Hi. I posted this on the psoriasis group too but I thought that this group may be able to help too! I have had scalp psoriasis and little patches on my knees for about 9 years and for the past 7 months or so increasingly I have been extremely ridiculously exhausted and increasingly worsening of joint pain especially in my knees and fingers. Within the past 3 months my fingernails and toenails have changed ranging from pitting I guess (like little dents and pin holes) to color changes and my right pinky finger nail is I think separated from the nail bed but I didn't damage it. I am stiff in the morning for about 45 minutes or so. And if I do have a day with a little energy and "over-do it" (like going to work--I am a veterinary nurse which is a lot of standing and reaching and lifting and restraining animals) or a 15 minute brisk walk) I am almost out of commission for the next day. Sometimes some of my joints that really hurt seem like they would feel really hot like I got a sunburn on them--like that burning feeling--but it's not actually red or anything.I take a multi-vitamin and a B complex vitamin, gabapentin (400 mg/day for anxiety and sleep), synthroid (thyroid issue), omeprazole (heartburn/prone to ulcers), birth control pill, and singulair (allergies--ironically to cats and I work at a veterinary hospital haha and mild asthma occasionally). I try not to take too many NSAIDS but have been taking them daily for the past week and a half for sure. Warm water from the shower sometimes helps a little. I use ketoconazole shampoo for my psoriasis right now, my insurance co-pays are just silly so even simple Clobex solution is like $125/month. I made this derm appt for a new reddening of my upper forehead (my mom says it looks like a port wine stain--not sure what that is but ok mom). Customers and coworkers keep saying Whoa what's wrong with your forehead? I was researching psoriasis and came across the symptoms for psoriatic arthritis and am wondering if that is what I have with these pains and stuff.... Anybody have any advice of what to do or what this is or what to say to the doctor? I have pretty much stopped seeing my only friend because it just takes too much energy and I am so sore. I am a 28 year old female and feel like I am 90 years old sometimes. I have other auto-immune diseases too, psoriasis, Raynaud's phenomenon, Grave's disease, Hashimoto's disease, Celiac's disease.