Skin changes & finger deformity

This is a 32-year-old male, K/C of DM, HTN, DLP on meds, presented with this scaly wide patches on the extensors of both lower limbs & upper limbs, a/w Rt hand fixed flexed fingers (ring & little fingers).

What do you think?

The author made an update to this case

Update 1

Psoriatic Arthritis (PsA)

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