Psoriatic arthritis is getting undiagnosed

[Caroline]

I have a feeling that my derm department had no interest in diagnosing psa because I was going on mtx which is what they would give me anyway.
However they did diagnose it 'clinically' by my collection of symptoms.

Had they asked 'do you have joint pain' I would have said no. That isn't how my psa has manifested itself, it's all tendon related in my feet and ankles, and the carpal tunnel in the wrist so far. So perhaps I'm in early stages of psa and they aren't bothered as long as they are prescribing drugs for my skin which also work for elsewhere.

I have been told twice (by my GP) I'll see a rheumy but I never have, and begin to suspect that I won't unless symptoms get worse. I have seen podiatrists though.

Yes I'm the same they ask in passing about joint pain and are quick not to ask to much
I'm fortunate so far as my psoriasis has been mainly skin but I suspect I'm experiencing changes in my foot joints when I get up in the mornings. So will see if I get tested for PsA at the end of the month on my next appointment .....

There is no test for PsA....

It is completely done by observing the symptoms and after that it is an educated guess.