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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. 1Department of Rheumatology, Guy's & St Thomas’ NHS Foundation Trust, London, UK
  2. 2Leeds Institute of Molecular Medicine, Section of Musculoskeletal Disease, Leeds University, Leeds, UK
  3. 3Department of Rheumatology, Royal National Hospital for Rheumatic Diseases, Bath, UK
  4. 4Rheumatology Department, Royal Derby Hospital, Derby, UK
  5. 5Independent Nurse Consultant in Rheumatology, Barnstaple, UK
  6. 6Dermatology 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

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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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