Management of Concurrent Psoriasis and Psoriatic Arthritis

Steven R. Feldman, MD, PhD


January 04, 2021

Psoriasis and psoriatic arthritis are considered distinct diseases affecting the skin and joints, respectively, but they frequently overlap.

Up to 30% of patients with psoriasis also have psoriatic arthritis, and 80% of psoriatic arthritis patients have skin symptoms during the course of their disease.

Dr Steven Feldman, professor of dermatology at Wake Forest School of Medicine, discusses best practices for when these conditions are concurrent. He specifies how to screen patients with psoriasis for joint involvement, as well as what rheumatologists should look out for if psoriasis is suspected in patients with arthritis. He also reports on how to coordinate care.

Finally, Dr Feldman discusses the most commonly used treatments for psoriasis before moving on to the latest agents for comprehensive treatment of skin and joint symptoms. Chief among these agents are TNF inhibitors and IL-17 and IL-23 blockers. He examines which ones are currently approved for both indications and what clinicians can expect from them for their patients.


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