Psoriasis is a chronic, genetically influenced, remitting andrelapsing scaly and inflammatory skin disorder that affects1 to 3 percent of the world's population. The diagnosis is madeon clinical grounds, although histologic examination of a skin-biopsyspecimen may be helpful. Psoriasis is a disabling, though rarelylife-threatening, disease with a social and economic impactthat is underestimated by physicians and other health care providers.Recently, progress has been made in understanding the pathogenesisof psoriasis, and therapeutic advances are improving the careof even severely affected patients.
There are several types of psoriasis, including pustular, guttate,and arthritic variants. . . . [Full Text of this Article]
Risk Factors, Clinical Manifestations, and Natural History
Pathophysiologic Features
Treatment of Psoriasis
Topical Treatment
Emollients
Keratolytic Agents
Coal Tar
Anthralin
Corticosteroids
Calcipotriene
Phototherapy and Systemic Treatments
Phototherapy (Ultraviolet B Irradiation)
Photochemotherapy
Methotrexate
Etretinate
Systemic Corticosteroids
Cyclosporine
Therapeutic Strategies
Conclusions
Source Information
From St. John's Institute of Dermatology, St. Thomas's Hospital, United Medical and Dental Schools, Lambeth Palace Rd., London SE1 7EH, United Kingdom, where reprint requests should be addressed to Dr. Greaves.
References
Related Letters:
Treatment of Psoriasis
Buckley D. A., Rogers S., Wright R. A., Greaves M. W., Weinstein G. D.
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N Engl J Med 1995;
333:258-259, Jul 27, 1995.
Correspondence
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