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    Earlier diagnosis of psoriatic arthritis will prevent disease progression

    Treatments like biologics help to ward off adverse impacts of the condition

     

    New care model

    Dr. Eder is currently involved in a pilot study of an innovative model of care where patients with psoriasis experiencing musculoskeletal symptoms, such as joint pain and stiffness, have direct access to rheumatology care. The model includes a central triage clinic where these patients are screened by other healthcare professionals, such as physiotherapists, and undergo a targeted ultrasound of symptomatic joints to assess if there are any signs of active arthritis.

    “We anticipate that this new model of care will improve the early detection of psoriatic arthritis among patients with psoriasis,” Dr. Eder says.

    Some of the immunological pathways that are important in rheumatoid arthritis do not play a role in psoriatic arthritis, Dr. Eder says.

    “Pathways involving IL-17 and IL-23 are more important in psoriatic arthritis but less important in rheumatoid arthritis,” she says.

    Dr. Eder reports no relevant financial relationships.

    References:

    1Husted JA, Thavaneswaran A, Chandran V, et al. Cardiovascular and other comorbidities in patients with psoriatic arthritis: a comparison with patients with psoriasis. Arthritis Care & Research (Hoboken). 2011 Dec;63(12):1729-35.

    2Kraishi M, MacDonald D, Rampakakis E, Vaillancourt J, Sampalis JS. Prevalence of patient-reported comorbidities in early and established psoriatic arthritis cohorts. Clinical Rheumatology. 2011 Jul;30(7):877-85.

    3Mease PJ, Gladman DD, Papp KA, et al. Prevalence of rheumatologist-diagnosed psoriatic arthritis in patients with psoriasis in European/North American dermatology clinics. Journal of the American Academy of Dermatology. 2013 Nov;69(5):729-35.

    4Geijer M, Lindqvist U, Husmark T, et al. The Swedish Early Psoriatic Arthritis Registry 5-year Followup: Substantial Radiographic Progression Mainly in Men with High Disease Activity and Development of Dactylitis. The Journal of Rheumatology. 2015 Nov;42(11):2110-7.

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