Psoriatic arthritis without joint swellings

I am being treated with Otezla (apremilast) and its working on my skin psoriasis, psoriatic arthritis and tendonitis, so I suggest you talk to your prescriber to see if you could be given a trial period on the tablets. https://www.mims.co.uk/otezla-new-treatment-psoriasis-psoriatic-arthritis/dermatology/article/1333618 https://bnf.nice.org.uk/drug/apremilast.html

Hi Paul I am going through the same as you. I have had suffered with ppp for 11 years and I have recently been diagnosed with nail psoriasis and scalp psoriasis. It is also in my belly button. Since May, when the nail psoriasis started, I wake up most days as if I am hungover, have brain fog and I am tired all the time. I suffer with joint pains that move around and are also asymmetric. My fingers, shoulders, neck, lower back and left hip have been affected. I have noticed mild swelling on one finger along with swelling of the distal joints where the nail psoriasis is active. My scan and xray came back clear. My crp and white blood cells were only slightly raised. The rest of the tests came back clear. The nail psoriasis was originally misdiagnosed as a fungal infection so when I saw the rheumatologist, she put my aches and pains down to me being hypermobile and diagnosed me with tendonitis in my left shoulder. My dermatologist recently referred me back to the rheumatologist, when she diagnosed the nail psoriasis as she said that 80% of those who suffer with psoriatic arthritis experience nail changes and that psa only shows up on blood tests in fifty percent of sufferers. She also said that nothing will show up on scans and xrays until 2 to 3 years after the initial symptoms started. I can't answer your question re: treatment as I haven't started any yet. I just wanted to let you know that you are not alone - Don't give up, Psoriatic arthritis can be hard to diagnose. I hope you manage to get some relief soon.