Painful Skin and Joints

When skin symptoms and joint pain show up together, they’re often connected. Conditions like psoriatic arthritis, lupus, and other autoimmune diseases can affect both — and the skin is frequently where the first clues appear.
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About Painful Skin and Joint Treatment Services:

Aching joints plus a rash, scaly plaques, or nail changes isn’t a coincidence worth ignoring—it’s a pattern worth investigating.

At Charleston Dermatology, our physicians and providers evaluate the skin findings that often accompany joint disease: psoriasis plaques, nail pitting, sun-sensitive rashes, and more. A skin exam and biopsy can sometimes identify an autoimmune condition earlier than joint symptoms alone, and earlier diagnosis means joint damage can be prevented rather than managed.

Treatment plans are built around your diagnosis and are often coordinated with rheumatology. Many modern treatments, including biologic therapies, treat both the skin and the joints at once. Answers start with an exam. Schedule a visit and let our team connect the dots.

Frequently Asked Questions

Several autoimmune conditions affect both skin and joints because the same immune process drives inflammation in both places. Psoriatic arthritis is the most common example — up to 30% of people with psoriasis develop it. Lupus, dermatomyositis, and vasculitis can also cause combined skin and joint symptoms.

See a provider if you have a persistent rash or scaly patches along with joint pain, stiffness (especially in the morning), swollen fingers or toes, or nail changes like pitting or lifting. Early evaluation matters: joint damage from untreated psoriatic arthritis can be permanent, while early treatment can prevent it.

Treatment depends on the diagnosis, and dermatology and rheumatology often work together. Options range from topical treatments and anti-inflammatory medications to biologics and other systemic therapies that calm the underlying immune process, improving skin and joints at the same time. Getting the diagnosis right is the first step, and that often starts with the skin.

Our Specialists

Adam Sperduto, MD
Roger Sullivan, MD
Lee Yarbrough, MD
Ashley Allen, MD
Megan Hohenberger, MD