Complementary and Alternative Medicine Use in Psoriatic Arthritis Patients: a Review
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COMPLEMENTARY AND ALTERNATIVE MEDICINE (S KOLASINSKI, SECTION EDITOR)
Complementary and Alternative Medicine Use in Psoriatic Arthritis Patients: a Review John A. Roberts IV 1 & Lisa A. Mandl 1,2 Published online: 28 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review While complementary and alternative medicine (CAM) use is prevalent in the general population and is known to be used in systemic rheumatic disease such as rheumatoid arthritis and systemic lupus erythematosus, its use in psoriatic arthritis (PsA) is less well-studied. The purpose of this review was to identify published data describing the use of CAM in patients with PsA. Recent Findings PsA patients report frequent use of CAM. Diet is believed to affect disease activity, and dietary approaches are used by patients to mitigate symptoms. Dietary supplements have been studied, especially fatty acids, with some positive results. Herbal remedies show promise, but more and better studies are needed, including evaluating medical cannabis. Studies of some the most commonly used CAM, such as acupuncture and massage, are conspicuously absent. Summary CAM use is common among patients with PsA. There is, however, a significant knowledge gap, and there is a critical need for rigorous research to ensure safe and effective use of CAM for these patients. Keywords Psoriatic arthritis . Complementary and alternative medicine . Herbs . Diet . Supplementation
Introduction Complementary and alternative medicines (CAM) are popular strategies for treating systemic rheumatic disease, especially rheumatoid arthritis and systemic lupus erythematosus [1]. However, there is less information regarding CAM use in psoriatic arthritis (PsA). The purpose of this review is to identify published data on the use of CAM in PsA to better understand how it is used by patients with PsA and to identify knowledge and research gaps. To identify pertinent articles, we performed a literature search, with assistance from a medical librarian, utilizing PubMed, Cochrane, and Embase from inception through May 15, 2020. Abstracts were screened to
This article is part of the Topical Collection on Complementary and Alternative Medicine * Lisa A. Mandl [email protected] 1
Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
2
Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA
identify publications relating to CAM use in PsA. Abstracts from the European League Against Rheumatism (EULAR) and American College of Rheumatology from 2015 onward were also reviewed. Despite the lack of high-quality evidence, CAM interventions are frequently used by patients with PsA and other rheumatic diseases (Table 1). In the USA, PsA patients report using a wide range of CAMs, including massage, meditation, herbs, acupuncture, chiropractic, homeopathy, cognitive behavioral therapy, spiritual healing, reiki/therapeutic touch, naturopathy, traditional Chinese medicine, platelet-rich plasma, cannabi
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