Four-Year Experience with the Preferential Derivation Care Model for Multidisciplinary Care in Patients with Psoriasis and Psoriatic Arthritis

October 2021 in “ Dermatology reports ”

Martina Burlando, C Craviotto, Luca Carmisciano, Gerolamo Bianchi, Aurora Parodi

psoriasis psoriatic arthritis STRIPP questionnaire SAPS questionnaire rheumatologist multidisciplinary care

TLDR The care model improved timely diagnosis and treatment for psoriasis and psoriatic arthritis.

The study evaluated the effectiveness of the preferential derivation care model for multidisciplinary care in patients with psoriasis and psoriatic arthritis over 4 years at the Policlinico San Martino Hospital in Genoa. A total of 160 patients (109 men, 51 women, mean age 67±10) participated, resulting in 250 visits. The STRIPP questionnaire was used for screening, and patients with scores above 3 were referred to a rheumatologist within 7 days. The SAPS questionnaire indicated a high satisfaction rate, with a mean score of 20 (±2). Despite the preference for simultaneous evaluations, the model facilitated timely diagnosis and treatment, with 28 patients diagnosed with psoriatic arthritis and starting therapy immediately. The study highlights the benefits of multidisciplinary collaboration, even when not conducted simultaneously, though it acknowledges limitations such as the observational nature and lack of validation for the questionnaires in the Italian population.

View this study on pagepress.org →

Discuss this study in the Community →

Related Community Posts Join

6 / 92 results

community 4 years on finasteride and Minoxidil with great success. Ask me stuff!

in Progress Pictures 950 upvotes 2 years ago

. ummwhatsure: No it doesn't. I started losing my hair around 27/28. This user has had great success with a combination of finasteride and Minoxidil, taking 1 milligram of finasteride per day and applying Minoxidil twice daily for 4 years, starting when they were 31. They experienced some shedding in the first two years, but now have thicker, fuller hair than before.

community No idea what's causing my hair thinning

in Chat 2 upvotes 2 months ago

The user is experiencing diffuse hair thinning despite using finasteride and oral minoxidil, with no hairline recession or bald spots. Suggestions include checking for telogen effluvium, considering a JAK inhibitor for potential autoimmune issues, and conducting further tests to rule out other causes.

community What else is good. Besides the big 3.

in Chat 34 upvotes 2 months ago

Key treatments for hair preservation include minoxidil, finasteride/dutasteride, and microneedling, with additional options like specific shampoos, oils, biotin, zinc, tretinoin, clascoterone, and low-level laser therapy. Maintaining a healthy lifestyle, reducing stress, and addressing nutrient deficiencies can also support hair health.

community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 4 months ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community LPT: If your scalp is greasy, itchy, you have flakes and other crud, get a Psoriasis shampoo

60 upvotes 5 years ago

Psoriasis shampoo with salicylic acid can improve scalp health and hair quality better than Nizoral. It helps create a cleaner environment for hair growth, especially when using treatments like finasteride.

community Progress: From June 2022 (7 months of min + fin) to now (1 year) — I’ve lost so much density in this period and I have no idea why. I was getting pretty good resultup until that point. Is there anything else I can try? I’ve tried min, fin, tretinoin, micro needling, and castor oil. I feel hopeless.

in Progress Pictures 11 upvotes 1 year ago

The user lost hair density after 7 months of using minoxidil and finasteride and is seeking advice on other treatments after trying tretinoin, microneedling, and castor oil. Suggestions include checking for scalp conditions like eczema or psoriasis, changing minoxidil brands, and questioning hair dryer use and finasteride dosage.

Similar Research

5 / 1000+ results

research Proceedings of the Ninth World Congress for Hair Research 2015

January 2017 in “Journal of Investigative Dermatology Symposium Proceedings”

The 2015 Hair Research Congress concluded that stem cells, maraviroc, and simvastatin could potentially treat Alopecia Areata, topical minoxidil, finasteride, and steroids could treat Frontal Fibrosing Alopecia, and PTGDR2 antagonists could also treat alopecia. They also found that low-level light therapy could help with hair loss, a robotic device could assist in hair extraction, and nutrition could aid hair growth. They suggested that Alopecia Areata is an inflammatory disorder, not a single disease, indicating a need for personalized treatments.

research Safety Concerns When Using Novel Medications to Treat Alopecia

23 citations, October 2018 in “Expert Opinion on Drug Safety”

Consider benefits and risks of new alopecia treatments for safety.

research Wigs And Alopecia Areata: Psychosocial Impact And Economic Considerations

April 2024 in “Cosmetics”

Wigs help improve self-esteem and quality of life for people with hair loss from alopecia areata.

research Summaries of Papers on Dermatological Conditions Conducted in 2008

June 2008 in “British Journal of Dermatology”

Herpes gestationis is linked to certain antigens, atopic eczema affects T cell populations and may be eased by breastfeeding, higher doses of anti-androgen treatment can improve androgenic alopecia, topical minoxidil increases hair thickness, long-term methotrexate therapy can cause liver fibrosis in psoriasis patients, and Lichen Sclerosus et Atrophicus patients aren't at higher risk for autoimmune disorders.

research Abstracts of 42nd National Conference of Association of Clinical Biochemists of India (ACBICON 2015)

1 citations, November 2015 in “Indian Journal of Clinical Biochemistry”

The conference presented findings on how vitamin D levels, genetic factors, and lifestyle choices like smoking and yoga affect various health conditions and diseases.