Management of psoriatic arthritis: a consensus opinion by expert rheumatologists
BackgroundPsoriatic 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 th...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1327931/full |
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| author | Salvatore D’Angelo Fabiola Atzeni Maurizio Benucci Gerolamo Bianchi Fabrizio Cantini Roberto Felice Caporali Roberto Felice Caporali Giorgio Carlino Francesco Caso Alberto Cauli Francesco Ciccia Maria Antonietta D’Agostino Lorenzo Dagna Lorenzo Dagna Christian Dejaco Christian Dejaco Oscar Massimiliano Epis Maria Grazia Ferrucci Franco Franceschini Franco Franceschini Enrico Fusaro Marco Gabini Roberto Gerli Roberto Giacomelli Roberto Giacomelli Marcello Govoni Elisa Gremese Giuliana Guggino Annamaria Iagnocco Florenzo Iannone Bruno Laganà Ennio Lubrano Carlomaurizio Montecucco Rosario Peluso Roberta Ramonda Maurizio Rossini Carlo Salvarani Gian Domenico Sebastiani Marco Sebastiani Carlo Selmi Carlo Selmi Enrico Tirri Antonio Marchesoni Antonio Marchesoni |
| author_facet | Salvatore D’Angelo Fabiola Atzeni Maurizio Benucci Gerolamo Bianchi Fabrizio Cantini Roberto Felice Caporali Roberto Felice Caporali Giorgio Carlino Francesco Caso Alberto Cauli Francesco Ciccia Maria Antonietta D’Agostino Lorenzo Dagna Lorenzo Dagna Christian Dejaco Christian Dejaco Oscar Massimiliano Epis Maria Grazia Ferrucci Franco Franceschini Franco Franceschini Enrico Fusaro Marco Gabini Roberto Gerli Roberto Giacomelli Roberto Giacomelli Marcello Govoni Elisa Gremese Giuliana Guggino Annamaria Iagnocco Florenzo Iannone Bruno Laganà Ennio Lubrano Carlomaurizio Montecucco Rosario Peluso Roberta Ramonda Maurizio Rossini Carlo Salvarani Gian Domenico Sebastiani Marco Sebastiani Carlo Selmi Carlo Selmi Enrico Tirri Antonio Marchesoni Antonio Marchesoni |
| author_sort | Salvatore D’Angelo |
| collection | DOAJ |
| description | BackgroundPsoriatic 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.MethodsA 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.ResultsNinety-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.DiscussionThe 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. |
| first_indexed | 2024-03-09T08:24:57Z |
| format | Article |
| id | doaj.art-cc925ae96ecd4f1ebfbf87f63882622c |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-09T08:24:57Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-cc925ae96ecd4f1ebfbf87f63882622c2023-12-02T21:27:31ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-11-011010.3389/fmed.2023.13279311327931Management of psoriatic arthritis: a consensus opinion by expert rheumatologistsSalvatore D’Angelo0Fabiola Atzeni1Maurizio Benucci2Gerolamo Bianchi3Fabrizio Cantini4Roberto Felice Caporali5Roberto Felice Caporali6Giorgio Carlino7Francesco Caso8Alberto Cauli9Francesco Ciccia10Maria Antonietta D’Agostino11Lorenzo Dagna12Lorenzo Dagna13Christian Dejaco14Christian Dejaco15Oscar Massimiliano Epis16Maria Grazia Ferrucci17Franco Franceschini18Franco Franceschini19Enrico Fusaro20Marco Gabini21Roberto Gerli22Roberto Giacomelli23Roberto Giacomelli24Marcello Govoni25Elisa Gremese26Giuliana Guggino27Annamaria Iagnocco28Florenzo Iannone29Bruno Laganà30Ennio Lubrano31Carlomaurizio Montecucco32Rosario Peluso33Roberta Ramonda34Maurizio Rossini35Carlo Salvarani36Gian Domenico Sebastiani37Marco Sebastiani38Carlo Selmi39Carlo Selmi40Enrico Tirri41Antonio Marchesoni42Antonio Marchesoni43Rheumatology Department of Lucania, San Carlo Hospital of Potenza, Potenza, ItalyRheumatology Unit, Department of Experimental and Internal Medicine, University of Messina, Messina, ItalyRheumatology Unit, S. Giovanni di Dio Hospital, Florence, ItalyDivision of Rheumatology, Department of Medical Specialties, Azienda Sanitaria Locale 3 Genovese, Genova, ItalyPrivate Practice, Prato, ItalyDivision of Clinical Rheumatology, ASST Gaetano Pini-CTO Institute, Milan, ItalyDepartment of Clinical Sciences and Community Health, University of Milan, Milan, ItalyRheumatology Service, ASL LE-DSS Casarano and Gallipoli, Gallipoli, ItalyDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy0Rheumatology Unit, Department of Medicine and Public Health, AOU and University of Cagliari, Cagliari, Italy1Rheumatology Section, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy2Department of Rheumatology, Catholic University of Sacred Heart, Fondazione Policlinico Universitario A. Gemelli, IRCSS, Rome, Italy3Unit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), San Raffaele Scientific Institute, Milan, Italy4School of Medicine, Vita-Salute San Raffaele University, Milan, Italy5Department of Rheumatology and Immunology, Medical University of Graz, Graz, Austria6Department of Rheumatology, Teaching Hospital of the Paracelsius Medical University, Brunico Hospital (ASAA-SABES), Brunico, Italy7Division of Rheumatology, Multispecialist Medical Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy8Department