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It affects approximately one in three people with psoriasis, that is, over 300 thousand people in Italy. We are talking about psoriatic arthritis, a disease whose onset may be skin-related first and then involve the joints, while in other cases the disease may manifest itself earlier at the joint level than the typical manifestations of psoriasis such as plaques. People with a history of psoriasis should never underestimate the onset of joint or tendon pain of a certain duration, as this is a disease that if not diagnosed and treated early risks seriously compromising people's quality of life. We discuss it with Prof. Roberta Ramonda, Associate Professor of Rheumatology at the Department of Medicine-DIMED of the University of Padua, and with Prof. Stefano Piaserico, Associate Professor of Dermatology at the Department of Medicine-DIMED of the University of Padua