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This guideline covers psoriasis and psoriatic arthritis in adults. It includes a care pathway describing the patient journey between primary and secondary care 12 Oct 2010 50: a guideline developer's handbook, 2008 edition (www.sign.ac.uk/guidelines/ The EQIA assessment of the manual can be seen at www.sign. . treatment of psoriatic arthritis in secondary care . .. No studies concerning laboratory or radiological screening investigations that would be useful in these 30 Nov 2018 Special Article: 2018 American College of Rheumatology/National Psoriasis Foundation Guideline for the Treatment of Psoriatic Arthritis.