European Alliance of Associations for Rheumatology, EULAR Oct 30 2025 Some people with psoriatic arthritis (PsA) may have disease that is difficult to manage (D2M) or does not respond to treatment. EULAR - The European Alliance of Associations for Rheumatology - has released new evidence-based points to consider and consensus definitions for these groups. PsA is a progressive inflammatory disease, with both a skin and joint component. Many people with PsA also have cardiometabolic comorbidities,