Nash Peter, Sumpton Daniel, Tellus Michelle, Feletar Marie, Bird Paul, Hall Stephen
School of Medicine, Griffith University, Brisbane, Queensland, Australia.
Rheumatology Research Unit, Sunshine Coast, Queensland, Australia.
Intern Med J. 2024 Dec;54(12):2037-2053. doi: 10.1111/imj.16557. Epub 2024 Nov 26.
Psoriatic arthritis (PsA) is a progressive, systemic inflammatory disease. It can lead to serious joint damage and disability, increased cardiovascular risk and reduced quality of life. Six experts met to develop the recommendations for the management of PsA in Australia. The final recommendations are approved by all panel members. Management and treatment recommendations have been made under six subheadings: Recommendations for non-steroidal anti-inflammatory drugs and glucocorticoids; Disease-modifying treatment; Screening and monitoring; Family planning; Symptom treatment and extra-articular manifestations; Comorbidities and lifestyle considerations. Our recommendations for the management of PsA in Australia draw heavily on the established global guidelines. These recommendations aim to assist clinicians to make informed, patient-centric choices when delivering treatment to people with PsA.
银屑病关节炎(PsA)是一种进行性的全身性炎症性疾病。它可导致严重的关节损伤和残疾、心血管风险增加以及生活质量下降。六位专家齐聚一堂,制定澳大利亚银屑病关节炎管理的建议。最终建议得到了所有专家组成员的认可。管理和治疗建议按照六个小标题给出:非甾体抗炎药和糖皮质激素的建议;改善病情的治疗;筛查和监测;计划生育;症状治疗和关节外表现;合并症和生活方式考量。我们针对澳大利亚银屑病关节炎管理的建议在很大程度上借鉴了既定的全球指南。这些建议旨在帮助临床医生在为银屑病关节炎患者提供治疗时做出明智的、以患者为中心的选择。