These are not mere medical terms to me; they are the map of my son's childhood. Plaque psoriasis first appeared as stubborn patches on his elbows, and the nail pitting came later, like tiny betrayals. The doctors watch for dactylitis—swollen "sausage fingers"—as a sign the inflammation may be turning inward to his joints. The obvious answer is that it is a skin condition, but my life says it is a thief of carefree days, stealing his comfort in the summer sun. We manage, and he is brave, but I see the calculation in his young eyes when the weather turns, a worry no child should carry.
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