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您请求的操作仅限于组中的用户:==医疗管理==对于患者来说，皮肤科医生和风湿病学家之间的协调护理是理想的，因为大多数患者都有皮肤和关节表现。由于疾病的表现首先在皮肤和指甲内开始，患者的第一个接触点很可能是皮肤科医生，使他们处于最佳位置，成为第一个筛查PsA的人。PsA有几种筛查问卷，包括TOPAS、PEST、PASE和EARP，均由患者填写。其中一些已经过测试，显示出良好的敏感性和特异性。 " '在确定PsA的治疗方法时，进行评估以帮助关注患者存在的临床领域。它们包括关节炎、鼻炎、指突炎、脊柱炎、牛皮癣和指甲疾病。通常，治疗的重点是由类风湿性关节炎和牛皮癣引起的皮肤或关节。然而，最近，银屑病和银屑病关节炎研究和评估小组(GRAPPA)一直在研究一种综合措施，试图将整个患者考虑在内。这项措施将使他们能够评估该疾病的几个领域，并监测其活动以及患者对治疗的反应。此外，GRAPPA还开发了一个网格来帮助确定基于疾病严重程度的治疗方法。 Currently, there are two sets of PsA treatments. The first one is the EULAR, which is a set of recommendations to guide the clinician on treatment steps and medication. And the second is the GRAPPA group recommendations, based on a literature review of the treatment of the domains and skin. Treatment choices are based on a grid method that helps the clinician determine disease severity and the impact of the domain on the patients quality of life.
[[Image:Diff.png|597x398px]] Mease MD, Philip. Update on Treatment of Psoriatic Arthritis. Bulletin of the NYU Hospital for Joint Diseases 2012; 70(3):167-71.http://eds.b.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=4&sid=8ee565f0-094a-4aab-b969-cadd7ab01765%40sessionmgr113&hid=116 (accessed 20 MAR 2014). Narrowband UVB light therapy can be very effective in clearing skin lesions. Bulbs with a narrow emission between 311 and 313 nm have been shown in studies to be superior to broadband UVB light. Treatment can be done in an outpatient setting or at home. Both small handheld devices are available as well as larger full-body light units. UV light lamps designed specifically for psoriasis are more effective than commercial tanning beds or sunlight since they give narrowband UVB light. Commercial tanning beds often give off much higher levels of UVA radiation that has been proven to be less effective in treating psoriasis unless combined with psoralen. The Exact ratios of UVA and UVB are very difficult to determine with both sunlight and tanning beds. Generally, light treatments should be done 2-3 times per week for a total of around twenty-five treatments. Skin will be exposed to UVB light from 20 seconds up to around 2 minutes during each treatment based on the Fitzpatrick skin type or minimal erythema dose.  Menter A, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis. Section 5. Guidelines of care for the treament of psoriasis with phototherapy and photochemotherapy. Journal of the American Academy of Dermatology. 2010;62(1):114-135. [http://www.dermaray.com/ www.dermaray.com/]{{#ev:youtube|0iD646tft8I}}

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