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Psoriatic arthritis often shows up in the hands first, and it moves through stages.I've been a rheumatologist for 15 years. Here's what to watch for. Mild: Joint pain and swelling in the fingers, often with morning stiffness. Some people notice nail changes or pitting before anything else. Moderate: Dactylitis, when an entire finger swells like a sausage. This is a hallmark of psoriatic arthritis and a sign the disease is active and needs treatment. Severe: Joint damage and deformity. In its mos
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