Consensus on the management of patients with psoriatic arthritis in a dermatology setting

Gisondi, Paolo; Altomare, G. F.; Ayala, Fabio; Conti, Andrea; Dapavo, Paolo; Simone, Clara De; Foti, Caterina; Idolazzi, Luca; Lubrano, Ennio; Malara, Giovanna; Marchesoni, Antonio; Olivieri, Ignazio; Parodi, Aurora; Peris, Ketty; Piaserico, Stefano; Salvarani, Carlo; Scarpa, Raffaele; Girolomoni, Giampiero

doi:10.1111/jdv.14741

Cited by 19 publications

(23 citation statements)

References 102 publications

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“…It is not a systematic review but a document that integrates the newest immune-inflammatory concepts, taking into consideration the classification, investigation and treatment based in evidence from the literature, guided by international guidelines and validated by Brazilian specialists with the modified “Delphi” system. 3 The differences in practice between men, women, adults and children are also one talking point.…”

Section: Objective Of the Consensusmentioning

confidence: 99%

“…Data obtained were analyzed statistically. 3,4 For the topic “systemic treatments”, a ranking according to the order of preference among the drugs that should be used for the treatment of HS was asked of the specialists. To verify differences in the specialists’ preferences, the Friedman test was used, and the significance level adopted was of 5%.…”

Section: Objective Of the Consensusmentioning

confidence: 99%

“…45 Other lasers, such as diode and intense pulsed light have successful reports in smaller series of patients. 3…”

Section: Treatmentmentioning

confidence: 99%

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Consensus on the treatment of hidradenitis suppurativa - Brazilian Society of Dermatology

Magalhães

Machado

Duarte³

et al. 2019

An. Bras. Dermatol.

142

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Hidradenitis suppurativa is a chronic immune mediated disease of universal distribution that causes great damage to the quality of life of the affected individual, whose prevalence is estimated at 0.41% in the Brazilian population. The objective of this work was update on physiopathogenesis, diagnosis and classification of hidradenitis suppurativa and to establish therapeutic recommendations in the Brazilian reality. It was organized as a work group composed of eight dermatologists from several institutions of the country with experience in the treatment of hidradenitis suppurativa and carried out review on the topic. Recommendations were elaborated and voted by modified Delphi system and statistical analysis of the results was performed. The Brazilian consensus on the clinical approach of hidradenitis suppurativa had the support of the Brazilian Society of Dermatology.

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Section: Objective Of the Consensusmentioning

confidence: 99%

Section: Objective Of the Consensusmentioning

confidence: 99%

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Consensus on the treatment of hidradenitis suppurativa - Brazilian Society of Dermatology

Magalhães

Machado

Duarte³

et al. 2019

An. Bras. Dermatol.

142

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“…Further valuable liaisons have been generated between these specialists and workers in related disciplines of imaging, molecular biology, and therapeutics, among others, to throw further light on this fascinating and ever challenging disease complex." 4 As president of the Italian Society of Rheumatology, Olivieri organized a series of scientific meetings with dermatologists, gastroenterologists, and ophthalmologists with the aim of developing recommendations for a shared clinical approach to spondyloarthritic patients with psoriasis 5 , inflammatory bowel diseases 6 , and uveitis 7 .…”

Section: Psoriatic Syndrome or Psoriatic Disease?mentioning

confidence: 99%

Psoriatic Syndrome or Psoriatic Disease?

Scarpa

2020

J Rheumatol

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“…Актуальность таких программ подтверждается созданием междисциплинарных консенсусов, основной целью которых является разработка приемлемых алгоритмов ведения данной категории пациентов [28,29]. Так, одним из междисциплинарных консенсусов [30] было единогласно одобрено активное использование дерматовенерологами следующих методов: скринирующих опросников, позволяющих выявлять артрит, дактилит, спондилит и энтезит, дифференцировать воспалительные и невоспалительные признаки поражения опорно-двигательного аппарата; визуальной аналоговой шкалы для оценки боли; числа болезненных и припухших суставов и пальцев с дактилитом для оценки активности ПсА; критериев CAS-PAR; стандартной рентгенографии кистей и стоп, УЗИ, МРТ; определения уровня СОЭ, СРБ, РФ, антител к циклическому цитруллинированному пептиду, мочевой кислоты, HLA-B27-антигена. Однако в данных рекомендациях акцент сделан главным образом на диагностику периферических проявлений ПсА, в то время как результаты нашего исследования показывают, что необходимо активно выявлять и аксиальные симптомы у больных псориазом, внедрять в клиническую практику стандартные ревматологические методы диагностики спондилита.…”

