A consensus-based approach on the management of patients with both psoriasis and psoriatic arthritis in the dermatological and rheumatological settings in Italy: The ADOI PSO-Amore Project
1 Dermatology Unit, „G. Rummo“ Hospital, Benevento; ADOI President.
2 Clinical Epidemiology Unit, Istituto Dermopatico dell’Immacolata-IRCCS, Rome.
3 Dermatology Unit, Villa Scassi Hospital, ASL-3, Genoa.
4 Rheumatologist, Benevento.
5 Rheumatology Unit, University of Modena and Reggio Emilia.
6 Dermatology Unit, „Bianchi Melacrino Morelli“ Hospital, Reggio Calabria; ADOI psoriasis study group coordinator.
7 Dermatology Unit, „San Bortolo“ Hospital, Vicenza.
8 Dermatology Unit, Ospedale della Misericordia, Grosseto.
9 Clinical Physiology Unit, CNR-IFC, Reggio Calabria.
10 Independent Researcher, Rome.
11 Dermatology Unit, „A. Cardarelli“ Hospital, Campobasso.
12 Dermatology Unit, San Gallicano Dermatologic Institute-IRCCS, Rome.
13 Associazione Nazionale Persone con Malattie Reumatologie e Rare – APMARR President, Lecce.
14 APIAFCO President, Bologna.
15 Epidemiology Unit, „G. Rummo“ Hospital, Benevento.
16 Dermatology Unit, „San Marco“ Hospital, Catania.
17 Rheumatology Unit, Marche Polytechnic University, „C. Urbani“ Hospital, Jesi.
18 Rheumatology Unit, „San Marco“ Hospital, Catania.
19 Dermatology Unit, Moscati Hospital Avellino.
20 Dermatology Unit, „Santi Giovanni e Paolo“ Hospital, Venezia.
21 Dermatology Unit, „C. Urbani“ Hospital, Jesi.
22 Rheumatology Unit, San Gallicano Dermatologic Institute- IRCCS, Rome.
23 A.DI.PSO. ODV, Rome.
24 Dermatology Unit, „San Camillo Forlanini“ Hospital, Rome.
25 Dermatology Unit, Casa Sollievo della Sofferenza-IRCCS, San Giovanni Rotondo.
26 Internal Medicine Unit, Casa Sollievo della Sofferenza-IRCCS, San Giovanni Rotondo.
27 Rheumatology Unit, „San Francesco Caracciolo“ Hospital, Agnone.
28 ANMAR President, Venezia.
29 Pharmacy Unit, Local Health Unit Naples 3 South, Castellammare di Stabia.
30 Rheumatology Unit, „S. Andrea“ Hospital, Vercelli.
31 Dermatology Unit & Scientific Directorate, Galliera Hospital, Genoa.
32 „San Camillo Forlanini“ Hospital, Rome, Italy.
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Abstract
Psoriasis is a complex disease often needing a multidisciplinary approach. In particular, the collaboration between dermatologist and rheumatologist is crucial for the management of patients suffering from both psoriasis (PSO) and psoriatic arthritis (PsA). Here we report a series of recommendations from a group of experts, as a result of a Consensus Conference, defining the circumstances in which it is preferable or even mandatory, depending on the available settings, to rely on the opinion of the two specialists, jointly or in a deferred manner. Indications are given on how to organize a 3rd level joint Dermatology- Rheumatology care unit, in connection with 1st and 2nd level clinicians of both specialties, GPs, and other specialists involved in the management of psoriasis. A potential patient journey is suggested, that can be used as a basis for future design and validation of national and/or local diagnostic therapeutic and assistance pathways.
ADIPSO ADOI AIDA SIDeMaST, SIMG. Report PACTA. La Psoriasi. Una patologia cutanea multiorgano. Nuovi paradigmi e strategie di tutela assistenziale. 2016.
de Oliveira M de FSP, Rocha B de O, Duarte GV. Psoriasis: classical and emerging comorbidities. An Bras Dermatol 2015;90:9.