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Can you have psoriatic arthritis with only mild skin symptoms?

41F I’ve had osteoarthritis for 10+yrs. My symptoms have always been more aligned with an inflammatory arthritis, but I’ve tested negative for RA. 2-3wks ago I got a rash on both elbows suddenly. At the same time my elbows, especially my left began aching kind of like tennis elbow. I think this may resemble psoriasis. Then it hit me, I may have had psoriatic arthritis all this time. Does this look like psoriasis? Should I get a rheumatologist appointment?Elbow

  1. Hi , I'm so glad you reached out. It definitely is possible to have PsA with mild skin symptoms. In fact, it's even possible to have PsA without any skin symptoms (although that is less common). We are not doctors and cannot say for sure what it is you are experiencing, but it doesn't hurt to see a doctor (whether that be a general practitioner, dermatologist, or rheumatologist that might depend on your insurance and/or what doctors are available or if they require a referral) to investigate what is causing your symptoms.

    I am including a link to an article with more information on psoriatic arthritis also, https://psoriatic-arthritis.com/psa-basics. One thing I also do want to point out is that it is possible to have RA and test negative. This is called seronegative RA. Here's a link to an article with information on this as well, https://rheumatoidarthritis.net/seronegative-diagnosis. When you were tested, was it by a rheumatologist or a general practitioner? It might be worth going directly to the rheumatologist (if your doctor and insurance will allow) if you've already tried getting answers from your general practitioner.

    I do hope that you can get some answers and, if you're comfortable, please let us know what the doctor determines! -- Warmly, Christine (Team Member)

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