Londoño-García Angela María, Castro-Ayarza Juan Raúl, Franco Franco Manuel Darío, Ardila Cesar Fernando González, Magariños Gabriel, Zaldívar Enrique Salvador Rivas, Martínez Susan, Ibatá Linda, Castillo Julieth Carolina, Rojas Paola Jimena Cárdenas, Vargas Evelyn Giuliana Castro, Contreras Claudia Romina, Correa Carolina Ivette Cortes, Fernández Claudia de la Cruz, Restrepo Andrés Chavarriaga, Echeverria Cristina Mariela, Carvalho André Vicente Esteves de, Hidalgo Matlock Benjamín, Loayza Enrique, Maskin Matías Rafael, Romiti Ricardo, Valenzuela Fernando
Dermatology Postgraduate Program, Faculty of Medicine, CES University, Medellin, Colombia.
Dermatology Postgraduate Program, Faculty of Medicine, National University of Colombia, Bogota, Colombia.
An Bras Dermatol. 2025 May-Jun;100(3):539-547. doi: 10.1016/j.abd.2024.09.010. Epub 2025 Apr 29.
There are different classifications of psoriasis based on its clinical presentation, impact on quality of life, requirements for specific treatments, and other patient- or physician-reported outcomes. However, the lack of unified definitions has led to the severity of the disease being underestimated. Standardizing the classification of psoriasis will promote a better approach to the disease and facilitate care by professionals.
To present a consensus of experts in Latin America regarding the classification of psoriasis severity, based on the best available evidence and applicable to current medical practice in the region.
An independent methodological team, together with a group of clinical dermatologists representatives from different Latin American countries, developed a consensus with a modified Delphi methodology based on a systematic review of the literature. This consensus includes the classification of psoriasis, tools to define the severity of psoriasis, and other considerations in evaluating patients with psoriasis.
Fifteen statements were formulated aimed at classifying the severity of cutaneous psoriasis and other forms of the disease, as well as tools to assess and define the severity of psoriasis and therapy considerations. Additionally, the consensus addresses implementation considerations.
The results of this consensus constitute a solid basis for a standard classification terminology for the varied clinical forms of psoriasis and their therapeutic implications. The importance of maintaining a personalized therapeutic approach, adjusted to each country's available resources and administrative realities, is highlighted.
根据临床表现、对生活质量的影响、特定治疗的需求以及其他患者或医生报告的结果，银屑病有不同的分类。然而，缺乏统一的定义导致疾病的严重程度被低估。标准化银屑病的分类将促进对该疾病采取更好的方法，并便于专业人员进行护理。
基于现有最佳证据并适用于该地区当前的医疗实践，提出拉丁美洲专家关于银屑病严重程度分类的共识。
一个独立的方法学团队与来自不同拉丁美洲国家的一组临床皮肤科医生代表，基于对文献的系统综述，采用改良的德尔菲方法达成了共识。该共识包括银屑病的分类、定义银屑病严重程度的工具以及评估银屑病患者的其他考虑因素。
制定了15项声明，旨在对皮肤银屑病和其他形式疾病的严重程度进行分类，以及评估和定义银屑病严重程度的工具和治疗考虑因素。此外，该共识还涉及实施方面的考虑因素。
这一共识的结果构成了一个坚实的基础，用于为银屑病的各种临床形式及其治疗意义制定标准分类术语。强调了保持个性化治疗方法的重要性，该方法应根据每个国家的可用资源和行政实际情况进行调整。
