Better collaboration with rheumatology & dermatology needed in psoriatic arthritis

[Caroline]

I agree they need to collaborate I had had six good years on fumaderm when I got a bit of arthritis and asked my dermatologist if I could up my dose of fumaderm he told me I needed to see the rheumatologist.....who wanted to take me off fumaderm and put me on methotrexate and said she knew nothing about fumaderm / DMF and said it was up to my dermatologist to increase fumaderm but said there was no evidence it would work on psoriatic arthritis or she would know about it .....
I told her I could show her evidence from the club of DMF working to control psoriatic arthritis ... she discharged me and I went back to the dermatologist who said I could try increasing the dose but agreed with the rheumatologist that it wouldn't work ... that was about  two years ago ...
My point is the 2 departments do need to cooperate and share information for the benefit of us the patients

And even the two can be wrong. That could be a disadvantage.

Your both doctors are thinking non scientific.
It has not been proven........ no that is obvious, there was no reseach. So there is a 50/50 chance. And it is smart to try as DMF is way less toxic than MTX.

And even the fact that there was no reseach is not true, there was reseach by Peeters, which has been published I think in the Lancet. It is a small reseach but with positive results on DMF working for Psoriatic Arthritis.

For me, looking with a logical eye to these observations, it is insane that they want to try MTX, certainly if you add the real scientific reseach of 2012 to it, which shows that MTX doesn’t work.

So we have proof that MTX doesn’t work
We have small proof that DMF works
We have further on NO reseach and thus NO proof at all that DMF should not work.

So what do you prescribe ? ........... MTX.