Introduction. Psoriatic arthritis (APs) is one of the major inflammatory diseases of the joints and spine. The aim of the study was to identify the characteristics of joint syndrome and skin lesions in patients with early APs. Materials and methods.The current study included 104 pactients with APs who were hospitalized in the rheumatology and arthrology wards of the IMSP Republican Clinical Hospital “Timofei Moşneaga” from 2003 to October 2021. Results and discussions. The frequency of expression of the clinical‑anatomical variants of the joint syndrome was different in patients with early‑APs and late‑APs, oligoarthritis was significantly more common (43.1% and 19%, respectively, p = 0.01) and less common, spondyloarthritis (7.8% and 19%, p = 0.1), while polyarthritis (33.3% and 38%, p = 0.6) and distal interphalangeal (15.7% and 15%, p = 0.9), the mutilating variant was observed only in late APs. Conclusions. The early stage of psoriatic arthritis is characterized by pronounced heterogeneity of the manifestations of joint syndrome and tendon‑ligament lesions.