A modern approach to the treatment of plaque psoriasis

Psoriasis is a common chronic inflammatory skin disease which affects 0.5–1 % of children and 2–3 % of the adult population. In Croatia, 1.6 % of the population suffer from psoriasis. Distribution of the disease is bimodal, with the first peak at the age of 20–30, and the second at the age of 50–60....

Full description

Bibliographic Details
Main Authors: Drvar Daniela Ledić, Vlahinić Tomislav, Maleš Željan, Turčić Petra, Čeović Romana
Format: Article
Language:English
Published: Sciendo 2019-12-01
Series:Acta Pharmaceutica
Subjects:
Online Access:https://doi.org/10.2478/acph-2019-0047
_version_ 1819034152786198528
author Drvar Daniela Ledić
Vlahinić Tomislav
Maleš Željan
Turčić Petra
Čeović Romana
author_facet Drvar Daniela Ledić
Vlahinić Tomislav
Maleš Željan
Turčić Petra
Čeović Romana
author_sort Drvar Daniela Ledić
collection DOAJ
description Psoriasis is a common chronic inflammatory skin disease which affects 0.5–1 % of children and 2–3 % of the adult population. In Croatia, 1.6 % of the population suffer from psoriasis. Distribution of the disease is bimodal, with the first peak at the age of 20–30, and the second at the age of 50–60. The etiopathogenesis of the disease is multifactorial, the key factors being genetic predisposition combined with immunological disorders, environmental factors and skin barrier damage. There are several clinical variants of the disease. The main signalling pathways in psoriasis include TNF-α, IL-23 and IL-17. Topical agents are used for the treatment of the mild form, and the systemic conventional therapy is used for the treatment of moderate to severe forms of the disease. In cases where’s no response, or intolerance or contraindications are present, new targeted medications are to be administered. Development in the field of immunogenetics of psoriasis leads to personalized medicine.
first_indexed 2024-12-21T07:29:12Z
format Article
id doaj.art-c93420ffab4049e1af5229de79c37534
institution Directory Open Access Journal
issn 1846-9558
language English
last_indexed 2024-12-21T07:29:12Z
publishDate 2019-12-01
publisher Sciendo
record_format Article
series Acta Pharmaceutica
spelling doaj.art-c93420ffab4049e1af5229de79c375342022-12-21T19:11:37ZengSciendoActa Pharmaceutica1846-95582019-12-0169451152310.2478/acph-2019-0047acph-2019-0047A modern approach to the treatment of plaque psoriasisDrvar Daniela Ledić0Vlahinić Tomislav1Maleš Željan2Turčić Petra3Čeović Romana4Department of Dermatology and Venereology, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, HR-10000Zagreb, CroatiaDepartment of Infectious Diseases and Dermatovenereology, Dubrovnik General Hospital, HR-20000Dubrovnik, CroatiaUniversity of Zagreb, Faculty of Pharmacy and Biochemistry, Department of Pharmaceutical Botany, HR-10000Zagreb, CroatiaUniversity of Zagreb, Faculty of Pharmacy and Biochemistry, Department of Pharmacology, HR-10000Zagreb, CroatiaDepartment of Dermatology and Venereology, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, HR-10000Zagreb, CroatiaPsoriasis is a common chronic inflammatory skin disease which affects 0.5–1 % of children and 2–3 % of the adult population. In Croatia, 1.6 % of the population suffer from psoriasis. Distribution of the disease is bimodal, with the first peak at the age of 20–30, and the second at the age of 50–60. The etiopathogenesis of the disease is multifactorial, the key factors being genetic predisposition combined with immunological disorders, environmental factors and skin barrier damage. There are several clinical variants of the disease. The main signalling pathways in psoriasis include TNF-α, IL-23 and IL-17. Topical agents are used for the treatment of the mild form, and the systemic conventional therapy is used for the treatment of moderate to severe forms of the disease. In cases where’s no response, or intolerance or contraindications are present, new targeted medications are to be administered. Development in the field of immunogenetics of psoriasis leads to personalized medicine.https://doi.org/10.2478/acph-2019-0047psoriasistopical treatmentconventional systemic therapysmall moleculesbiologicals
spellingShingle Drvar Daniela Ledić
Vlahinić Tomislav
Maleš Željan
Turčić Petra
Čeović Romana
A modern approach to the treatment of plaque psoriasis
Acta Pharmaceutica
psoriasis
topical treatment
conventional systemic therapy
small molecules
biologicals
title A modern approach to the treatment of plaque psoriasis
title_full A modern approach to the treatment of plaque psoriasis
title_fullStr A modern approach to the treatment of plaque psoriasis
title_full_unstemmed A modern approach to the treatment of plaque psoriasis
title_short A modern approach to the treatment of plaque psoriasis
title_sort modern approach to the treatment of plaque psoriasis
topic psoriasis
topical treatment
conventional systemic therapy
small molecules
biologicals
url https://doi.org/10.2478/acph-2019-0047
work_keys_str_mv AT drvardanielaledic amodernapproachtothetreatmentofplaquepsoriasis
AT vlahinictomislav amodernapproachtothetreatmentofplaquepsoriasis
AT maleszeljan amodernapproachtothetreatmentofplaquepsoriasis
AT turcicpetra amodernapproachtothetreatmentofplaquepsoriasis
AT ceovicromana amodernapproachtothetreatmentofplaquepsoriasis
AT drvardanielaledic modernapproachtothetreatmentofplaquepsoriasis
AT vlahinictomislav modernapproachtothetreatmentofplaquepsoriasis
AT maleszeljan modernapproachtothetreatmentofplaquepsoriasis
AT turcicpetra modernapproachtothetreatmentofplaquepsoriasis
AT ceovicromana modernapproachtothetreatmentofplaquepsoriasis