- Home
- » CME / CE Programs
- » Clinically Challenging Cases
- » Clinically Challenging Case: 30-Year-Old Woman With Severe Recalcitrant Psoriasis and Psoriatic Arthritis
Clinically Challenging Case: 30-Year-Old Woman With Severe Recalcitrant Psoriasis and Psoriatic Arthritis
Release date: December 2010
Expiration date: December 31, 2011
Estimated time to complete activity: 1 hour
This educational initiative is provided by Curatio CME Institute, the University of Chicago, the Dermatology Nurses’ Association, and the Society of Dermatology Physician Assistants. This activity was created in collaboration with the National Psoriasis Foundation and the International Psoriasis Council.
Support for this activity has been provided through an educational grant from Centocor Ortho Biotech.
Hardware/Software Requirements
- JavaScript-enabled Internet browser
- Adobe Flash Player plugin v.8.0+
Activity Overview
A 30-year-old female patient presents to your virtual office with severe, recalcitrant psoriasis and joint pain. Among the issues that you need to consider are the patient’s pregnancy and the failure of previous therapy with a biologic agent. You—in consultation with Neil Korman, MD, PhD, and Kristine Kucera, DHS, MPAS, PA-C—are managing her care. “Consult” with our clinicians and your colleagues as you consider treatment options for this complex case. This activity follows the progression of the case, solicits your clinical input on key aspects of treatment, and presents recommendations provided by other clinicians that have “consulted” on this case.
Target Audience
This activity has been designed to meet the educational needs of dermatologists, dermatology residents and fellows, dermatology nurses, nurse practitioners, physician assistants, and other health care professionals involved in the care of patients with moderate to severe psoriasis.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Define the risks and benefits of traditional and biologic systemic agents used to treat psoriasis and psoriatic arthritis
- Develop strategies to manage patients who experience primary failure with an anti–tumor necrosis factor inhibitor
- Formulate a treatment plan that can be used in a pregnant or breastfeeding patient with psoriasis or psoriatic arthritis
Faculty
Neil J. Korman, MD, PhD
Professor of Dermatology
Clinical Director, Murdough Family Center for Psoriasis
University Hospitals Case Medical Center
Cleveland, Ohio
Kristine Kucera, DHS, MPAS, PA-C
Adjunct Clinical Professor
University of Texas Southwestern Medical Center
Physician Assistant
Dermatology Center of Frisco
Dallas, Texas
Steering Committee
Alan Menter, MD—Program Chair
Jerry Bagel, MD
Jeffrey J. Crowley, MD
Kenneth B. Gordon, MD
Neil J. Korman, MD, PhD
Kristine Kucera, DHS, MPAS, PA-C
Melodie Young, MSN, RN, A/GNP-C
Accreditation
Physicians and Physician Assistants
The University of Chicago is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The University of Chicago designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurses
The Dermatology Nurses’ Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider Number CEP5708.
Accreditation refers to educational content only.
Method of Participation
There are no fees for participating in this CME/CE activity. To receive credit during the period December 2010 to December 31, 2011, participants must (1) read the learning objectives and disclosure statements, (2) study the educational activity, and (3) complete the postsurvey and activity evaluation, including the certificate information section.
The postsurvey can be accessed at the end of the activity. Please e-mail any questions to cmeinfo@curatiocme.com.
Medium
The Internet was selected as the instructional format to accommodate the learning preferences of a significant portion of the target audience.
Disclosure
In accordance with the ACCME Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of everyone in a position to control content of an educational activity. A relevant financial relationship is a relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears below:
Jerry Bagel, MD, has disclosed the following relevant financial relationships:
| Consultant | Abbott |
| Speaker | Abbott, Amgen, Centocor Ortho Biotech, Galderma |
Jeffrey Crowley, MD, has disclosed the following relevant financial relationships:
| Consultant | Abbott, Centocor Ortho Biotech |
| Principal Investigator | Abbott, Amgen, Lilly |
| Speaker | Abbott |
Kenneth B. Gordon, MD, has disclosed the following relevant financial relationships:
| Consultant/Investigator | Abbott, Amgen, Centocor Ortho Biotech |
| Consultant | Merck |
Neil Korman, MD, PhD, has disclosed the following relevant financial relationships:
| Speaker/Consultant | Abbott, Amgen, Astellas, Centocor Ortho Biotech, Genentech |
Kristine Kucera, DHS, MPAS, PA-C, has disclosed the following relevant financial relationships:
| Speaker | Abbott, Amgen, Centocor Ortho Biotech, Warner Chilcott |
Ms. Kucera discusses the unlabeled or investigational use of a commercial product.
