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Research ArticleAnnual Meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), Toronto, Canada, July 12–13, 2013

Psoriasis and Psoriatic Arthritis Educational Initiatives: An Update from the 2013 GRAPPA Annual Meeting

Kristina Callis Duffin, Amit Garg, April W. Armstrong, Philip Helliwell and Philip J. Mease
The Journal of Rheumatology June 2014, 41 (6) 1240-1243; DOI: https://doi.org/10.3899/jrheum.140180
Kristina Callis Duffin
From the University of Utah, Salt Lake City, Utah; Department of Dermatology, Hofstra North Shore LIJ School of Medicine, Hempstead, New York; Department of Dermatology, University of Colorado, Denver, Colorado, USA; Academic Unit of Musculoskeletal Disease, Chapel Allerton Hospital, Leeds, UK; Rheumatology Research, Swedish Medical Center; University of Washington School of Medicine, Seattle, Washington, USA.
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  • For correspondence: Kristina.callis@hsc.utah.edu
Amit Garg
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April W. Armstrong
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Philip Helliwell
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Philip J. Mease
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    Table 1.

    GRAPPA video project: module descriptions.

    ModuleDescription/Notes
    PASI and BSAPsoriasis Area and Severity Index and Body Surface Area4,7
    Background and rationale for PASI, with photographic examples of erythema, induration, and scale, methods of assessing area score, and BSA instruction (handprint = 1%)
    Video: 16½-min
    Certification module available (3 examples)
    6-point sPGA, v. 1Static Physician Global Assessment, version 18,9,10
    Erythema, induration, and scale assessed 0–5, then averaged and rounded to nearest whole numbers
    Video: 1½-min
    Certification module available (3 examples)
    6-point sPGA, v. 2Static Physician Global Assessment, version 2
    Erythema, induration, scale each scored 0–5 over entire body, averaged and rounded to nearest whole number, using slightly different definitions than the NPF description
    Certification module available (3 examples)
    6-point sPGA, v. 3Static Physician Global Assessment, version 3
    Erythema, induration, scale assessed and a single score of 0–5 assigned (no mathematical rounding)
    Certification module available (3 examples)
    5-point sPGA5-point Static Physician Global Assessment11
    Erythema, induration, and scale assessed individually, then averaged and rounded to nearest whole numbers
    Certification module available (3 examples)
    NAPSINail Psoriasis Severity Index12
    Description of the features of matrix and nail bed psoriasis and how to perform this measure
    Certification module available (3 examples)
    mNAPSIModified Nail Psoriasis Severity Index13
    Description of the rationale and method for performing this measure
    Video: 3:41 min
    Certification: Testing available, 3 patient examples, no consensus scores available
    PSSIPsoriasis of the Scalp Severity Index14
    Adaptation of PASI for scalp assessment
    Video: 3:23 min
    PPPASIPalmar-Plantar Psoriasis Area and Severity Index15
    Adaptation of PASI for scoring palmar-plantar pustular or non-pustular psoriasis
    Video 7:09 min
    Certification: 4 patient examples, without consensus scoring
    TPSSTotal Plaque Severity Score16
    Assessment tool for target plaques, scores erythema, induration, and scale 0–4, then summed. Video: 6:37 min
    Certification: 9 target plaques with consensus scores
    Dactylitis and EnthesitisPresenters: Philip Helliwell, MD, and Philip Mease, MD, rheumatologists
    Video: 24:58 min [first 8:14 is dactylitis background and use of dactylometer; remaining portion is enthesitis background, evaluation using Leeds Enthesitis Index, MASES Enthesitis Index, the Enthesitis Skeletal examination; includes coverage of SPARCC Enthesitis Index (18 sites), SPARCC Enthesitis Index (8 sites), Major Enthesitis Index, and 4-point Enthesitis Index]
    Certification: testing not available17,18
    SynovitisIncludes joint examination and synovitis introductions, video demonstration of examining joints: TMJ, AC, SC, shoulder, wrist, hand/digits, hip, knee, ankle, foot/digits
    Video: 37:37 min18
    Axial Disease AssessmentIncludes background and video demonstration of measuring cervical rotation (INSPIRE method with goniometer), chest expansion, occiput-to-wall/tragus-to-wall distance, forward flexion with Schober test, lateral bending of spine with Domjan and INSPIRE methods, examination of the hip (internal rotation and intramalleolar distance).
    Video: ∼9 min19,20
    • SPARCC: Spondyloarthritis Research Consortium of Canada; MASES: Maastricht Ankylosing Spondylitis Enthesis Score; TMJ: temporomandibular joint; AC: acromioclavicular; SC: sternoclavicular; NPF: National Psoriasis Foundation.

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1 Jun 2014
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Psoriasis and Psoriatic Arthritis Educational Initiatives: An Update from the 2013 GRAPPA Annual Meeting
Kristina Callis Duffin, Amit Garg, April W. Armstrong, Philip Helliwell, Philip J. Mease
The Journal of Rheumatology Jun 2014, 41 (6) 1240-1243; DOI: 10.3899/jrheum.140180

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Psoriasis and Psoriatic Arthritis Educational Initiatives: An Update from the 2013 GRAPPA Annual Meeting
Kristina Callis Duffin, Amit Garg, April W. Armstrong, Philip Helliwell, Philip J. Mease
The Journal of Rheumatology Jun 2014, 41 (6) 1240-1243; DOI: 10.3899/jrheum.140180
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Keywords

PSORIASIS
PSORIATIC ARTHRITIS
PSORIASIS AREA AND SEVERITY INDEX
ARTHRITIS ASSESSMENT
EDUCATION

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