Hi everyone, I was wondering if I could get some opinions. I’m 34 and I’ve had psoriasis since I was a child. It’s never been terribly bad on my skin, but I’ve had nail pitting since I was a teenager. This past summer, my first finger swelled up and was very painful to use (cutting, opening jars, carrying things). It wasn’t huge like you see in the pics of people with dactylitis, but it was swollen. A few months later, my feet started hurting really bad. Less often, my lower back hurt on and off, and then my knees began to ache at night, but not often. Nothing was debilitating. I never felt the need to take meds. But, because of my psoriasis, my doctor referred me to a rheumatologist. After waiting 6 months to get in, she ordered x-rays of my feet, knees, lower back, and both hands. By this time, my finger wasn’t swollen, of course. My hand was clear, my knees were clear, but my SI joint, Lumbar facets, and both feet showed osteoarthritis. This kind of shocked me, as I’m not that old, I’m at a healthy weight, fairly active, and I’ve never injured those areas. They ordered an MRI with contrast to check for inflammation in my SI joint, and she told me it was clear, so I just have osteoarthritis there. She also said I probably have psoriatic arthritis in my hands and feet, so just distal psoriatic arthritis, but it’s mild and I don’t need anything other than NSAIDS. My blood work was clear for everything except one elevated inflammation marker. So, she cancelled my six month check up, told me I’ll stay in their files for up to 3 years, and to call if I feel worse.
I’ve been very fatigued, and I also had a random toe nail just fall off, which has never happened before. Plus, I had a huge outbreak of psoriasis on my shins right before my finger started swelling. It was the most psoriasis I’d ever had at once on my skin. In this last week, my finger has swelled back up and hurts.
I guess my question is, do I need to worry that the arthritis in my back will become psoriatic, or am I being paranoid? Is this really all just osteoarthritis? And if so, how did I get it there at this age? Or is this just early psoriatic arthritis, or maybe not a bad case of it? Any opinions or shared experiences would be so helpful! Thanks!!