Richard Warren Alan Menter. Handbook of Psoriasis and Psoriatic Arthritis
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1 Richard Warren Alan Menter Handbook of Psoriasis and Psoriatic Arthritis
2 Richard Warren, MBChB, FRCP, PhD The University of Manchester Salford Royal Foundation Hospital Manchester, UK Alan Menter, MD Division of Dermatology Baylor University Medical Center Dallas, Texas, USA Handbook of Psoriasis and Psoriatic Arthritis
3 Editors Richard Warren, MBChB, FRCP, PhD The University of Manchester Salford Royal Foundation Hospital Manchester, UK Alan Menter, MD Division of Dermatology Baylor University Medical Center Dallas, Texas, USA Contributors Matthias Augustin, MD Laura Coates, MD, PhD Musaab Elmamoun, MBBS, MRCP Paul Emery, MD, FRCP Oliver Fitzgerald, MD, FRCP, FRCPI Kenneth B Gordon, MD Rebecca I Hartman, MD, MPH Alexa B Kimball, MD, MPH Marc Alexander Radtke, MD Eric Ruderman, MD Laura Savage, MD Zenas Yiu, MBChB, MRCP ISBN ISBN (ebook) DOI / Springer Cham Heidelberg New York Dordrecht London Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Adis is a brand of Springer Springer is part of Springer Science+Business Media ( Project editors: Laura Hajba
4 Contents Editor biographies Abbreviations ix xi 1 Introduction 1 Zenas Yiu, Richard Warren, and Alan Menter Disease overview and epidemiology 1 Prognosis, morbidity, and mortality 3 Associated comorbidities 3 Therapeutics 4 References 5 2 Pathogenesis of psoriasis and psoriatic arthritis 7 Laura Coates, Laura Savage, and Paul Emery Pathophysiology of psoriasis 7 Etiology 8 Pathophysiology of psoriatic arthritis 10 Etiology 10 Environmental factors 11 Inflammatory pathways in psoriatic arthritis 11 References 13 3 Clinical presentation of psoriasis and psoriatic arthritis 17 Rebecca I Hartman and Alexa B Kimball Psoriasis 17 Psoriatic arthritis 21 References 25 4 Diagnosis and evaluation of psoriasis and psoriatic arthritis 27 Eric Ruderman and Kenneth B Gordon History 27 Joint exam 29 Entheseal exam 30 v
5 vi CONTENTS Examination for dactylitis 31 Axial evaluation 31 Nail changes 32 Laboratory testing 33 Radiographic evaluation 34 Other imaging modalities 35 Putting it all together: the diagnosis of psoriatic arthritis 36 Classification of psoriatic arthritis: criteria for identification 38 Classification of psoriatic arthritis: CASPAR criteria 39 Measurement of psoriatic arthritis for research: composite disease activity scores 40 Conclusions 41 References 41 5 Treatment of psoriasis 43 Matthias Augustin and Marc Alexander Radtke Strategies for psoriasis management: treatment goals and targeted treatment 43 Topical therapy 45 Systemic therapy 55 Biologics 62 Adjuvant therapies 71 Drug therapies in development 73 Guidelines for management of psoriasis 78 References 80 6 Treatment of psoriatic arthritis 85 Musaab Elmamoun and Oliver Fitzgerald Treatment goals 85 Treatment strategy 86 Treatment options for therapy in psoriatic arthritis 87 Non-steroidal anti-inflammatories 87 Corticosteroids 89 Synthetic disease-modifying antirheumatic drugs 89 Biologic disease-modifying antirheumatic drugs 91 Other approved biologic disease-modifying antirheumatic drugs 93
6 CONTENTS vii Therapies in development 94 Surgery 95 Quality of life in psoriatic arthritis 96 References 97 7 Quality of life in psoriasis 101 Matthias Augustin and Marc Alexander Radtke Background 101 Health-related quality of life: a multidimensional concept 102 Measurement of quality of life 103 Factors influencing the quality of life of a patient 103 Concept of cumulative life course impairment 110 Conclusions for psoriasis management 111 References 113
7 Editor biographies Richard Warren, MBChB, MRCP, PhD, is a Clinical Senior Lecturer and Honorary Consultant Dermatologist. He graduated from Liverpool University with a first class honours degree in Pharmacology and gained his Medical degree, with honours, one year later. He was awarded The J Hill Abram prize highest mark in Medicine; and the Reginald Dora Goodrick prize highest mark in Surgery. His work in Dermatology has focused on: pharmacogenetics (forming the basis of his PhD thesis), the genetic susceptibility to psoriasis and more recently biological therapies and their use in the treatment of psoriasis. For his work into the pharmacogenetics of methotrexate he has received national and international awards from the British Association of Dermatologists (BAD) and American Academy of Dermatology. He is widely published in the field of dermatology with numerous abstracts, papers and book contributions including The Lancet, Nature Genetics, and The Journal of