PMID- 36578740 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230103 IS - 1998-3611 (Electronic) IS - 0019-5154 (Print) IS - 0019-5154 (Linking) VI - 67 IP - 4 DP - 2022 Jul-Aug TI - A Joint Consensus of Rheumatologists and Dermatologists on Early Detection and Effective Management of Psoriatic Arthritis: India's Perspective. PG - 479 LID - 10.4103/ijd.ijd_939_20 [doi] AB - Psoriatic arthritis (PsA) is a chronic inflammatory disease with clinical manifestations, including inflammatory arthritis and the presence of psoriasis (PsO). The present consensus statement evaluated the early diagnosis and treatment approaches in the management of psoriasis and psoriatic arthritis by rheumatologists and dermatologists. For PAN India representation, a panel of eight rheumatologists and five dermatologists from different institutes in India were constituted. These thirteen experts were divided into two groups (rheumatologists group and dermatologist group) who received a set of questionnaires each for diagnosis and treatment approaches in the management of psoriasis and psoriatic arthritis. Based on the responses received, a panel discussion took place, where the experts identified the early diagnostic criteria for PsA considering: Clinical signs and symptoms, and questionnaire-based PsA screening, which includes Psoriasis Epidemiology Screening Tool (PEST) for dermatologists and Classification Criteria for Psoriatic Arthritis (CASPAR) for rheumatologists. The experts also recommended shift from conventional disease-modifying anti-rheumatic drugs (DMARDs) to biologics like secukinumab, when there is extensive skin involvement and TNF inhibitors when there is extensive joint involvement. Overall, the objective of the consensus was to assist rheumatologists and dermatologists in the early diagnosis and management of patients of PsA and PsO in their clinical practice. CI - Copyright: (c) 2022 Indian Journal of Dermatology. FAU - Chatterjee, Manas AU - Chatterjee M AD - Command Hospital, Kolkata, West Bengal, India. FAU - Nayak, Chitra AU - Nayak C AD - Nair Hospital, Mumbai, Maharashtra, India. FAU - De, Abhishek AU - De A AD - Calcutta National Medical College, Kolkata, West Bengal, India. FAU - Rajadhyaksha, Samir AU - Rajadhyaksha S AD - Global Hospital, Parel, Mumbai, Maharashtra, India. FAU - Singh, G K AU - Singh GK AD - Base Hospital, Delhi, India. FAU - Kumar, Phani AU - Kumar P AD - NIMS, Hyderabad, Telangana, India. FAU - Balameena, S AU - Balameena S AD - Department of Rheumatology, Kilpauk Medical College, Chennai, Tamil Nadu, India. FAU - Kumar, M Harish AU - Kumar MH AD - Department of Rheumatology, Command Hospital, Bangalore, Karnataka, India. FAU - Hema, M AU - Hema M AD - Department of Rheumatology, Stanley Medical College, Chennai, Tamil Nadu, India. FAU - Choudhury, Gautam Dhar AU - Choudhury GD AD - Department of Rheumatology and Clinical Immunology, Command Hospital (Eastern Command), Alipore Road, Kolkata, West Bengal, India. FAU - Pangtey, Ghan Shyam AU - Pangtey GS AD - LHMC, Delhi, India. FAU - Singh, Jatinder AU - Singh J AD - AFMC, Pune, Maharashtra, India. FAU - Jain, Neeraj AU - Jain N AD - Sir Ganga Ram Hospital, Delhi, India. LA - eng PT - Journal Article PT - Review PL - India TA - Indian J Dermatol JT - Indian journal of dermatology JID - 0370750 PMC - PMC9792027 OTO - NOTNLM OT - Classification criteria for psoriatic arthritis OT - psoriasis epidemiology screening tool OT - psoriatic arthritis COIS- There are no conflicts of interest. EDAT- 2022/12/30 06:00 MHDA- 2022/12/30 06:01 PMCR- 2022/07/01 CRDT- 2022/12/29 02:33 PHST- 2022/12/29 02:33 [entrez] PHST- 2022/12/30 06:00 [pubmed] PHST- 2022/12/30 06:01 [medline] PHST- 2022/07/01 00:00 [pmc-release] AID - IJD-67-479d [pii] AID - 10.4103/ijd.ijd_939_20 [doi] PST - ppublish SO - Indian J Dermatol. 2022 Jul-Aug;67(4):479. doi: 10.4103/ijd.ijd_939_20.