Guidelines of care for the management of psoriasis and psoriatic arthritis
Guidelines of care for the management of psoriasis and psoriatic arthritis
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DOI：
10.1016/j.jaad.2010.11.055
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发表时间：
2011-07-01
影响因子：
13.8
通讯作者：
Bhushan, Reva
中科院分区：
文献类型：
--
作者：
Menter, Alan;Korman, Neil J.;Bhushan, Reva
牛皮癣是一种常见的慢性炎症性多系统疾病，主要表现为皮肤和关节症状，影响约 2% 的人口。在美国皮肤病学会银屑病护理指南的前 5 部分中，我们提出了支持对银屑病和银屑病关节炎患者使用局部治疗、光疗、传统全身药物和生物疗法的证据。在《银屑病护理指南》的第六部分（也是最后一部分）中，我们将通过案例来说明如何在特定的临床场景中实际使用这些指南。我们将根据之前发布的 5 份指南，描述治疗银屑病患者的方法，从轻度到中度到重度，无论是否患有银屑病关节炎，银屑病都是一种令人着迷的疾病。尽管针对所提出的每个病例都给出了具体的治疗建议，但重要的是要根据个体患者的需求定制治疗。此外，我们将更新之前的 5 条指南，并解决当前存在的研究和护理方面的差距，同时提出进一步研究的建议，以帮助解决我们知识库中的这些局限性。 (J Am Acad Dermatol 2011；65:137-74。)
Psoriasis is a common, chronic, inflammatory, multisystem disease with predominantly skin and joint manifestations affecting approximately 2% of the population. In the first 5 parts of the AmericanAcademy of Dermatology Psoriasis Guidelines of Care, we have presented evidence supporting the use of topical treatments, phototherapy, traditional systemic agents, and biological therapies for patients with psoriasis and psoriatic arthritis. In this sixth and final section of the Psoriasis Guidelines of Care, we will present cases to illustrate how to practically use these guidelines in specific clinical scenarios. We will describe the approach to treating patients with psoriasis across the entire spectrum of this fascinating disease from mild to moderate to severe, with and without psoriatic arthritis, based on the 5 prior published guidelines. Although specific therapeutic recommendations are given for each of the cases presented, it is important that treatment be tailored to meet individual patients' needs. In addition, we will update the prior 5 guidelines and address gaps in research and care that currently exist, while making suggestions for further studies that could be performed to help address these limitations in our knowledge base. (J Am Acad Dermatol 2011;65:137-74.)