Alan Menter, MD, has disclosed the following relevant financial relationships:
| Advisory Board/Speaker | Abbott, Amgen, Astellas, Centocor Ortho Biotech, Galderma, Genentech, Warner Chilcott, Wyeth |
| Consultant | Abbott, Amgen, Astellas, Centocor Ortho Biotech, Eli Lilly, Galderma, Genentech, Stiefel, Warner Chilcott, Wyeth |
| Investigator | Abbott, Allergan, Amgen, Astellas, Asubio, Celgene, Centocor Ortho Biotech, DUSA, Eli Lilly, Genentech, Novartis, Novo Nordisk, Pfizer, Promius, Stiefel, Syntrix Biosystems, Warner Chilcott, Wyeth |
Melodie Young, MSN, RN, A/GNP-C, has disclosed the following relevant financial relationships:
| Consultant | Abbott, Centocor Ortho Biotech, Coria Labs, Ortho |
| Speaker | Abbott, Centocor |
| Subinvestigator | Celgene |
Curatio CME Institute
The employees of Curatio CME Institute who were involved in the planning of this activity have disclosed no relevant financial relationships.
University of Chicago Center for Continuing Medical Education
The employees of the Center for Continuing Medical Education who were involved in the planning of this activity have disclosed no relevant financial relationships.
Dermatology Nurses’ Association
The employees of the Dermatology Nurses’ Association who were involved in the planning of this activity have disclosed no relevant financial relationships.
Society of Dermatology Physician Assistants
The employees of the Society of Dermatology Physician Assistants who were involved in the planning of this activity have disclosed no relevant financial relationships.
National Psoriasis Foundation
The employees of the National Psoriasis Foundation who were involved in the planning of this activity have disclosed no relevant financial relationships.
International Psoriasis Council
Paul Tebbey, PhD, has disclosed the following relevant financial relationships:
| Consultant | Incyte Pharmaceuticals |
| Employee | Baxter Healthcare |
Disclaimer
The information presented in this activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician regarding diagnosis and treatment of a specific patient’s medical condition.
Unapproved Product Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. Curatio CME Institute, the University of Chicago, the Dermatology Nurses’ Association, the Society of Dermatology Physician Assistants, the National Psoriasis Foundation, the International Psoriasis Council, and Centocor Ortho Biotech do not recommend the use of any agent outside the labeled indications.
The opinions expressed in this educational activity are those of the faculty and do not represent the views of Curatio CME Institute, the University of Chicago, the Dermatology Nurses’ Association, the Society of Dermatology Physician Assistants, the National Psoriasis Foundation, the International Psoriasis Council, or Centocor Ortho Biotech. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
| Generic Name | Trade Name | Approved Use (if any) | Unapproved/ Investigational Use |
| Ustekinumab | Stelara | Treatment of adult patients (18 years or older) with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy | Treatment of psoriatic arthritis |
Contact Information
PsoriasisTx.com
100 Campbell Boulevard
Suite 103
Exton, PA 19341
editor@psoriasistx.com
Policy on Privacy and Confidentiality
Curatio CME Institute makes every effort to protect the privacy of PsoriasisTx.com users; user information is used only to maintain records as required by the American Medical Association (AMA) and the ACCME.
Curatio CME Institute does not require individuals to register to use PsoriasisTx.com; registration is only required for physicians, health care professionals, and other users to participate in and receive CME/CE credit for accredited educational programs hosted on PsoriasisTx.com
Curatio CME Institute is required by the AMA and the ACCME (and occasionally by other accrediting organizations) to collect user information that will allow Curatio CME Institute to issue a CME/CE certificate. Curatio CME Institute is required to keep this information on file for up to 6 years. The information is stored in a secure database and used only to verify individual participation in a CME/CE activity and to reissue a certificate if a user's original certificate is lost or misplaced.
Information gathered through PsoriasisTx.com will not be released to any other company or organization for any purpose; this information remains confidential.
Curatio CME Institute uses Web site tracking software to determine how PsoriasisTx.com is used. This information helps Curatio CME Insitute determine the best strategies for improving PsoriasisTx.com and better meeting the needs of its users. This software does not identify individual users.
If you have any questions about PsoriasisTx.com or any Curatio CME Institute policies, you may contact us at info@psoriasistx.com.
Thank you for using PsoriasisTx.com.
