Psoriatic arthritis is getting undiagnosed

[Caroline]

A Dermotologist cannot ethically treat PsA. Unless it's completely obvious, they probably will not forward to a Rheumotologist.

The bad thing is, my derm didn't try and refer me to a rheumy, my doctor did, but for some reason it has failed.

The problem is that a rheumatologist does not come further than the diagnose. Just like psoriasis, PsA is an autoimmune disease so has to be treated by a doctor specialised in the immune system. Those doctors, we call them internists, are not accepted by the insurance for this treatments, because on the one side the insurance is too stupid to detect this and on the other side a dermatologist looses a patient so looses income.

At least, deduction leads me to this conclusion over here in the Netherlands.

I have been sent directly to the Reumatologist by my GP doctor. But this did not help, the rheumy did not know how to treat, he just used the standard medication for rheuma, MTX.
Just until I met an internist things started to go the right way.