Signs and symptoms
The onset of psoriatic arthritis is usually around ten years after the onset of psoriasis. However, the age of onset influences how destructive psoriatic arthritis can be. When the disease starts in patients after 60 years, the beginning is more severe, and the condition is usually more destructive, associated with more severe manifestations.
Most patients with psoriasis have problems in the peripheral joints, especially in the hands. But in 5% of patients, the axial spine and other central joints are involved. So, the following signs and symptoms are usually related to the hands and peripheral joints, but others can also be involved.
The most important signs and symptoms in arthritic psoriasis include: