{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T04:58:17Z","timestamp":1776574697385,"version":"3.51.2"},"reference-count":54,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,12,24]],"date-time":"2013-12-24T00:00:00Z","timestamp":1387843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Psoriatic arthritis (PsA) and co\u2010morbidities of psoriasis represent a significant clinical and economic burden for patients with moderate\u2010to\u2010severe psoriasis. Often these co\u2010morbidities may go unrecognized or undertreated. While published data are available on the incidence and impact of some of them, practical guidance for dermatologists on detection and management of these co\u2010morbidities is lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To prepare expert recommendations to improve the detection and management of common co\u2010morbidities in patients with moderate\u2010to\u2010severe psoriasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic literature review was conducted on some common co\u2010morbidities of psoriasis\u2013cardiovascular (CV) diseases (including obesity, hypertension, hyperglycaemia and dyslipidaemia), psychological co\u2010morbidities (including depression, alcohol abuse and smoking) and PsA\u2013to establish the incidence and impact of each. Data gaps were identified and a Delphi survey was carried out to obtain consensus on the detection and management of each co\u2010morbidity. The expert panel members for the Delphi survey comprised 10 dermatologists with substantial clinical expertise in managing moderate\u2010to\u2010severe psoriasis patients, as well as a cardiologist and a psychologist (see appendix) with an interest in dermatology. Agreement was defined using a Likert scale of 1\u20137. Consensus regarding agreement for each statement was defined as \u226575% of respondents scoring either 1 (strongly agree) or 2 (agree).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The expert panel members addressed several topics including screening, intervention, monitoring frequency, and the effects of anti\u2010psoriatic treatment on each co\u2010morbidity. Consensus was achieved on 12 statements out of 22 (3 relating to PsA, 4 relating to psychological factors, 5 relating to CV factors). The panel members felt that dermatologists have an important role in screening their psoriasis patients for PsA and in assessing them for psychological and CV co\u2010morbidities. In most cases, however, patients should be referred for specialist management if other co\u2010morbidities are detected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This article provides useful and practical guidance for the detection and management of common co\u2010morbidities in patients with moderate\u2010to\u2010severe psoriasis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.12350","type":"journal-article","created":{"date-parts":[[2013,12,24]],"date-time":"2013-12-24T06:08:50Z","timestamp":1387865330000},"page":"1661-1669","source":"Crossref","is-referenced-by-count":32,"title":["Psoriasis beyond the skin: an expert group consensus on the management of psoriatic arthritis and common co\u2010morbidities in patients with moderate\u2010to\u2010severe psoriasis"],"prefix":"10.1111","volume":"28","author":[{"given":"R.","family":"Strohal","sequence":"first","affiliation":[{"name":"Department of Dermatology Federal Academic Teaching Hospital Feldkirch Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Kirby","sequence":"additional","affiliation":[{"name":"St Vincent's University Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Puig","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital de la Santa Creu i Sant Pau Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Psoriasis Expert Panel (G. Girolomoni, K. Kragballe, T. Luger, F.O. Nestle, J.C. Prinz, M. St\u00e5hle, N. Yawalkar)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sder.2010.01.002"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2010.03730.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-201706"},{"key":"e_1_2_5_5_1","unstructured":"MeasePJ PappKA GladmanDet\u00a0al.The prevalence of rheumatologist\u2010diagnosed psoriatic arthritis in psoriasis patients in European\/North American dermatology clinics: Results of the PREPARE study. 3rd World Psoriasis & Psoriatic Arthritis Conference;Stockholm Sweden; 27 June\u20133 July 2012."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8019.2010.01312.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2010.09941.x"},{"key":"e_1_2_5_8_1","first-page":"291","volume-title":"The Delphi Method: techniques and Applications","author":"Linstone HA","year":"1975"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0040-1625(79)90011-8"},{"key":"e_1_2_5_10_1","unstructured":"HI Rowe 2005"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-006-0307-1"},{"key":"e_1_2_5_12_1","first-page":"279","article-title":"Prevalence of psoriatic arthritis and joint complaints in a large population of Italian patients hospitalised for psoriasis","volume":"15","author":"Gisondi P","year":"2005","journal-title":"Eur J Dermatol"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2009.00777.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03159.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.09023.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.046367"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keq182"},{"key":"e_1_2_5_18_1","first-page":"2167","article-title":"Cardiovascular disease and risk factors in patients with rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis","volume":"33","author":"Han C","year":"2006","journal-title":"J Rheumatol"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20627"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2010.186"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03537.x"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-59"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000090652"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1998.02511.x"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1159\/000102029"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2005.07071.x"},{"key":"e_1_2_5_27_1","first-page":"405","article-title":"Towards rational treatment of severe psoriasis in alcoholics: report of two cases","volume":"9","author":"Aronson PJ","year":"2010","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_5_28_1","first-page":"889","article-title":"Psoriasis, mental disorders and stress","volume":"33","author":"Biljan D","year":"2009","journal-title":"Coll Antropol"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2011.10345.x"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1159\/000265557"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.08.040"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00403-006-0703-z"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03318.x"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2005.01925.x"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03564.x"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e32835bcce1"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1001\/2013.jamadermatol.406"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2010.08.016"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.03.028"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.113.000062"},{"key":"e_1_2_5_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2009.113696"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2013.5015"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2008.094946"},{"key":"e_1_2_5_44_1","first-page":"2577","article-title":"Inflammatory joint manifestations are prevalent in psoriasis: prevalence study of joint and axial involvement in psoriatic patients, and evaluation of a psoriatic and arthritic questionnaire","volume":"29","author":"Alenius GM","year":"2002","journal-title":"J Rheumatol"},{"key":"e_1_2_5_45_1","first-page":"469","article-title":"Evaluation of an existing screening tool for psoriatic arthritis in people with psoriasis and the development of a new instrument: the Psoriasis Epidemiology Screening Tool (PEST) questionnaire","volume":"27","author":"Ibrahim GH","year":"2009","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_5_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2007.04.001"},{"key":"e_1_2_5_47_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2008.089441"},{"key":"e_1_2_5_48_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes187"},{"key":"e_1_2_5_49_1","first-page":"S39","article-title":"Limitations of psoriatic arthritis screening instruments in patients with psoriasis","volume":"132","author":"Walsh JA","year":"2012","journal-title":"J Invest Dermatol"},{"key":"e_1_2_5_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21972"},{"key":"e_1_2_5_51_1","doi-asserted-by":"publisher","DOI":"10.1159\/000111512"},{"key":"e_1_2_5_52_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.141.12.1527"},{"key":"e_1_2_5_53_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2010.370"},{"key":"e_1_2_5_54_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-0770"},{"key":"e_1_2_5_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2010.03856.x"}],"container-title":["Journal of the European Academy of Dermatology and Venereology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjdv.12350","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.12350","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jdv.12350","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.12350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T15:45:39Z","timestamp":1695570339000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.12350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,24]]},"references-count":54,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/jdv.12350"],"URL":"https:\/\/doi.org\/10.1111\/jdv.12350","archive":["Portico"],"relation":{},"ISSN":["0926-9959","1468-3083"],"issn-type":[{"value":"0926-9959","type":"print"},{"value":"1468-3083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,24]]}}}