What are the risk factors for developing psoriatic arthritis?

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    Last Updated: May 16, 2025

    The potential risk factors for developing psoriatic arthritis in people with psoriasis include corticosteroid use, pregnancy, trauma, rubella vaccination, smoking, infections that require hospitalization, heavy drinking, family history, and obesity. However, these associations are primarily based on observational studies, and their causative role remains unclear.

    Although it isn’t easy to predict whether patients with psoriasis will develop psoriatic arthritis, some potential risk factors have been identified, including:[1]

    • Corticosteroid use within 2 years of first developing psoriasis
    • Pregnancy within 2 years prior to psoriasis onset[2]
    • Trauma that required medical care[3]
    • Vaccination against rubella[3]
    • Smoking
    • Infections requiring hospitalization
    • Heavy drinking
    • Family history of psoriatic arthritis
    • Obesity

    It is important to note that the above risk-associations were mostly found through case-control (observational) studies, so it isn’t yet clear whether they play a causative role in developing the disease.