Investigative Dermatology. He is currently the EU Editor in Chief for the journal Dermatology and Therapy. He has been an invited plenary speaker at major national and international dermatology meetings and is a member of The International Psoriasis Council. He currently chairs the BAD guideline group for methotrexate and is a member of the BAD biologics committee and research subcommittee. In 2012, he was the expert panel member on the National Institute for Health and Clinical Excellence guideline group for psoriasis. He co-lead one of the two workstreams involved in the recent (2013) successful funding from the Medical Research Council stratified medicine grant (value 7 million) Psoriasis Optimisation of Relevant Therapies (PSORT). He coestablished a clinic for patients with severe psoriasis and psoriatic arthritis in 2010 with Dr Hector Chinoy, which has received wide acclaim and is used as a national exemplar. Alan Menter, MD, was born in England and is a graduate of the Medical School of the University of Witwatersrand, South Africa. He completed his dermatology residency at Pretoria General Hospital at the University of Pretoria, also in South Africa, and two fellowships in London at Guy's ix
8 x EDITOR BIOGRAPHIES Hospital and St John's Hospital for Diseases of the Skin. A fellowship with the University of Texas Southwestern Medical Center in Dallas brought Menter to the United States. Since then, he has held several positions within the UT and Baylor University Dallas systems. In 1992, he was appointed Chairman of the Division of Dermatology at Baylor University Medical Center and still holds that position. In 2007, he was appointed Director of the Baylor Research Center and in 2010, Program Director of the newly formed Dermatology Residency Program at Baylor University Medical Center. Dr Menter has a long-held interest in psoriasis and psoriatic disease research. In 1994, he co-authored the first gene discovery for psoriasis, published in Science in His research on psoriasis has examined everything from ultraviolet phototherapy and biologic therapy to the mapping of genetic patterns to predict if a person is at risk of developing psoriasis pharmacogenomics. In August 2004, Dr Menter helped found the International Psoriasis Council to raise international awareness of psoriasis as a serious autoimmune disease that can significantly impact quality of life. His clinical practice includes more than 1600 patients on systemic and biologic therapy. Dr Menter held the position of clinical director of the National Psoriasis Foundation Gene Bank from 1996 to His resume lists some 300+ articles, four books and 19 book chapters. He serves as a member of the editorial board for several medical journals, including the Journal of Clinical Dermatology and Clinical and Experimental Dermatology. He is chair of research for Dermatology at Baylor Research Institute, as well as clinical professor of dermatology at the University of Texas Southwestern Medical School in Dallas and professor at Texas A&M Health Science Center, College of Medicine. Dr Menter has been listed in the Best Doctors in America since 1994 and Who s Who in Medicine and Healthcare since He also represented the South African National Rugby team, the Springboks, in In 2013, Dr Menter received the Lifetime Achievement Award from the National Psoriasis Foundation. In March 2015, he received the Dermatology Foundation annual Clark W. Finnerud award at the American Academy of Dermatology 2015 meeting in San Francisco.
9 Abbreviations ACR20 AS ASAS CASPAR CCP CRP DIP DISH ESR GRAPPA GWAS HIV HLA IBD IL LEI MEI MRI msass NAPSI OA OMERACT PsA PsARC RA RANKL RF SpA TNF VA American College of Rheumatology 20 response rate Ankylosing spondylitis Assessment of Spondyloarthritis International Society Classification of Criteria for Psoriatic Arthritis Cyclic citrullinated peptides C-reactive protein Distal interphalangeal Diffuse idiopathic skeletal hyperostosis Erythocyte sedimentation rate Group for the Assessment of Psoriasis and Psoriatic Arthritis Genome-wide association studies Human immunodeficiency virus Human leukocyte antigen Inflammatory bowel disease Interleukin Leeds Enthesitis Index Mander Enthesitis Index Magnetic resonance imaging The modified Stoke Ankylosing Spondylitis Spinal Score Nail Psoriasis Severity Index Osteoarthritis Outcomes Measures in Rheumatology Psoriatic arthritis Psoriatic Arthritis Response Criteria Rheumatoid arthritis Nuclear factor kappa-b ligand Rheumatoid factor Spondyloarthritis Tumor necrosis factor Veterans Affairs xi
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