Rethinking Psoriatic Disease

Treating psoriatic disease means paying attention to what’s visible on the skin and what may be unfolding beneath it. With the expansion of deucravacitinib into psoriatic arthritis, the question is no longer just which therapy improves plaques. It’s how we identify patients earlier, think about joint risk in a dermatology setting, and make decisions for patients who don’t quite fit our usual categories. Across the experience, faculty translate this into practice by exploring how often psoriatic arthritis is missed or delayed, which patients begin to stand out, where an oral TYK2 inhibitor may fit, and what remains unresolved in day-to-day care.