“It’s really important,” he says. “These are potentially associated with increased risk of psoriatic arthritis. It is under-recognized in both the rheumatology and dermatology communities.”
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Treat Rheumatic & Skin Disease Globally
Access is a global issue, and many rheumatology patients who wait six months for an appointment also have dermatology issues.
“It can be a tremendous help if the rheumatologist is also comfortable treating any residual skin disease,” Dr. Merola says. “Often, they are using drugs that will treat both. If there is still some leftover skin disease, for example, rheumatologists should be comfortable prescribing appropriate topical steroids. … And don’t prescribe something that is too weak or give a very small tube to a patient who needs a large quantity of medication.”
Richard Quinn is a freelance writer in New Jersey.
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