I was diagnosed in 2012 with plaque psoriasis. It is a progressive thing. It didn’t bother me to much for 4 or 5 years. I have it on the palms of my hands and a spot on my scalp. It has gotten to the point now that I am getting pain in my joints, psoriatic arthritis. Not good. I just went on Otezla. It seems to be helping, but the side effects were so bad that I quit taking after 10 days. Not sure where to go from here.