My experience with PsA was that the skin signs of psoriasis can be very subtle. If you have had nail problems in the past that can be a symptom.Thereis no
indicative blood test for psoriasis so it is a clinical diagnosis often requires a dermatologist to make the call. You have had some drugs that might treat PsA
so you may need to wait longer to assess JAK inhibitor
results. Have you had an opinion from a university med center or a tertiary referral clinic since your situation is
complex?