles. Note the changes to the nails. This type does not occur in the same joints on both acr 2015 rheumatoid arthritis of the body and usually only involves fewer than 3 joints.
This condition can progress over months or years causing severe joint damage. Nail changes are often marked. Pain, swelling, or stiffness in one or more joints is commonly present in psoriatic arthritis. Psoriatic arthritis is inflammatory, and affected joints are generally red or warm to the touch. In addition to affecting the joints of the hands and wrists, psoriatic arthritis may affect the fingers, nails, and skin. Psoriasis classically presents with scaly skin lesions, which are most commonly seen over extensor surfaces such as the scalp, natal cleft and umbilicus.
Along with the above-noted pain and inflammation, there is extreme exhaustion that does not go away with adequate rest. The exhaustion may last for days or weeks without abatement. Psoriatic arthritis may remain mild or may progress to more destructive joint disease. Periods of active disease, or flares, will typically alternate with periods of remission. X-ray gives a «pencil-in-cup» appearance. Because prolonged inflammation can lead to joint damage, early diagnosis and treatment to slow or prevent joint damage is recommended.