Department of Rheumatology, Tawam Hospital, Al Ain, UAE.
College of Medicine and Health Sciences, UAE University, Al Ain, UAE.
Int J Rheum Dis. 2022 Jul;25(7):725-732. doi: 10.1111/1756-185X.14357. Epub 2022 Jun 9.
Psoriatic arthritis (PsA), a chronic inflammatory arthropathy, is often underdiagnosed in Middle Eastern countries, substantially impacting the treatment of affected individuals. This article aims to highlight current unmet clinical needs and provide consensus recommendations for region-specific evaluation methods and nonpharmacological therapies in the United Arab Emirates (UAE).
An extensive literature review was conducted, focusing especially on global and regional guidelines for the evaluation and treatment of PsA. These form the basis of the consensus statements formulated. Additionally, an expert panel of key opinion leaders from the UAE reviewed these guidelines and available literature at an advisory board meeting to identify unmet needs, bridge clinical gaps in the UAE, and develop consensus statements for the evaluation and treatment of PsA.
The consensus statements were developed based on overarching principles for the management of PsA, evaluation of patients with PsA, and nonpharmacological approaches for the management of PsA. The overarching principles included adopting a targeted, multidisciplinary approach, along with collaboration between rheumatologists and dermatologists in cases of clinically significant skin involvement. The panel also highlighted the value of composite disease severity measures for characterizing clinical manifestations of PsA. In terms of nonpharmacological management approaches, lifestyle modification (comprising dietary change, exercise, and cessation of smoking) and psychotherapy were recommended.
The consensus statements will aid healthcare professionals in clinical decision-making in the context of PsA.
银屑病关节炎（PsA）是一种慢性炎症性关节病，在中东国家常常被漏诊，严重影响了患者的治疗。本文旨在强调当前未满足的临床需求，并为阿联酋特定于区域的评估方法和非药物治疗提供共识建议。
我们进行了广泛的文献回顾，特别关注全球和区域评估和治疗 PsA 的指南。这些构成了制定共识声明的基础。此外，阿联酋的一组关键意见领袖专家小组在顾问委员会会议上审查了这些指南和可用文献，以确定未满足的需求，弥合阿联酋的临床差距，并制定用于评估和治疗 PsA 的共识声明。
共识声明是基于 PsA 管理的总体原则、评估患有 PsA 的患者以及用于管理 PsA 的非药物方法制定的。总体原则包括采用有针对性的多学科方法，以及在出现临床显著皮肤受累时，风湿病学家和皮肤科医生之间的合作。专家组还强调了使用复合疾病严重程度措施来描述 PsA 的临床表现的价值。在非药物管理方法方面，建议进行生活方式改变（包括饮食改变、运动和戒烟）和心理治疗。
共识声明将有助于医疗保健专业人员在 PsA 背景下进行临床决策。
