"I am happy to join this community. I haven’t been officially diagnosed with psoriatic arthritis but I am sure I have it. I have been to 2 dermatologist and a rheumatologist and they all said I have osteoporosis. However, I do not agree. My symptoms started about last April. First, my thumb joints started swelling and giving me pain. Then, comes the rash with pustules on my hand. This hurts and itches at the same time. I am an emergency room nurse that washes my hands frequently and uses purell often. I have had multiple flare ups over the past year and a half. I’m miserable and can’t get a correct diagnosis. To be in the medical field for 19 years and also know my body well this is so frustrating!"