RACGP Victoria chair Dr Cameron Loy urged patients to stay away from pharmacy health checks, telling Fairfax media they were a lure to get patients into the store to buy products. 18 A proportion of men with BCR will progress to metastases and death; others will have … J Eur Acad Dermatol Venereol 2017;31(8):1308–15. Lin C-C, Lin H-C, Chiu H-W. Association between psoriasis and dementia: A population-based case-control study. A prostate biopsy may be recommended if there is an elevated PSA or a rapid rise in PSA. doi: 10.1016/0049-0172(73)90035-8. doi: 10.3109/00016350903583678. Korman NJ. Psoriasis and infection. Psoriatic arthritis for the dermatologist. Br J Dermatol 2020;182(4):840–48. RACGP is the latest medical college to endorse the guidelines, which provide health professionals with evidence-based recommendations for using the prostate specific antigen (PSA) blood test to assess prostate cancer risk and manage test-detected patients. Australas J Dermatol 2019;60(2):91–98. Prostate-specific antigen, or PSA, is a protein produced by normal, as well as malignant, cells of the prostate gland. Patient Global Assessment (PGA) and Body Surface Area (BSA) are also used. J Dermatolog Treat 2018;29(5):487–95. Wellona Pharma is a leading supplier, exporter & dropshipper of Pharma finished formulation & generic Wellona Pharma is a reputed and fast growing Manufacturing Company in Pharmaceutical. PsA is often underdiagnosed, with a delay in therapy resulting in morbidity and impaired quality of life (QoL). Christmas and New Year shutdown. A biopsy is a procedure in which samples of prostatic tissue are removed. Should I have prostate cancer screening? doi: 10.1111/jdv.14460. Suicidal ideation occurs in 7–17% of patients with psoriasis. infections with secukinumab and ixekizumab.24. doi: 10.1111/ijd.13073. Clin Dermatol 2019;37(2):160–66. Patients with severe psoriasis were more likely to have suicidal ideation, suicide attempts and completed suicide than the general population.13,14 Clinical trials evaluating the efficacy of newer medications for psoriasis typically incorporate QoL and depression questionnaires to assess the impact on psychiatric health. J Med Econ 2019;22(12):1290–97. J Manag Care Spec Pharm 2019;25(1):122–32. “A collaborative approach between pharmacists and GPs is needed now more than ever to focus on patient outcomes and impacts rather than attempts to undermine one another,” he said. 4. It is needed to confirm whether prostate cancer is present. GPs have a broad understanding of and exposure to general medicine and are in a privileged position of seeing many patients with psoriasis within the spectrum of the disease. Candida superimposed on flexural psoriasis makes treatment difficult, resulting in persistent and severe plaques. P oststreptococcal arthritis (psa) is a poorly understood clinical syndrome that has generated much controversy and for which clear diagnostic criteria and therapeutic recommendations are lacking. It is common for older men to have some cancer cells in their prostate glands. Whether you were diagnosed yesterday or 20 years ago, whether you need help today or for the long haul, Patient Navigators are ready to help. doi: 10.1080/09546634.2017.1329511. Whilst the RACGP recommends against prostate cancer screening (as detailed in our Guidelines for preventive activities in general practice) we recognise many men will be asking their GPs about screening. Ryan C, Kirby B. Psoriasis is a systemic disease with multiple cardiovascular and metabolic comorbidities. A holistic approach to a patient with psoriasis that includes evaluating and assessing comorbidities and risk of morbidity is essential, as psoriasis should be considered a systemic disease rather than cutaneous condition alone. Joint damage starts early in the disease, manifesting in dactylitis, enthesitis and spondylitis.3 Tendons, ligaments, joints, synovium and bone can all be inflamed in PsA.3. 1 Although these QoL tools are time consuming to complete and analyse, they provide important current and evolving information about the impact that psoriasis has on a patient. Lewis DJ, Chan WH, Hinojosa T, Hsu S, Feldman SR. Mechanisms of microbial pathogenesis and the role of the skin microbiome in psoriasis: A review. Psoriasis is a common immune-mediated skin disorder that affects approximately 2% of the population. Inflamm Bowel Dis 2017;23(10):1783–89. Dactylitis, which is inflammation of the entire digit, can present as a ‘sausage finger’ because of inflammation of the joints and tendons.2,4 Both enthesitis and dactylitis are common in PsA. J Eur Acad Dermatol Venereol 2016;30(8):1349–53. doi: 10.1111/jdv.13619. Treating a patient with psoriasis should encompass education about lifestyle changes and evaluating their risk of other comorbidities. A higher-than-normal PSA level doesn’t automatically indicate prostate cancer either. Measure blood glucose levels Test urine for glucose and ketones RACGP. Br J Dermatol 2014;170(2):304–14. “The average pharmacist and the average GP out there treating patients get along very well. The PSA blood test alone cannot diagnose prostate cancer. Real-world burden of comorbidities in US patients with psoriasis. Though some of these comorbidities occur commonly in clinical practice, they should not be overlooked in a patient with psoriasis as they may cause a psychological and physical impact if left untreated. PSA National President Associate Professor Chris Freeman said he was looking forward to working with Dr Price to improve how pharmacists and GPs can work together going forward. 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