Medical Hydrology and Balneology: Environmental Aspects

Medical Hydrology and Balneology: Environmental Aspects
HAQ and SF36)) improved significantly at T1 in comparison to baseline. CPR
levels, within the normal range at T0, remained unchanged at T1.
In contrast in patients treated with pharmacological therapy alone (group B), all
evaluation parameters showed no significant variations between T0 and T1.
Conclusions
The improvement of DAS28 and of the other clinical indexes in the group of patients
treated with mud-bath therapy and their deterioration in the group treated only
with TNF-inhibitors demonstrates the favorable effect of thermal treatment in PA.
The significant reduction of PASI suggests the beneficial effect also on the extension
and severity of skin lesions.
These results are consistent with those of the few controlled studies published in
literature and confirm that patients with PA can receive a further clinical improvement
from a cycle of mud-bath therapy in addition to TNF-inhibitors.
Keywords: Psoriatic Arthritis, Mud-Bath Therapy, Clinical Assessment
174
Balnea
2012, núm. 6, 173-174