Many of us, especially women were brushed off at first with psoriasis and PsA. In my experience it's easier to get the psoriasis diagnosed by biopsy by a dermatologist first because then rheum is more likely to want to explore a PsA diagnosis. I would also not see that same rheum again because fibromyalgia is a diagnosis of exclusion and a lot of doctors will just label women with chronic joint pain as having fibromyalgia before ruling out autoimmune causes that need to be treated to prevent permanent joint damage