Section: клинические проявления псаunclassified

Detectability of the peripheral and axial manifestations of psoriatic arthritis in patients with psoriasis in dermatological practice

Chamurlieva¹,

Логинова²,

Коротаева³

2019

Sovremennaâ revmatologiâ

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Psoriatic arthritis (PsA) is a heterogeneous disease manifested by peripheral arthritis, dactylitis, spondylitis, and enthesitis. PsA is often undiagnosed by dermatovenerologists because of the difficulty in identifying a variety of clinical signs. The early diagnosis of PsA and the accurate assessment of all its symptoms are necessary for the timely choice of optimal therapy.Objective: to assess the detectability of clinical signs of PsA in patients with psoriasis in dermatological practice.Patients and methods. The investigation enrolled 103 patients (47 men and 56 women) (mean age, 44.0±13.7 years) with psoriasis (its mean duration, 10.7±10.2 years), the average prevalence and severity according to the Body Surface Area (BSA) and the Psoriasis Area and Severity Index (PASI) were 9.3±13.6% and 15.4±12.5 scores, respectively. All the patients completed the Psoriasis Epidemiology Screening Tool (mPEST) and were examined by a dermatovenerologist and a rheumatologist. The diagnosis of PsA was based on the Classification Criteria for Psoriatic Arthritis (CASPAR). The investigators evaluated arthritis, dactylitis, enthesitis, and inflammatory back pain (IBP) according to the rheumatological standards: IBP by the Assessment of SpondyloArthritis International Society (ASAS) criteria, and enthesitis by the Leeds Enthesitis Index (LEI).Results and discussion. Sixty-one (59.2%) of the 103 patients with psoriasis were found to have PsA on the basis of the CASPAR criteria and the rheumatologist's examination. The dermatovenerologist diagnosed arthritis in a significantly smaller number of cases than did the rheumatologist: in 15 (24.6%) and 35 (57.4%) of the 61 patients (p<0.001), respectively. The dermatovenerologist and the rheumatologist demonstrated no significant differences in their clinical evaluation of dactylitis: it was detected in 37 (60.7%) and 40 (65.6%) of the 61 patients, respectively (p=0.32). Based on patient complaints and mPEST findings, the dermatovenerologist recorded pain in the calcaneal region in 32 (52.5%) patients. The rheumatologist identified ulnar, knee, and calcaneus enthesitis in 11 (18%), 8 (13.1%), and 25 (41%) patients, respectively. Based on complaints and mPEST findings, the dermatovenerologist detected back pain in 30 (49.2%) of the 61 patients. The rheumatologist diagnosed IBP in 21 (70%) of these 30 patients and mechanical back pain in 9 (30%). Thus, IBP was noted in 34.4% of PsA patients. Tendonitis was undiagnosed by the dermatovenerologist; the rheumatologist identified wrist tendonitis in 13 (21.3%) of the 61 patients with PsA.Conclusion. Dermatovenerologists frequently underestimate damage to the spine and entheses in patients with psoriasis. The introduction of the ASAS criteria for IBP and methods for assessing enthesitis in dermatological practice can improve the early diagnosis of axial lesion in PsA in patients with psoriasis.

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Consensus on the management of patients with psoriatic arthritis in a dermatology setting

Abstract: The implementations of these practical recommendations could be very helpful for the management of patients with PsA in the dermatology setting including early diagnosis and treatment.

Cited by 19 publications

References 102 publications

Consensus on the treatment of hidradenitis suppurativa - Brazilian Society of Dermatology

Consensus on the treatment of hidradenitis suppurativa - Brazilian Society of Dermatology

Psoriatic Syndrome or Psoriatic Disease?

Detectability of the peripheral and axial manifestations of psoriatic arthritis in patients with psoriasis in dermatological practice

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