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Journal Articles Frontiers in Medicine Year : 2023

Management of psoriatic arthritis: a consensus opinion by expert rheumatologists

Salvatore D’angelo
  • Function : Author
Fabiola Atzeni
  • Function : Author
Maurizio Benucci
  • Function : Author
Gerolamo Bianchi
  • Function : Author
Fabrizio Cantini
  • Function : Author
Roberto Felice Caporali
  • Function : Author
Giorgio Carlino
  • Function : Author
Francesco Caso
  • Function : Author
Alberto Cauli
  • Function : Author
Francesco Ciccia
  • Function : Author
Lorenzo Dagna
  • Function : Author
Christian Dejaco
  • Function : Author
Oscar Massimiliano Epis
  • Function : Author
Maria Grazia Ferrucci
  • Function : Author
Franco Franceschini
  • Function : Author
Enrico Fusaro
  • Function : Author
Marco Gabini
  • Function : Author
Roberto Gerli
  • Function : Author
Roberto Giacomelli
  • Function : Author
Marcello Govoni
  • Function : Author
Elisa Gremese
  • Function : Author
Giuliana Guggino
  • Function : Author
Annamaria Iagnocco
  • Function : Author
Florenzo Iannone
  • Function : Author
Bruno Laganà
  • Function : Author
Ennio Lubrano
  • Function : Author
Carlomaurizio Montecucco
  • Function : Author
Rosario Peluso
  • Function : Author
Roberta Ramonda
  • Function : Author
Maurizio Rossini
  • Function : Author
Carlo Salvarani
  • Function : Author
Gian Domenico Sebastiani
  • Function : Author
Marco Sebastiani
  • Function : Author
Carlo Selmi
  • Function : Author
Enrico Tirri
  • Function : Author
Antonio Marchesoni
  • Function : Author
  • PersonId : 1376282

Abstract

Background Psoriatic arthritis (PsA) is a chronic inflammatory musculoskeletal disease involving several articular and extra-articular structures. Despite the important progresses recently made in all of the aspects of this disease, its management is still burdened by unresolved issues. The aim of this exercise was to provide a set of statements that may be helpful for the management of PsA. Methods A group of 38 Italian rheumatologists with recognized expertise in PsA selected and addressed the following four topics: “early PsA,” “axial-PsA,” “extra-articular manifestations and comorbidities,” “therapeutic goals.” Relevant articles from the literature (2016–2022) were selected by the experts based on a PubMed search. A number of statements for each topic were elaborated. Results Ninety-four articles were selected and evaluated, 68 out of the 1,114 yielded by the literature search and 26 added by the Authors. Each of the four topic was subdivided in themes as follows: transition from psoriasis to PsA, imaging vs. CASPAR criteria in early diagnosis, early treatment for “early PsA”; axial-PsA vs. axialspondyloarthritis, diagnosis, clinical evaluation, treatment, standard radiography vs. magnetic resonance imaging for “axial PsA”; influence of inflammatory bowel disease on the therapeutic choice, cardiovascular comorbidity, bone damage, risk of infection for “comorbidities and extra-articular manifestations”; target and tools, treat-to-target strategy, role of imaging for “therapeutic goals.” The final document consisted of 49 statements. Discussion The final product of this exercise is a set of statements concerning the main issues of PsA management offering an expert opinion for some unmet needs of this complex disease.
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Dates and versions

hal-04551291 , version 1 (18-04-2024)

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Salvatore D’angelo, Fabiola Atzeni, Maurizio Benucci, Gerolamo Bianchi, Fabrizio Cantini, et al.. Management of psoriatic arthritis: a consensus opinion by expert rheumatologists. Frontiers in Medicine, 2023, 10, ⟨10.3389/fmed.2023.1327931⟩. ⟨hal-04551291⟩
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