Expert opinion on Psoriasis Management, 2020 and Beyond
Keywords:
Psoriasis, biologic, comorbidities, systemic inflammatory disease, guidanceAbstract
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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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสารโรคผิวหนัง ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใดๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารโรคผิวหนัง ถือเป็นลิขสิทธิ์ของวารสารฯ หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใดๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากบรรณาธิการวารสารโรคผิวหนังก่อนเท่านั้น