D. Kampel Stolnicki, MD, Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil.
L.C. Coates, MBChB, PhD, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
J Rheumatol. 2024 Oct 1;51(Suppl 2):54-57. doi: 10.3899/jrheum.2024-0621.
Multidisciplinary care is essential for the management of patients with psoriatic disease (PsD), considering the great range of cutaneous and musculoskeletal symptoms and the potential for associated comorbidities and extraarticular manifestations. Consequently, combined rheumatology/dermatology clinics represent a gold standard model of care for patients with PsD. Many challenges are associated with the establishment of these clinics in routine clinical practice. In this report, we describe the thoughts and debates within a collaborative care breakout session during the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) 2023 annual meeting. The breakout discussion focused around 3 main topics: (1) challenges of dermatologist-rheumatologist collaboration; (2) innovative approaches to encourage collaboration; and (3) how to identify patients with psoriasis at high risk of developing PsA.
多学科护理对于患有银屑病性疾病 (PsD) 的患者的管理至关重要，因为此类患者有广泛的皮肤和肌肉骨骼症状，且可能存在相关合并症和关节外表现。因此，联合风湿病学/皮肤科诊所是 PsD 患者的护理金标准模式。在常规临床实践中建立这些诊所存在许多挑战。在本报告中，我们描述了在 2023 年 GRAPPA 年会的协作护理分组讨论会上的想法和辩论。分组讨论集中在 3 个主要主题上：(1) 皮肤科医生与风湿病学家合作的挑战；(2) 鼓励合作的创新方法；(3) 如何识别有发生 PsA 风险的高风险银屑病患者。
