HHE Rheumatology and musculoskeletal supplement 2018 | Page 6

cardiovascular disease, which however may not
be practical in real-life or might underestimate
patients’ risks. 17,18 With this is mind, the
European League against Rheumatism (EULAR)
has issued recommendations for cardiovascular
risk management in inflammatory arthritis
(Table 2). 19
Furthermore, PsA is associated in particular
with psychiatric comorbidities and depression,
while only psoriasis has been associated with
suicidal ideation, 20 and depression increases
PsA risk in psoriasis patients. 21 Given the
importance of depression, it is critical to
diagnose and refer patients, and questionnaires
have been developed especially for research
purposes. 22 Collaboration with a psychologist