Blakely Kim, Gooderham Melinda
Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Skin Centre for Dermatology, Peterborough, ON, Canada.
Psoriasis (Auckl). 2016 Mar 29;6:33-40. doi: 10.2147/PTT.S85330. eCollection 2016.
Psoriasis is a chronic inflammatory condition. The age of onset, chronicity, physical, and psychosocial consequences of the disease cause psoriasis to have a significant impact on patient quality of life. Scalp psoriasis is no different, and effective treatment results in an improvement in quality of life. Successful management of scalp psoriasis includes topical therapies that are acceptable to the patient for mild-to-moderate disease, and systemic therapies for recalcitrant or moderate-to-severe disease. The most effective topical therapies are corticosteroid products, or combination products with calcipotriol and corticosteroid. Newer vehicle options provide more attractive and pleasing products for patients and may improve adherence. The current perspectives for management of scalp psoriasis are discussed including available data for systemic therapy of severe disease.
银屑病是一种慢性炎症性疾病。该疾病的发病年龄、慢性病程、身体及心理社会后果对患者的生活质量有重大影响。头皮银屑病也不例外,有效的治疗可改善生活质量。成功管理头皮银屑病包括针对轻度至中度病情采用患者可接受的局部治疗,以及针对顽固性或中度至重度病情采用全身治疗。最有效的局部治疗方法是皮质类固醇产品,或与卡泊三醇和皮质类固醇的联合产品。新的剂型选择为患者提供了更具吸引力和更令人满意的产品,可能会提高依从性。本文讨论了目前头皮银屑病的管理观点,包括重度疾病全身治疗的现有数据。