Ibrahim Samia, Amer Amin, Nofal Hagar, Abdellatif Ahmed
Dermatology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Department of Biology, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.
Dermatol Ther. 2020 Mar;33(2):e13243. doi: 10.1111/dth.13243. Epub 2020 Feb 27.
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.
银屑病的管理复杂且具有挑战性。应针对每位患者量身定制。治疗策略会因患者的年龄、性别、疾病类型、疾病严重程度、对患者生活质量的影响、合并症、特定部位的受累情况以及是否怀孕而有所不同。选择合适的治疗方法时必须考虑其可及性、价格以及患者的偏好。所选治疗方法不比疾病本身更令人不适、难以忍受或危险，这一点非常重要。根据疾病类型、严重程度以及对患者生活质量的影响，皮肤科医生会选择是从局部治疗、光疗还是系统治疗开始，或者采用其中两种或更多方法的联合治疗。在每个类别下，都有不同类型的疗法，它们可以是一线治疗、二线治疗，甚至是禁忌治疗。在本手册中，我们考虑到所有上述变量为皮肤科医生提供了不同的治疗方案，以便皮肤科医生能够为患者选择最佳方案。
