Dear All,

I am not sure if I have psoriatic arthritis or AS, or maybe both. Here are a list of my symptoms.

My pain started in my right shoulder when I was about 38. From there it spread to my hands, knees and back. It started in the middle of my back and then worked its way up. I have no pain in my hips sacro, or lower back as of yet.

I have moderate nail pitting typical of PsA, but my hands and feet are only moderatlely affected. I have mild psoriasis. The pain is worst in my neck and upper back. I am B27 negative but we are rechecking the test just in case?

So what do you reckon PsA or AS?

Ripper