Spondyloarthritis & psoriatic arthritis
Diagnosis and Assessment of Psoriasis for the Rheumatologist: A Workshop From the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) 2024 Annual Meeting
Recommendations
As issued by the authors
Recognise alternative conditions mimicking psoriasis (PsO) (tinea, seborrheic dermatitis, eczema, pityriasis rubra pilaris, syphilis, cutaneous lymphoma) and consider referral to dermatology when skin disease is not responding to therapy
Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index (DLQI) are gold standards in clinical trials but not practical in busy clinical practice; Physician global assessment (PGA), body surface area by handprint method and informal patient-reported outcomes can be useful to document disease burden
A treat-to-target approach using a PGA of clear/almost clear is ideal
Original publication
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