Department of Rheumatology, Tawam Hospital, Al Ain, UAE.
College of Medicine and Health Sciences, UAE University, Al Ain, UAE.
Int J Rheum Dis. 2022 Oct;25(10):1107-1122. doi: 10.1111/1756-185X.14406. Epub 2022 Aug 2.
Psoriatic arthritis (PsA), a chronic inflammatory disease characterized by heterogeneous clinical manifestations, substantially impacts the quality of life of affected individuals. This article aims at developing consensus recommendations for the management of PsA and associated comorbidities and screening and monitoring requirements of PsA therapies in the United Arab Emirates (UAE) population.
An extensive review of present international and regional guidelines and publications on the pharmacological management, monitoring of therapies in the context of PsA was performed. Key findings from guidelines and literature were reviewed by a panel of experts from the UAE at several meetings to align with current clinical practices. Consensus statements were formulated based on collective agreement of the experts and members of Emirates Society for Rheumatology.
The consensus recommendations were developed to aid practitioners in clinical decision-making with respect to dosage recommendations for pharmacological therapies for PsA, including conventional drugs, non-biologic, and biologic therapies. Consensus recommendations for therapeutic options for the treatment of PsA domains, including peripheral arthritis, axial disease, enthesitis, dactylitis, psoriasis, and nail disease, were developed. The panel emphasized the importance of monitoring PsA therapies and arrived at a consensus on monitoring requirements for PsA therapies. The expert panel proposed recommendations for the management of common comorbidities associated with PsA.
These consensus recommendations can guide physicians and healthcare professionals in the UAE in making proper treatment decisions, as well as efficiently managing comorbidities and monitoring therapies in patients with PsA.
银屑病关节炎(PsA)是一种以临床表现多样为特征的慢性炎症性疾病,严重影响患者的生活质量。本文旨在为阿联酋(UAE)人群制定 PsA 及其相关合并症的管理、PsA 治疗的筛查和监测要求的共识建议。
对国际和地区关于药物治疗管理、PsA 治疗监测的现有指南和出版物进行了广泛审查。阿联酋的专家组在多次会议上对指南和文献中的关键发现进行了审查,以符合当前的临床实践。根据专家和阿联酋风湿病学会成员的集体意见,制定了共识声明。
制定共识建议是为了帮助临床医生在药物治疗 PsA 的剂量建议方面做出临床决策,包括常规药物、非生物制剂和生物制剂治疗。制定了治疗 PsA 各领域的治疗选择的共识建议,包括外周关节炎、轴性疾病、肌腱端炎、指(趾)炎、银屑病和指甲疾病。专家组强调了监测 PsA 治疗的重要性,并就 PsA 治疗的监测要求达成了共识。专家组提出了治疗与 PsA 相关的常见合并症的建议。
这些共识建议可以指导阿联酋的医生和医疗保健专业人员做出适当的治疗决策,以及有效地管理合并症和监测患有 PsA 的患者的治疗。