Journal
ACTAS DERMO-SIFILIOGRAFICAS
Volume 105, Issue 3, Pages 216-232Publisher
ELSEVIER ESPANA
DOI: 10.1016/j.ad.2013.07.001
Keywords
Psoriatic arthritis; Clinical recommendations; Coordinated management
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Psoriatic arthritis, a chronic inflammatory musculoskeletal disease that is associated with psoriasis, causes joint erosions, accompanied by loss of function and quality of life. The clinical presentation is variable, with extreme phenotypes that can mimic rheumatoid arthritis or ankylosing spondylitis. Because psoriasis usually presents before psoriatic arthritis, the dermatologist plays a key role in early detection of the latter. As many treatments used in psoriasis are also used in psoriatic arthritis, treatment recommendations should take into consideration the type and severity of both conditions. This consensus paper presents guidelines for the coordinated management of psoriatic arthritis by rheumatologists and dermatologists. The paper was drafted by a multidisciplinary group (6 rheumatologists, 6 dermatologists, and 2 epidemiologists) using the Delphi method and contains recommendations, tables, and algorithms for the diagnosis, referral, and treatment of patients with psoriatic arthritis. (C) 2013 Elsevier Espana, S.L. and AEDV. All rights reserved.
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