Psoriasis is a common, chronic, inflammatory, multisystem disease with predominantly skin and joint manifestations affecting approximately 2% of the population. Epub 2019 Jul 18. 2019 Nov 7;5(5):356-360. doi: 10.1016/j.ijwd.2019.09.010. Psoriatic arthritis: overview and guidelines of care for treatment … This site needs JavaScript to work properly. In the first 5 parts of the American Academy of Dermatology Psoriasis Guidelines of Care, we have presented evidence supporting the use of topical treatments, phototherapy, traditional systemic agents, and biological therapies for patients with psoriasis and psoriatic arthritis. This is particularly important as the number of new therapies expands and we learn more about the complexity of diseases and how different disease elements may direct therapy selection. Go to guideline In this fourth of 6 sections of the guidelines of care for psoriasis, we discuss the use of traditional systemic medications for the treatment of patients with psoriasis. Please enable it to take advantage of the complete set of features! Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 2. In addition, we will update the prior 5 guidelines and address gaps in research and care that currently exist, while making suggestions for further studies that could be performed to help address these limitations in our knowledge base. 2020 Jan 10;4:2. doi: 10.1186/s41927-019-0102-7. Epub 2009 Oct 7.Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, Gottlieb AB, Koo JY, Lebwohl M, Lim HW, Van Voorhees AS, Beutner KR, Bhushan R.J Am Acad Dermatol. Elsevier Science Please enable it to take advantage of the complete set of features! Psoriasis is a common, chronic, inflammatory, multi-system disease with predominantly skin and joint manifestations affecting approximately 2% of the population. New guideline: Psoriasis management with topicals. Published by Mosby, Inc. All rights reserved. Unable to load your delegates due to an error Elsevier Science In this second of 5 sections of the guidelines of care for psoriasis, we give an overview of psoriatic arthritis including its cardinal clinical features, pathogenesis, prognosis, classification, assessment tools used to evaluate psoriatic arthritis, and the approach to treatment. Recommendations for treatment of patients with active psoriatic arthritis with nonpharmacologic interventions (PICOs 1–8) * * Active psoriatic arthritis (PsA) is defined as disease causing symptoms at an unacceptably bothersome level as reported by the patient, and judged by the examining clinician to be due to PsA based on ≥1 of the following: swollen joints, tender joints, dactylitis, enthesitis, axial disease… 2010 Jan;62(1):114-35. doi: 10.1016/j.jaad.2009.08.026. Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, Gottlieb A, Koo JY, Lebwohl M, Lim HW, Van Voorhees AS, Beutner KR, Bhushan R.J Am Acad Dermatol. Although patients with mild to moderate psoriatic arthritis may be treated with nonsteroidal anti-inflammatory drugs and/or intra-articular steroid injections, the use of disease-modifying antirheumatic drugs, particularly methotrexate, along with the biologic agents, are considered the standard of care in patients with more significant psoriatic arthritis. 2008 May;67(5):717-9. doi: 10.1136/ard.2007.082925. 2013 Oct;149(10):1180-5. doi: 10.1001/jamadermatol.2013.5264.Sinkeviciute D, Skovlund Groen S, Sun S, Manon-Jensen T, Aspberg A, Önnerfjord P, Bay-Jensen AC, Kristensen S, Holm Nielsen S.Sci Rep. 2020 Aug 11;10(1):13541. doi: 10.1038/s41598-020-70327-0.Dermatol Ther (Heidelb). We will discuss the use of disease-modifying antirheumatic drugs and the biologic therapies in the treatment of patients with moderate to severe psoriatic arthritis. COVID-19 is an emerging, rapidly evolving situation. Psoriasis is a common, chronic, inflammatory, multi-system disease with predominantly skin and joint manifestations affecting approximately 2% of the population. Name must be less than 100 characters 2020 Jan 13;11(1):51-57. doi: 10.4103/idoj.IDOJ_169_19. 2011 Sep;50 Suppl 4:iv39-iv47. Name must be less than 100 characters eCollection 2020 Jan-Feb. In this fifth of 6 sections of the guidelines of care for psoriasis, we discuss the use of ultraviolet (UV) light therapy for the treatment of patients with psoriasis.