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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the author's clinical recommendations.
A 52-year-old man who has had psoriasis since he was 20 years of age seeks further treatment. His psoriasis has varied in extent and severity over time, is not responsive to topical therapy, is worse in winter, and improves
The Clinical Problem
Pathophysiology and Effect of Therapy
Clinical Evidence
Clinical Use
Adverse Effects
Areas of Uncertainty
Guidelines
Recommendations
Source Information
From the Department of Dermatology, Harvard Medical School, and Beth Israel Deaconess Medical Center — both in Boston.
Address reprint requests to Dr. Stern at the Department of Dermatology, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, or at rstern@bidmc.harvard.edu.
This article has been cited by other articles:
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