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Summary Points for the Management of Peripheral SpA

Disease activity is measured with the global assessment of PsA, MDA or VLDA, and the goal is MDA or VLDA, or DAPSA if peripheral arthritis, with a goal of low disease activity. A treat-to-target approach should be used, with frequent assessments and escalation or switching of therapy until the goal is achieved. Screening and management of comorbidities are essential, and a holistic approach with

  • Disease activity is measured with the global assessment of PsA, MDA or VLDA, and the goal is MDA or VLDA, or DAPSA if peripheral arthritis, with a goal of low disease activity.
  • A treat-to-target approach should be used, with frequent assessments and escalation or switching of therapy until the goal is achieved.
  • Screening and management of comorbidities are essential, and a holistic approach with a multidisciplinary team is recommended.

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Benitha, R., Maharaj, A. B., Makan, K., Potts, J., Lai, A., Carter, R., van Dam, M., & Hodkinson, B. (2024). South African Rheumatism and Arthritis Association 2024 guidelines for the management of peripheral spondyloarthritis. South African Medical Journal, 114(10), e2669.

NeoHealth® ID 37274 · updated 3/3/2025