of Rheumatology, Azienda Ospedaliera Rummo Benevento, Benevento, Italy9Rheumatology and Clinical Immunology Unit, Dipartimento Continuità di Cure e Fragilità, ASST Spedali Civili di Brescia, Brescia, Italy0Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy1Rheumatology Unit, University Hospital AOU Città della Salute e della Scienza di Torino, Turin, Italy2Rheumatology Unit, Santo Spirito Hospital, Pescara, Italy3Rheumatology Unit, Department of Medicine and Surgery, University of Perugia, Perugia, Italy4Research Unit of Immuno-Rheumatology, Department of Medicine, School of Medicine, University of Rome "Campus Biomedico", Rome, Italy5Fondazione Policlinico Campus Bio-Medico, Rome, Italy6Rheumatology Unit, Department of Medical Sciences, Azienda Ospedaliero-Universitaria S. Anna-Ferrara, University of Ferrara, Ferrara, Italy7Clinical Immunology Unit, Department of Geriatrics, Orthopedics and Rheumatology, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Catholic University of the Sacred Heart, Rome, Italy8PROMISE, Università degli studi di Palermo, Palermo, Italy9Academic Rheumatology Centre, Department of Clinical and Biological Sciences, Università degli Studi di Torino, Turin, Italy0DiMePRe-J, Rheumatology Unit, Università degli studi di Bari “Aldo Moro”, Bari, Italy1Department of Clinical and Molecular Medicine, Sapienza University of Rome-S. Andrea University Hospital, Rome, Italy2Academic Rheumatology Unit, Department of Medicine and Health Sciences "Vincenzo Tiberio", Università Degli Studi del Molise, Campobasso, Italy3Department of Internal Medicine and Therapeutics, Rheumatology Unit, University of Pavia, IRCCS Policlinico S. Matteo, Pavia, Italy4Department of Clinical Medicine and Surgery, School of Medicine, University Federico II of Naples, Naples, Italy5Rheumatology Unit+ EULAR Center of Excellence in Rheumatology, Department of Medicine-DIMED, University of Padova, Padua, Italy6Rheumatology Unit, Department of Medicine, University of Verona, Verona, Italy7Azienda USL-IRCCS di Reggio Emilia, Università di Modena e Reggio Emilia, Reggio Emilia, Italy8Rheumatology, Azienda Ospedaliera San Camillo Forlanini, Rome, Italy9Rheumatology Unit, CHIMOMO, University of Modena and Reggio Emilia, Modena, Italy0Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy1Department of Rheumatology and Clinical Immunology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy2Rheumatology Unit, Ospedale del Mare, Naples, Italy3Rheumatology, Humanitas San Pio X, Milan, Italy4Ospedale S. Maria Nuova, Reggio Emilia, ItalyBackgroundPsoriatic 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.MethodsA 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.ResultsNinety-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.DiscussionThe 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.https://www.frontiersin.org/articles/10.3389/fmed.2023.1327931/fullpsoriatic arthritischronic inflammatory musculoskeletal diseasecomorbiditiesextra-articular manifestationsdiagnosistreatment |
| spellingShingle | Salvatore D’Angelo Fabiola Atzeni Maurizio Benucci Gerolamo Bianchi Fabrizio Cantini Roberto Felice Caporali Roberto Felice Caporali Giorgio Carlino Francesco Caso Alberto Cauli Francesco Ciccia Maria Antonietta D’Agostino Lorenzo Dagna Lorenzo Dagna Christian Dejaco Christian Dejaco Oscar Massimiliano Epis Maria Grazia Ferrucci Franco Franceschini Franco Franceschini Enrico Fusaro Marco Gabini Roberto Gerli Roberto Giacomelli Roberto Giacomelli Marcello Govoni Elisa Gremese Giuliana Guggino Annamaria Iagnocco Florenzo Iannone Bruno Laganà Ennio Lubrano Carlomaurizio Montecucco Rosario Peluso Roberta Ramonda Maurizio Rossini Carlo Salvarani Gian Domenico Sebastiani Marco Sebastiani Carlo Selmi Carlo Selmi Enrico Tirri Antonio Marchesoni Antonio Marchesoni Management of psoriatic arthritis: a consensus opinion by expert rheumatologists Frontiers in Medicine psoriatic arthritis chronic inflammatory musculoskeletal disease comorbidities extra-articular manifestations diagnosis treatment |
| title | Management of psoriatic arthritis: a consensus opinion by expert rheumatologists |
| title_full | Management of psoriatic arthritis: a consensus opinion by expert rheumatologists |
| title_fullStr | Management of psoriatic arthritis: a consensus opinion by expert rheumatologists |
| title_full_unstemmed | Management of psoriatic arthritis: a consensus opinion by expert rheumatologists |
| title_short | Management of psoriatic arthritis: a consensus opinion by expert rheumatologists |
| title_sort | management of psoriatic arthritis a consensus opinion by expert rheumatologists |
| topic | psoriatic arthritis chronic inflammatory musculoskeletal disease comorbidities extra-articular manifestations diagnosis treatment |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1327931/full |
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