Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sites
Background Currently, no formalized international consensus guidelines exist to direct optimal topical treatment including long-term treatment. Objective In this survey, we aim to examine if and which topicals are used in clinical practice in long-term continuous treatment of psoriasis and how topic...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-11-01
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| Series: | Journal of Dermatological Treatment |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/09546634.2020.1724250 |
| _version_ | 1797683640730124288 |
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| author | T. Hoegsberg L. Iversen M. M. Lange R. Bissonette A. V. E. Carvalho P. C. van de Kerkhof B. Kirby C. E. Kleyn J. M. van der Walt J. J. Wu C. W. Lynde |
| author_facet | T. Hoegsberg L. Iversen M. M. Lange R. Bissonette A. V. E. Carvalho P. C. van de Kerkhof B. Kirby C. E. Kleyn J. M. van der Walt J. J. Wu C. W. Lynde |
| author_sort | T. Hoegsberg |
| collection | DOAJ |
| description | Background Currently, no formalized international consensus guidelines exist to direct optimal topical treatment including long-term treatment. Objective In this survey, we aim to examine if and which topicals are used in clinical practice in long-term continuous treatment of psoriasis and how topicals are used in treating specific sites of the body. Methods A questionnaire was distributed electronically to dermatologists from the International Psoriasis Council (IPC) representing 26 countries. Results The top three topicals used across all severities of disease were topical corticosteroids, vitamin D analogs, and potent topical corticosteroids in combination with vitamin D analogs. On locations where the skin is thin, flexural and genital psoriasis, lower potency topical corticosteroids were used, whereas on other sites, in particular in palmoplantar psoriasis, superpotent topical corticosteroids and combination vitamin D analogs/corticosteroids were used. Conclusions It is relevant to optimize localized therapy for all severities of psoriasis reconciling disease activity (stable vs. unstable disease), localization of the lesions and the individual patient and his/her perspectives on disease control. Topical therapies are valuable treatments for classical mild disease and may have a position in some patients with more severe manifestations. |
| first_indexed | 2024-03-12T00:17:29Z |
| format | Article |
| id | doaj.art-dc9d55ef7151478abca1240fd05d1ac4 |
| institution | Directory Open Access Journal |
| issn | 0954-6634 1471-1753 |
| language | English |
| last_indexed | 2024-03-12T00:17:29Z |
| publishDate | 2021-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Dermatological Treatment |
| spelling | doaj.art-dc9d55ef7151478abca1240fd05d1ac42023-09-15T14:23:05ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532021-11-0132891692110.1080/09546634.2020.17242501724250Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sitesT. Hoegsberg0L. Iversen1M. M. Lange2R. Bissonette3A. V. E. Carvalho4P. C. van de Kerkhof5B. Kirby6C. E. Kleyn7J. M. van der Walt8J. J. Wu9C. W. Lynde10Department of Dermatology, Aarhus University HospitalDepartment of Dermatology, Aarhus University HospitalDepartment of Dermatology, Aarhus University HospitalInnovaderm ResearchMoinhos de Vento HospitalRadboud University Nijmegen Medical CentreSt. Vincents HospitalThe Dermatology Centre, Manchester Academic Health Science Centre, Salford Royal NHS, Foundation TrustInternational Psoriasis CouncilDermatology Research and Education FoundationDepartment of Medicine, University of TorontoBackground Currently, no formalized international consensus guidelines exist to direct optimal topical treatment including long-term treatment. Objective In this survey, we aim to examine if and which topicals are used in clinical practice in long-term continuous treatment of psoriasis and how topicals are used in treating specific sites of the body. Methods A questionnaire was distributed electronically to dermatologists from the International Psoriasis Council (IPC) representing 26 countries. Results The top three topicals used across all severities of disease were topical corticosteroids, vitamin D analogs, and potent topical corticosteroids in combination with vitamin D analogs. On locations where the skin is thin, flexural and genital psoriasis, lower potency topical corticosteroids were used, whereas on other sites, in particular in palmoplantar psoriasis, superpotent topical corticosteroids and combination vitamin D analogs/corticosteroids were used. Conclusions It is relevant to optimize localized therapy for all severities of psoriasis reconciling disease activity (stable vs. unstable disease), localization of the lesions and the individual patient and his/her perspectives on disease control. Topical therapies are valuable treatments for classical mild disease and may have a position in some patients with more severe manifestations.http://dx.doi.org/10.1080/09546634.2020.1724250psoriasistopical therapytopical corticosteroidsbody surface area |
| spellingShingle | T. Hoegsberg L. Iversen M. M. Lange R. Bissonette A. V. E. Carvalho P. C. van de Kerkhof B. Kirby C. E. Kleyn J. M. van der Walt J. J. Wu C. W. Lynde Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sites Journal of Dermatological Treatment psoriasis topical therapy topical corticosteroids body surface area |
| title | Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sites |
| title_full | Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sites |
| title_fullStr | Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sites |
| title_full_unstemmed | Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sites |
| title_short | Topical treatment of psoriasis: questionnaire results on topical therapy as long-term continuous treatment and use on specific body sites |
| title_sort | topical treatment of psoriasis questionnaire results on topical therapy as long term continuous treatment and use on specific body sites |
| topic | psoriasis topical therapy topical corticosteroids body surface area |
| url | http://dx.doi.org/10.1080/09546634.2020.1724250 |
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