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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 …