PsA diagnosis without psoriasis?

Has anyone been diagnosed with psoriatic arthritis without showing signs of psoriasis? If so, how long did it take you to get diagnosed?


Community Answers
  • GCM
    1 month ago

    At age 34, I was diagnosed with Uveitis (eye inflammation) first, the doctor did a blood test which found I was HLAB27+. Joint flares were mild at first & unilateral. As I aged, my “mild” PsA worsened with Uveitis in both eyes, and bilateral joint inflammation in both hands & feet…all at the same time. During all of this, I’ve had only one tiny “dime size” patch of Psoriasis on my scalp which was treated and went away quickly. The key to my diagnosis, was that my mother had mild to moderate Psoriasis (scalp, hands, feet, nails) along with joint issues…particularly in both knees, but was never diagnoses as I’m not sure anything was known about PsA in the 1960’s – 70’s. My 36 daughter had her first flare os PsA in her hands (easily treated, just as I was) but is now under the watch of a Rheumatologist. Her diagnosis is based on my history & her grandmother’s…and she is also HLAB27+. Hope this helps.

  • WoodchuckR
    5 months ago

    Took a couple of years. When my daughter, who has both, went to see my rheumatologist she put two and two together to see the resemblances.

  • Salbe428
    5 months ago

    It took about a year or more to be diagnosed with PSA and was diagnosed because of my fingernails. They were deformed and ingrown into and away from my fingers. Saw a rheumatologist wo tried several meds that I could not take and decided that since I had so many other illnesses he would turn me back over to my family doctor. He said to call if my doctor or myself needed him.

  • Salbe428
    5 months ago

    I had no signs of psoriasis then or now

  • Carrie R
    8 months ago

    I have PsA and no psoriasis. It took a coue of months to be diagnosed with PsA. It was me telling my Dr that my Grandfather had psoriasis and Bingo the Dr said.

  • CathyT
    11 months ago

    In absence of psoriasis, took 3 years fos PsA diagnosis.

  • olyndy
    12 months ago

    My daughter has the same symptoms as I had to start with. And they have diagnosed her with spondylitis and did so knowing I have psoriasis and the arthritis for years??

  • Brenda26
    1 year ago

    Yes, me! I have been diagnosed not only a year ago and I am 26. Not a single symptom of psoriasis only one time when I was diagnosed but until then not a problem in my skin just a lot of pain in my joints and my jaw.

  • Slittleton1211
    1 year ago

    OMG! i have PSA with no signs of psoriasis. I think we are kind of rare. I was luckily diagnosed early. My sister has psoriasis, my Rhuematologist said it some times can split between siblings one getting the psoriasis and the other developing PSA. My question is there is information out there that says someone with psoriasis will likely develop PSA but if you present with PSA first, will you likely get psoriasis?

  • VickiN moderator
    1 year ago

    Hi Slittleton1211! As to your question, about 30% of people with psoriasis will go on to develop PsA, and 10-15% of people with PsA either won’t get psoriasis, or will only develop it after the onset of PsA. Hope that helps a bit!
    -Victoria, Community Moderator

  • Elizabeth Medeiros
    1 year ago

    Absolutely! I actually wrote a post about this a few months ago. The time it took between first seeing a rheumatologist and being properly diagnosed was about two or three years.

    https://psoriatic-arthritis.com/living/psoriatic-arthritis-without-psoriasis/

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