Russian interdisciplinary consensus on the definition of “Complex to manage” and “Difficult to treat” psoriatic arthritis/psoriasis and the management of these patients. Positions of dermatovenerologists

Psoriasis has a significant negative impact on patients’ quality of life, including social stigma, and is associated with various comorbidities, including psychosocial problems. Despite numerous scientific studies, various patient management approaches, and the availability of modern medications, a number of problems and challenges remain for the medical community, including the stratification of patient categories that present challenges. This article presents the results of a Russian expert consensus on defining and managing the definitions of «Difficult to Manage» and «Hard to Treat» patients with psoriasis.

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