title: Recommendations for the coordinated management of psoriatic arthritis by rheumatologists and dermatologists: a Delphi study.
abstract: 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 (6rheumatologists, 6dermatologists, and 2epidemiologists) using the Delphi method and contains recommendations, tables, and algorithms for the diagnosis, referral, and treatment of patients with psoriatic arthritis.
authors.affiliation: Servicio de Reumatología, Hospital Clínic de Barcelona e IDIBAPS, Barcelona, Spain.
authors.forename: J D
authors.initials: JD
authors.lastname: Cañete
authors.affiliation: Servicio de Dermatología, IIS-Princesa, Hospital Universitario La Princesa, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Daudén
authors.affiliation: Servicio de Reumatología, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Queiro
authors.affiliation: Técnicas Avanzadas de Investigación en Servicios de Salud (TAISS), Madrid, Spain.
authors.forename: M D
authors.initials: MD
authors.lastname: Aguilar
authors.affiliation: Servicio de Dermatología, Hospital General de Valencia, Valencia, Spain.
authors.forename: J L
authors.initials: JL
authors.lastname: Sánchez-Carazo
authors.affiliation: Servicio de Dermatología, Hospital Universitari Germans Trias y Pujol, Badalona, Barcelona, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Carrascosa
authors.affiliation: Servicio de Dermatología, Hospital Universitario Doctor Negrín, Las Palmas de Gran Canaria, Spain.
authors.forename: G
authors.initials: G
authors.lastname: Carretero
authors.affiliation: Servicio de Reumatología, Hospital Universitario Basurto, Bilbao, Spain.
authors.forename: M L
authors.initials: ML
authors.lastname: García-Vivar
authors.affiliation: Técnicas Avanzadas de Investigación en Servicios de Salud (TAISS), Madrid, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Lázaro
authors.affiliation: Servicio de Dermatología, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain.
authors.forename: J L
authors.initials: JL
authors.lastname: López-Estebaranz
authors.affiliation: Servicio de Reumatología, Hospital Universitario de Salamanca, Salamanca, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Montilla
authors.affiliation: Servicio de Reumatología, Hospital Clínic de Barcelona e IDIBAPS, Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Ramírez
authors.affiliation: Servicio de Reumatología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Rodríguez-Moreno
authors.affiliation: Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Electronic address: lpuig@santpau.cat.
authors.forename: L
authors.initials: L
authors.lastname: Puig
mesh_terms: D000465:Algorithms; D015535:Arthritis, Psoriatic / Q000175:diagnosis* / Q000628:therapy*; D003697:Delphi Technique; D003880:Dermatology; D006801:Humans; D010348:Patient Care Team; D012219:Rheumatology
keywords: Artritis psoriásica; Clinical recommendations; Coordinated management; Manejo coordinado; Psoriatic arthritis; Recomendaciones clínicas