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Original Article   Open accessopen access

Italian Journal of Dermatology and Venereology 2022 Jul 05

DOI: 10.23736/S2784-8671.22.07278-4

Copyright © 2022 THE AUTHOR(s)

This is an open access article distributed under the terms of the CC BY-NC 4.0 license which allows users to distribute, remix, adapt and build upon the manuscript, as long as this is not done for commercial purposes, the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI), provides a link to the license and indicates if changes were made.

lingua: Inglese

A multidisciplinary care unit approach for the management of psoriatic arthritis: an Italian experience

Luisa DI COSTANZO 1 , Maria G. FERRUCCI 2, Carolina BENIGNO 3, Sara CACCIAPUOTI 4, Francesca FOGLIA 3, Alessio GAMBARDELLA 5, Daniela IACONO 6, Matteo MEGNA 4, Rosa V. PUCA 7, Mariangela RAIMONDO 8

1 Dermatology Unit, Azienda Ospedaliera Rilievo Nazionale G. Rummo, Benevento, Italy; 2 Department of Rheumatology, Azienda Ospedaliera Rilievo Nazionale G. Rummo, Benevento, Italy; 3 Rheumatology Unit, Department of Clinical Medicine and Surgery, School of Medicine, University of Naples Federico II, Naples, Italy; 4 Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy; 5 Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli, Naples, Italy; 6 Department of Precision Medicine, Rheumatology Section, University of Campania Luigi Vanvitelli, Naples, Italy; 7 Dermatology and Dermosurgery, Azienda Ospedaliera di Rilievo Nazionale San Giuseppe Moscati, Avellino, Italy; 8 Rheumatology, Internal Medicine, Azienda Ospedaliera di Rilievo Nazionale San Giuseppe Moscati, Avellino, Italy


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BACKGROUND: Psoriatic arthritis (PsA) is a chronic inflammatory disease that can produce disabling joint symptoms, adding significantly to the physical and psychosocial burden of psoriasis. Early detection is important to allow the development of an appropriate care plan to delay the onset of PsA and maximize the patient’s quality of life. Our aim was to present the criteria, based on evidence and expert opinion, for a multidisciplinary approach to the management of PsA in a patient already characterized by skin manifestation.
METHODS: An expert panel from the principal psoriatic care units of the Campania region of Italy met to discuss their mutual experience of the multidisciplinary approach to the management of psoriatic disease and to describe an integrated dermatologic/rheumatologic approach focused on the early diagnosis, management, and treatment of PsA.
RESULTS: Two types of consultation modalities were considered most relevant to the care of patients with psoriatic disease in Italy: the parallel approach and the face-to-face care unit approach. Screening criteria for multidisciplinary care unit admission were described, with dermatologists, as the primary managers of the majority of patients with psoriasis, playing a critical role in introducing patients early on to therapy.
CONCLUSIONS: An integrated management approach may enhance patient care by ensuring early diagnosis and treatment, with the potential to achieve better outcomes for both skin and musculoskeletal manifestations of psoriasis. The multidisciplinary care unit model is an effective and satisfying collaborative approach, not only optimizing outcomes and satisfaction for the patient but strengthening collaboration between the specialties.


KEY WORDS: Psoriatic arthritis; Psoriasis; Comorbidity; Diagnosis; Disease management

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