Does this look like PsA to you?

[Forest Walker]

Thank you for the replies.  I had a telehealth visit with my gastroenterologist on Monday morning, and he was asking if I had arthritis.  I showed my hand to the laptop camera, and he thought the swollen knuckles on middle finger and thumb looked like it might be psoriatic arthritis, saying his mother had it.  

My grandmother had swollen knuckles.  I've thought I was inheriting my grandmother's hands.  IF this was psoriatic arthritis, then perhaps this is hereditary and not necessarily drug induced.  Degenerative disc disease, whatever that means, has been noted on CT scans I've had for other issues.  

Just musing, I guess.  But it may have some consideration when choosing a different medicine for both Crohn's and Psoriasis, if I'm going to switch away from Humira and Methotrexate.