Hi . Unfortunately, we are not medical experts, so we can't say for sure. It does look a lot like psoriasis though. Can you get an appointment with your dermatologist? Given your psoriasis diagnosis, the nail issues and the joint point pain, it would probably be wise to ask your primary care doctor for a referral to a rheumatologist. Hopefully, it's not PsA, but if it is, it is best to begin treatment as soon as possible to slow its progression. Keep us posted if you don't mind. I will be thinking of you. - Lori (Team Member)