Underdiagnosed and undertreated psoriasis: Nuances of treating psoriasis affecting the scalp, face, intertriginous areas, genitals, hands, feet, and nails

Psoriasis of the scalp, face, intertriginous areas, genitals, hands, feet, and nails is often underdiagnosed, and disease management can be challenging. Despite the small surface area commonly affected by psoriasis in these locations, patients have disproportionate levels of physical impairment and...

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Veröffentlicht in:Dermatologic therapy 2018-05, Vol.31 (3), p.e12589-n/a
Hauptverfasser: Merola, Joseph F., Qureshi, Abrar, Husni, M. Elaine
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container_title Dermatologic therapy
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creator Merola, Joseph F.
Qureshi, Abrar
Husni, M. Elaine
description Psoriasis of the scalp, face, intertriginous areas, genitals, hands, feet, and nails is often underdiagnosed, and disease management can be challenging. Despite the small surface area commonly affected by psoriasis in these locations, patients have disproportionate levels of physical impairment and emotional distress. Limitations in current disease severity indices do not fully capture the impact of disease on a patient's quality of life, and, combined with limitations in current therapies, many patients do not receive proper or adequate care. In this review, we discuss the clinical manifestations of psoriasis in these less commonly diagnosed areas and its impact on patient quality of life. We also examine clinical studies evaluating the effectiveness of therapies on psoriasis in these regions. This article highlights the need to individualize treatment strategies for psoriasis based on the area of the body that is affected and the emerging role of biologic therapy in this regard.
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subjects clinical studies
difficult to treat psoriasis
Facial Dermatoses - therapy
Female
Foot Dermatoses - therapy
Genital Diseases, Female - therapy
Genital Diseases, Male - therapy
Hand Dermatoses - therapy
Humans
intertriginous
Male
Nail Diseases - therapy
nails
palmoplantar
psoriasis
Psoriasis - diagnosis
Psoriasis - therapy
psoriasis of the extremities
quality of life
Review
scalp
Scalp Dermatoses - therapy
treatment options
title Underdiagnosed and undertreated psoriasis: Nuances of treating psoriasis affecting the scalp, face, intertriginous areas, genitals, hands, feet, and nails
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