This article describes an algorithmic treatment approach for primary care physicians. The algorithm is based on treatment guidelines for psoriasis published by the American Academy of Dermatology,3 supplemented by a review of the medical literature. There currently are no evidence-based guidelines for the treatment of psoriasis. Because localized plaque psoriasis is the most common form, the algorithm focuses on the treatment of this type of psoriasis.
Stress Management Counselling 15. Helling B, König M, Dälken B, Engling A, Krömer W, Heim K, et al. A specific CD4 epitope bound by tregalizumab mediates activation of regulatory T cells by a unique signaling pathway. Immunol Cell Biol. 2015;93:396–405. [PMC free article] [PubMed]
Phototherapy uses natural and artificial light to treat psoriasis. Artificial light therapy can be given in hospitals and some specialist centres, usually under the care of a dermatologist. These treatments are not the same as using a sunbed.
Oral medications include methotrexate (Trexall), acitretin (Soriatane), cyclosporine (Neoral), apremilast (Otezla), and others. Oral prednisone (corticosteroid) is generally not used in psoriasis and may cause a disease flare-up if administered.
Q Freedom of information (FOI) Moderate to severe psoriasis and psoriatic arthritis: Biologic drugs. (n.d.). Retrieved from https://www.psoriasis.org/about-psoriasis/treatments/biologics PUVA plus topical calcipotriene
Critical Care Obstetrics & Gynecology Open Access Journal Injury to skin (bug bites/cuts/burns, etc.)
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Consider Clinical Trials Morning stiffness/pain in the back that improves with movement. Join Cochrane
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