Practical compendium for psoriasis management

Dermatol Ther. 2020 Mar;33(2):e13243. doi: 10.1111/dth.13243. Epub 2020 Feb 27.

Abstract

Psoriasis management is complex and challenging. It should be tailored for each patient. Treatment strategy differs according to patient's age, sex, disease type, disease severity, burden on patient's quality of life, comorbidities, involvement of specific sites, and pregnancy. The choice of the appropriate therapeutic must take into consideration the availability, the price, and the patient's preferences. It is very important that the chosen treatment is not more unpleasant, intolerable, or dangerous than the disease itself. According to the disease type, severity, and effect on patient's quality of life, dermatologist chooses whether to start with topical therapy, phototherapy or systemic therapy, or a combination of two or more of them. Under each category, there are different types of therapies that can be the first line therapeutics, second line, or even contraindicated. In this compendium, we provide dermatologists with different treatment plans considering all the mentioned variables so that a dermatologist can choose the optimum plan for the patient.

Keywords: children; erythrodermic psoriasis; management; pregnancy; psoriasis; psoriasis comorbidities; pustular psoriasis; treatment.

Publication types

  • Review

MeSH terms

  • Comorbidity
  • Dermatologic Agents* / adverse effects
  • Humans
  • Phototherapy
  • Psoriasis* / diagnosis
  • Psoriasis* / drug therapy
  • Quality of Life
  • Severity of Illness Index

Substances

  • Dermatologic Agents