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newsline0309.qxp 2/24/2009 2:51 PM Page 15 Newsline Exercise First psoriatic arthritis guidelines Rx boosts THE FIRST set of international treatment guidelines for psoriatic activity arthritis address the five most sig- nificant clinical manifestations of IF YOU want to encourage your this chronic systemic inflamma- patients to exercise more, try tory disorder, which afflicts ap- writing a prescription.The tactic proximately 10%-30% of people has been successful in New with psoriasis. Zealand,a recent study reports. The Group for Research and Swollen joints multiple different tissues, and As part of a “green prescription” Assessment of Psoriasis and Pso- and yellow nails varying degrees of severity (Ann program, clinicians counsel pa- riatic Arthritis (GRAPPA) has are commonly Rheum Dis.2008;published online tients for 7-13 minutes,then write introduced 19 treatment recom- seen in patients ahead of print). Psoriatic arthritis their exercise advice on a green mendations for peripheral arthri- with psoriatic manifestations can range from script.The prescription is given to tis,enthesitis (inflammation of the arthritis. mild psoriasis to widespread pso- the patient and faxed to a local “ex- entheses, where tendons and liga- riatic plaques, disfiguring nail ercise facilitator” who follows up ments attach to bone), axial dis- disease to disabling joint inflam- with three monthly phone calls. ease, skin and nail psoriasis, and mation and destruction, and in- For this study, 1,089 women dactylitis (uniform swelling of a creased mortality. aged 40-74 years were equally di- digit) in the setting of psoriatic To address these complexities, vided into two groups. In one arthritis. GRAPPA formulated evidence- group, follow-up was extended to This international consortium based treatment recommendations nine months,including an average of medical professionals and pa- for the five clinical manifestations of five 15-minute calls and a 30- tient representatives notes that al- based on literature reviews and minute in-office consultation after though advances in the treatment
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