Expert opinion on Psoriasis Management, 2020 and Beyond

Authors

  • Natta Rajatanavin DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, RAMATHIBODI HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND..
  • Chanisada Wongpraparut DEPARTMENT OF DERMATOLOGY, FACULTY OF MEDICINE SIRIRAJ HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND.
  • Ploysyne Rattanakaemakorn DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, RAMATHIBODI HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND.
  • Leena Chularojanamontri DEPARTMENT OF DERMATOLOGY, FACULTY OF MEDICINE SIRIRAJ HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND.
  • Padcha Pongcharoen DIVISION OF DERMATOLOGY, THAMMASAT UNIVERSITY, PATHUM THANI, THAILAND.
  • Bensachee Pattamadilok INSTITUTE OF DERMATOLOGY, BANGKOK, THAILAND.
  • Julphat Intarasupht DIVISION OF DERMATOLOGY, PRAMONGKUTKLAO HOSPITAL, BANGKOK, THAILAND.
  • Napatra Tovanabutra FACULTY OF MEDICINE, CHIANG MAI UNIVERSITY, CHIANG MAI, THAILAND.
  • Pravit Asawanonda DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE FACULTY OF MEDICINE, CHULALONGKORN UNIVERSITY, BANGKOK, THAILAND.

Keywords:

Psoriasis, biologic, comorbidities, systemic inflammatory disease, guidance

Abstract

Psoriasis is a chronic immune-mediated inflammatory condition affecting the skin and several other systems. Hence, the holistic approach is recommended to alleviate various organ involvements and multidisciplinary team plays a vital role for patient care. Recently, several studies have shown the promising clinical outcomes of biologic agents to ameliorate either skin plaque or other organ manifestations in psoriasis patients. However, many products are currently available in the market with each agent possessing individual risk-benefit in specific circumstances. Thai dermatologists established a working group to develop this expert opinion for psoriasis management based on international guidelines, the updated clinical studies and real practice experience. The objective aims to be an interim guidance for physicians and healthcare professionals in Thailand who are taking care of psoriasis patients. The summary of expert opinion highlighted in (1) As a systemic inflammatory disease, all moderate-to-severe psoriasis patients should be screened for relevant comorbidities annually, including mental health, (2) Biologic treatment may be recommended for moderate-to-severe psoriasis patients, either as monotherapy or adjunct with conventional therapy, (3) Biologic treatment should be individualized according to patient disease condition and comorbidities and (4) Multidisciplinary collaboration is critical in improving holistic care of psoriasis.

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Published

2022-03-21

How to Cite

Rajatanavin, N., Wongpraparut, C., Rattanakaemakorn, P., Chularojanamontri, L., Pongcharoen, P., Pattamadilok, B., Intarasupht, J., Tovanabutra, N., & Asawanonda, P. (2022). Expert opinion on Psoriasis Management, 2020 and Beyond. Thai Journal of Dermatology, 38(1), 1–16. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/253367

Issue

Section

Review article