Rheumatology and Therapy (Oct 2024)

How Are We Addressing Axial Psoriatic Arthritis in Clinical Practice?

  • Xabier Michelena,
  • Clementina López-Medina,
  • Eugenio De Miguel,
  • Manuel José Moreno-Ramos,
  • Rubén Queiro,
  • Helena Marzo-Ortega,
  • Xavier Juanola

DOI
https://doi.org/10.1007/s40744-024-00722-w
Journal volume & issue
Vol. 11, no. 6
pp. 1441 – 1456

Abstract

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Abstract Psoriatic arthritis (PsA) is a chronic inflammatory disease affecting the musculoskeletal system, skin and nails. In addition to peripheral joints, inflammation of the spine and sacroiliac joints may occur. Yet, research into this axial phenotype has lagged behind partly because of the challenge in its clinical identification with a lack of specific clinical, molecular or imaging biomarkers. In the absence of a validated definition of what constitutes axial PsA (axPsA), guidelines for the management of axial involvement in PsA in clinical practice are scarce. On the basis of a literature review and their clinical expertise, a group of rheumatology experts provide their opinion to aid the diagnosis and management of axial PsA in clinical practice.

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