Fungal or psoriatic arthritis related ?
Hi I have psoriatic arthritis diagnosed in 2021 , with joint pain symptoms initially later with skin symptoms in genital and scalp, beard , etc. recently seeing a nail damage symptom thought it will be ok but getting worse but no such pain is there. Is it fungal or related to my psoriatic arthritis? image attached. Also, I have seen a surgeon for piles and foreskin tightening on erection - flenoplasty recommend, can it be done by dermatologist also?