Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venereology und Allergy, Division of Evidence-Based Medicine (dEBM).
Fachklinik Bad Bentheim [Bad Bentheim Specialist Hospital].
J Dtsch Dermatol Ges. 2018 Jun;16(6):806-813. doi: 10.1111/ddg.13538.
The German guideline for the treatment of psoriasis vulgaris was updated using GRADE methodology. The guideline is based on a systematic literature review completed on December 1, 2016, and on a formal consensus and approval process. The second part of this short version of the guideline covers the following special patient populations and treatment situations: tuberculosis screening before and during psoriasis treatment, choice of psoriasis treatment for individuals wishing to have children, as well as during pregnancy and breast-feeding, and patients with joint involvement and vaccinations. In addition, recommendations on the choice of treatment are presented for patients with the following comorbidities: hepatitis and other hepatic impairment, HIV, malignancies, neurological and psychiatric disorders, ischemic heart disease and congestive heart failure, diabetes mellitus, renal impairment and inflammatory bowel disease.
德国寻常型银屑病治疗指南采用 GRADE 方法进行了更新。该指南基于 2016 年 12 月 1 日完成的系统文献回顾以及正式的共识和审批过程。本指南简本的第二部分涵盖了以下特殊患者人群和治疗情况:在银屑病治疗前和治疗期间进行结核病筛查、有生育意愿者的银屑病治疗选择,以及妊娠和哺乳期的银屑病治疗选择,以及有关节受累和接种疫苗的患者。此外,还针对伴有以下合并症的患者提出了治疗选择建议:肝炎和其他肝损伤、HIV、恶性肿瘤、神经和精神障碍、缺血性心脏病和充血性心力衰竭、糖尿病、肾功能不全和炎症性肠病。