Centro de Dermatologia, Hospital CUF Descobertas, Lisboa, Portugal.
Serviço de Reumatologia, Hospital CUF Descobertas, Lisboa, Portugal.
Acta Reumatol Port. 2021 Oct-Dec;46(4):333-341.
Psoriatic disease (Psoriasis and Psoriatic Arthritis, PsD) is a condition that affects the skin, the musculoskeletal system, and beyond, impairing patients' quality of life. A multidisciplinary approach of combined dermatology-rheumatology clinics is recommended and valuable to respond to PsD diagnosis, management, and treatment challenges. In Portugal, five Hospitals have implemented a multidisciplinary clinic for PsD assessment. This report aims to describe how these multidisciplinary clinics were developed, their characteristics, and the main obstacles to their implementation. Although the different hospitals adopted distinct functional models, a consensus respecting the minimal core set assessment for PsD in Multidisciplinary Dermatology/Rheumatology Clinics should comprise all disease manifestations and, if possible, quality of life. The main objective of these clinics is to achieve remission/minimal disease activity. Limitations to these multidisciplinary approaches are discussed, namely financial, time management, and human resources obstacles that can be a handicap in their implementation, despite the benefits of PsD integrated care.
银屑病（银屑病和银屑病关节炎，PsD）是一种影响皮肤、肌肉骨骼系统及其他系统的疾病，会降低患者的生活质量。建议采用多学科联合皮肤科-风湿病学诊所的方法来应对 PsD 的诊断、管理和治疗挑战。在葡萄牙，有五家医院已经为 PsD 评估设立了多学科诊所。本报告旨在描述这些多学科诊所是如何发展的，它们的特点，以及实施过程中的主要障碍。尽管不同的医院采用了不同的功能模式，但在多学科皮肤科/风湿病学诊所中，针对 PsD 的最小核心评估集应包含所有疾病表现，如果可能的话，还应包含生活质量。这些诊所的主要目标是实现缓解/最小疾病活动。本文讨论了这些多学科方法的局限性，例如财务、时间管理和人力资源方面的障碍，尽管整合 PsD 护理有其好处，但这些障碍可能会妨碍其实施。
