Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services for severe breathing difficulty, facial or throat swelling, collapse, or another possible serious allergic reaction.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Contact your usual healthcare team promptly if treatment no longer controls symptoms, you develop possible medicine side effects, or you have signs of infection while taking an immune-modifying medicine.
Follow the specific advice supplied with your treatment about fever, infections, and missed doses.
Seek urgent medical care for:
A suddenly hot, swollen, very painful joint, especially with fever
A painful red eye, light sensitivity, or new blurred vision
New severe weakness, numbness, or loss of bladder or bowel control
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you have psoriasis and develop persistent joint pain, swelling, morning stiffness, heel pain, or a fully swollen finger or toe.
Assessment is also appropriate if existing symptoms are becoming more frequent or are interfering with sleep and daily activities.
Every sign above is quoted from the sofidex article on Psoriatic arthritis. If you are not sure, err upward — it is always reasonable to be checked.