An Experience of Multiprofessional Outpatient Visits (Rheumatology- Dermatology-Gastroenterology) in Evaluating Patients with both Arthromialgia and Psoriasis and/or MICI (Chronic Inflammatory Intestinal Diseases)

1Ambulatorio e D.H. di Reumatologia, P.S.I. Napoli Est ASL NAPOLI 1 Centro, Italy
2U.O.S. Gastroenterologia, P.S.I. Napoli Est ASL NAPOLI 1 Centro, Italy
3U.O.C. di Medicina Interna, Azienda Ospedaliera S.Anna e San Sebastiano Caserta, Italy
4U.O.S.D. Dermatologia, Ospedale del Mare ASL NAPOLI 1 Centro, Italy
5Primario Emerito di Medicina, Interna ASL Napoli 1 Centro, Italy
6U.O.C. di Medicina Interna, Ospedale�?¢�?�?�?V.Monaldi Azienda dei Colli, Napoli, Italy

Posters & Accepted Abstracts: Health Sci J

Abstract:

Background and aims: With the advancement of etiopathogenetic and immunological knowledge, a multidisciplinary evaluation of patients suffering with immune-mediated pathologies is mandatory, since the potential committment of different organs such as the musculoskeletal system, the skin and the gastroenteric tract, focusing on aiming at obtaining an early diagnosis of the districts involved and to adequately set up the most effective treatment. Materials and methods: In 2019, 80 patients were evaluated in a multidisciplinary context consecutively referred to the dermatologist and gastroenterologist specialist for the presence of arthralgia or arthomyalgia, auto-antibody positivity, psoriasis and IBD. Result: 80 patients were evaluated, of which 60% F, with a mean age of 49 years (range 18-80 years). 45% of patientshad psoriasis, 40% IBD, 5% psoriasis and IBD, 10% of patients had other pathologies. Patients presented: arthralgia in 45%, arthomyalgia in 25%, low back pain in 15%, auto-antibody positivity in 15%. In some patients, ultrasound or joint MRI allowed a new diagnosis of peripheral arthritis and/or spondyloatritis in 30% of cases, primary arthrosis of the hands or spondyloatrosis in 25% and fibromilagic syndrome in 13%. Discussion: These data show how the multiprofessional approach improves the diagnosis and optimizes the therapy, so that a precision medicine is.

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