Spondyloarthritis & psoriatic arthritis

EULAR points to consider for the definition of clinical and imaging features suspicious for progression from psoriasis to psoriatic arthritis

Ann Rheum DisPublished Recommendation statement

Methodological detailsEULAR points to consider
  • EULAR points to consider

Recommendations

As issued by the authors

  1. Nomenclature for 3 stages towards psoriatic arthritis (PsA): people with psoriasis (PsO) at higher risk of PsA, subclinical PsA and clinical PsA

  2. Clinical PsA defined as PsO and associated synovitis; usable as outcome measure in trials of transition from PsO to PsA

  3. Overarching principles address the nature of PsA at onset and the importance of rheumatologist–dermatologist collaboration for prevention/interception of PsA

  4. Arthralgia and imaging abnormalities are key elements of subclinical PsA, potential short-term predictors of PsA and useful items to design PsA interception trials

  5. Traditional risk factors (PsO severity, obesity, nail involvement) may be more long-term predictors and less robust for short-term trials of transition from PsO to PsA

Original publication

EULAR points to consider for the definition of clinical and imaging features suspicious for progression from psoriasis to psoriatic arthritis. Ann Rheum Dis. Published 9 June 2023. doi:10.1136/ard-2023-224148

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