Belated Many happies ! If you believe that you have PA then see your GP and tell him, he can make the necessary referral to a Rheumy. I have just had my first visit - very positive. The Outpatient Clinic at my Hospital is multi discipline encompassing Dermatology too. I should think that other clinics have gone the same way. Meantime the GP may well prescribe some anti inflamatories too which will probably help.