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Letter
Disease assessment in psoriatic spectrum: a modular approach for use in routine clinical practice
  1. Julekha Wajed1,
  2. Philip Helliwell2,
  3. Eleanor Korendowych3,
  4. Kate Gadsby4,
  5. Susan Oliver5,
  6. Liz Parrish6,
  7. Bruce Kirkham1
  1. 1 Department of Rheumatology, Guy's & St Thomas’ NHS Foundation Trust, London, UK
  2. 2 Leeds Institute of Molecular Medicine, Section of Musculoskeletal Disease, Leeds University, Leeds, UK
  3. 3 Department of Rheumatology, Royal National Hospital for Rheumatic Diseases, Bath, UK
  4. 4 Rheumatology Department, Royal Derby Hospital, Derby, UK
  5. 5 Independent Nurse Consultant in Rheumatology, Barnstaple, UK
  6. 6 Dermatology Centre, East Kent University Hospitals NHS Foundation Trust, Canterbury, UK
  1. Correspondence to Dr Bruce Kirkham, Department of Rheumatology, Guy's & St Thomas’ NHS Foundation Trust, 4th Floor Tower Wing, Guy's Hospital, London SE1 9R, UK; bruce.kirkham{at}gstt.nhs.uk

https://doi.org/10.1136/annrheumdis-2013-203798

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    Sir,

    Psoriatic arthritis (PsA) is a complex condition involving peripheral and axial joints, enthesitis, dactylitis and psoriasis,1 which all vary significantly between individuals, and all contribute to reduced quality of life.2 For a complete understanding of disease burden necessary for optimal management, all aspects of disease need assessment.3 This can be challenging in routine practice with limited time.

    The ‘Psoriatic Arthritis Assessment Academy’, a group of physicians and specialist nurses in rheumatology and dermatology, met on 7 March 2011, to discuss psoriatic disease assessment. We developed the concept of a modular approach, with skin, axial disease and peripheral joint/dactylitis/entheseal involvement considered as three separate ‘modules’ of psoriatic disease.

    Rheumatology clinics routinely assess joints …

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    Footnotes

    • Contributors All authors included on this submission fulfilled the criteria of authorship. JW and BK are the guarantors of the paper.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.