A consensus-based approach on the management of patients with both psoriasis and psoriatic arthritis in the dermatological and rheumatological settings in Italy: The ADOI PSO-Amore Project

Francesco Cusano; Francesca Sampogna; Alexandra Maria Giovanna Brunasso Vernetti; Stefano Stisi; Gilda Sandri; Giovanna Malara; Luigi Naldi; Michele Pellegrino; Giovanni Luigi Tripepi; Umberto di Luzio Paparatti; Concetto Paolo Agnusdei; Claudio Bonifati; Antonella Celano; Valeria Corazza; Federica D'Agostino; Rocco De Pasquale; Emilio Filippucci; Rosario Foti; Giovanna Galdo; Fabiana Gai; Giulia Ganzetti; Dario Graceffa; Mara Maccarone; Annamaria Mazzotta; Gennaro Melchionda; Francesca Molinaro; Franco Paoletti; Silvia Tonolo; Adriano Vercellone; Rosetta Vitetta; Cesare  Massone; Gian Domenico Sebastiani

doi:10.4081/dr.2022.9541

Authors

Francesco Cusano
francesco.cusano@ao-rummo.it
Dermatology Unit, “G. Rummo” Hospital, Benevento; ADOI President, Italy.
Francesca Sampogna Clinical Epidemiology Unit, Istituto Dermopatico dell’Immacolata-IRCCS, Rome, Italy. https://orcid.org/0000-0002-7624-3290
Alexandra Maria Giovanna Brunasso Vernetti Dermatology Unit, Villa Scassi Hospital, ASL-3, Genoa, Italy.
Stefano Stisi Rheumatologist, Benevento, Italy.
Gilda Sandri Rheumatology Unit, University of Modena and Reggio Emilia, Italy.
Giovanna Malara Dermatology Unit, “Bianchi Melacrino Morelli” Hospital, Reggio Calabria; ADOI psoriasis study group coordinator, Italy.
Luigi Naldi Dermatology Unit, “San Bortolo” Hospital, Vicenza, Italy.
Michele Pellegrino Dermatology Unit, Ospedale della Misericordia, Grosseto, Italy.
Giovanni Luigi Tripepi Clinical Physiology Unit, CNR-IFC, Reggio Calabria, Italy.
Umberto di Luzio Paparatti Independent Researcher, Rome, Italy.
Concetto Paolo Agnusdei Dermatology Unit, “A. Cardarelli” Hospital, Campobasso, Italy.
Claudio Bonifati Dermatology Unit, San Gallicano Dermatologic Institute-IRCCS, Rome, Italy.
Antonella Celano Associazione Nazionale Persone con Malattie Reumatologie e Rare – APMARR President, Lecce, Italy.
Valeria Corazza APIAFCO President, Bologna, Italy.
Federica D'Agostino Epidemiology Unit, “G. Rummo” Hospital, Benevento, Italy.
Rocco De Pasquale Dermatology Unit, “San Marco” Hospital, Catania, Italy.
Emilio Filippucci Rheumatology Unit, Marche Polytechnic University, “C. Urbani” Hospital, Jesi, Italy.
Rosario Foti Rheumatology Unit, “San Marco” Hospital, Catania, Italy.
Giovanna Galdo Dermatology Unit, Moscati Hospital Avellino, Italy.
Fabiana Gai Dermatology Unit, “Santi Giovanni e Paolo” Hospital, Venezia, Italy.
Giulia Ganzetti Dermatology Unit, “C. Urbani” Hospital, Jesi, Italy.
Dario Graceffa Rheumatology Unit, San Gallicano Dermatologic Institute- IRCCS, Rome, Italy.
Mara Maccarone A.DI.PSO. ODV, Rome, Italy.
Annamaria Mazzotta Dermatology Unit, “San Camillo Forlanini” Hospital, Rome, Italy.
Gennaro Melchionda Dermatology Unit, Casa Sollievo della Sofferenza-IRCCS, San Giovanni Rotondo, Italy.
Francesca Molinaro Internal Medicine Unit, Casa Sollievo della Sofferenza-IRCCS, San Giovanni Rotondo, Italy.
Franco Paoletti Rheumatology Unit, “San Francesco Caracciolo” Hospital, Agnone, Italy.
Silvia Tonolo ANMAR President, Venezia, Italy.
Adriano Vercellone Pharmacy Unit, Local Health Unit Naples 3 South, Castellammare di Stabia, Italy.
Rosetta Vitetta Rheumatology Unit, “S. Andrea” Hospital, Vercelli, Italy.
Cesare Massone Dermatology Unit and Scientific Directorate, Galliera Hospital, Genoa, Italy.
Gian Domenico Sebastiani “San Camillo Forlanini” Hospital, Rome, Italy.

Psoriasis is a complex disease often needing a multidisciplinary approach. In particular, the collaboration between dermatologist and rheumatologist is crucial for the management of patients suffering from both psoriasis (PSO) and psoriatic arthritis (PsA). Here we report a series of recommendations from a group of experts, as a result of a Consensus Conference, defining the circumstances in which it is preferable or even mandatory, depending on the available settings, to rely on the opinion of the two specialists, jointly or in a deferred manner. Indications are given on how to organize a 3rd level joint Dermatology- Rheumatology care unit, in connection with 1st and 2nd level clinicians of both specialties, GPs, and other specialists involved in the management of psoriasis. A potential patient journey is suggested, that can be used as a basis for future design and validation of national and/or local diagnostic therapeutic and assistance pathways.

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Cusano, F., Sampogna, F., Brunasso Vernetti, A. M. G., Stisi, S., Sandri, G., Malara, G., Naldi, L., Pellegrino, M., Tripepi, G. L., di Luzio Paparatti, U., Agnusdei, C. P., Bonifati, C., Celano, A., Corazza, V., D’Agostino, F., De Pasquale, R., Filippucci, E., Foti, R., Galdo, G., Gai, F., Ganzetti, G., Graceffa, D., Maccarone, M., Mazzotta, A., Melchionda, G., Molinaro, F., Paoletti, F., Tonolo, S., Vercellone, A., Vitetta, R., Massone, C. ., & Sebastiani, G. D. (2022). A consensus-based approach on the management of patients with both psoriasis and psoriatic arthritis in the dermatological and rheumatological settings in Italy: The ADOI PSO-Amore Project. Dermatology Reports, 14(3). https://doi.org/10.4081/dr.2022.9541