Getting the right diagnosis
My RH first diagnosed Gout and now R. Arthritis. My R. factor is borderline but my anti-CCP is strongly positive. He originally told me you cannot get both but now thinks i may have both. Looking at this website i have discovered over 200 types of Arthritis exist. I pursued one: Psoriatic Arthritis. I suffered badly from Psoriasis as a child and recently had a mild flare up which then faded. My right big-toe nail has cross ridges and brown discolouration. This has been the case ever since i first felt inflammation and pain on my right ankle. The inflammation is at the base of the heel and into the achilles tendon. I do not have the same problem on the left ankle. I do however have inflammation of the right wrist. Is it possible that i have Psoriatic Arthritis? If so, does it make any difference to the treatment?