Blood tests. My inflammation level was 3x higher than normal! My dr did blood tests, x-rays and bone density on first visit as PCP had done nothing for 3 years (head slap-Inshould have fired her years ago!) I have very little of the skin issues now (not so in the past!!!) -now it's the arthritis that I am dealing with. DO follow up as untreated it can affect so much else in the body!

For me they took a chunk of my skin were the dry patch is and sent it to be tested and now I have a scar.

My primary did a blood test. It came back positive for four and arthritis. So she sent me to a rheumatologist. By the time I finally got to see the rheumatologist, by left thumb, left knee and left shoulder had all become effected by the same thing. My knee was full of fluid and the doctor had to take the fluid out. They used the fluid, along with ultrasounds to diagnose me.

X-ray , ultrasound

@A MyPsoriasisTeam Member I would go to your doctors, I suspected I had it for years and it flared up badly last year. My GP did LOTS of blood tests and eventually I got sent to the rheumatologist after lots of pain meds and anti inflammatory meds didn't reduce the pain.
After lots of discussions around the pain and how it effects me I had an ultrasound and x rays before I started my meds last November!
Have a look at a few web sights for what the different descriptions are of PsA. It might be a bit different for your country thought with the process.
Good luck

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