Patients who already have psoriasis with skin and joint involvement when diagnosed with juvenile psoriatic arthritis may experience worse disease severity and outcomes, according to a new study published by Low et al in Rheumatology. Investigators examined the outcomes of patients who participated in the Childhood Arthritis Prospective Study from January 2001 to March 2018. Investigators analyzed patients’ functional ability, pain, mood and depressive symptoms, health-related quality of life, parental global assessment, and parent psychological health. They found that the patients diagnosed with juvenile psoriatic arthritis who already had psoriasis presented with worse mood and depressive symptoms than those without psoriasis at diagnosis. Further, patients with juvenile psoriatic arthritis were 2.3 times more likely to have persistent high parental global assessments compared with other International League of Associations for Rheumatology categories. The investigators concluded that a multidisciplinary team of specialists and greater mental health support may help improve the outcomes of patients with juvenile psoriatic arthritis who also have psoriasis.