Symptoms dermatologists should look for in daily practice to improve detection of psoriatic arthritis in psoriasis patients: an expert group consensus

Abstract

We propose a set of four items to screen psoriasis patients for psoriatic arthritis for routine clinical use by dermatologists.

Evidence‐based recommendations on the role of dermatologists in the diagnosis and management of psoriatic arthritis: systematic review and expert opinion

“…Items receiving a score higher than 90% were selected. The methods and results are detailed elsewhere in this issue of the journal …”

“…The methods and results are detailed elsewhere in this issue of the journal. 42 Which extracutaneous clinical signs must be routinely screened by a dermatologist so as not to miss PsA in a patient with skin psoriasis?…”

Multidisciplinary dermatology–rheumatology management for patients with moderate-to-severe psoriasis and psoriatic arthritis: a systematic review

“…Two main approaches have been suggested to improve the detection of PsA in the dermatology clinic. First, some clinical signs and symptoms which dermatologists should be searching for in a psoriasis patient in addition to specific skin features and nail involvement have been suggested [2,[6][7][8]. Second, several self-administered PsA screening questionnaires have been developed and validated for use in psoriasis patients, but they are rarely used due to issues of diagnostic sensitivity and specificity [9][10][11][12][13].…”

Psoriatic arthritis screening by the dermatologist: development and first validation of the ‘PURE‐4 scale’

“…Based on the literature review on symptoms known to be linked with PsA, a working group of dermatologists and rheumatologists agreed by consensus on a selection of 23 candidate items, covering psoriasis features, pain at various locations (peripheral, axial, buttocks, chest wall, fingers and toes, heel) and inflammatory signs occurring in PsA (morning stiffness, swollen and/or tender joints).…”