Practical recommendations for systemic treatment in psoriasis in case of coexisting inflammatory, neurologic, infectious or malignant disorders (BETA‐PSO: Belgian Evidence‐based Treatment Advice in Psoriasis; part 2)

Background Psoriasis patients carry an increased risk for associated comorbidities. Dermatologists have to be aware of the effects of systemic treatments not only on psoriasis but also on co‐occurring diseases. In case of other coexisting inflammatory diseases, the right psoriasis treatment may impr...

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Veröffentlicht in:Journal of the European Academy of Dermatology and Venereology 2020-09, Vol.34 (9), p.1914-1923
Hauptverfasser: Lambert, J.L.W., Segaert, S., Ghislain, P.D., Hillary, T., Nikkels, A., Willaert, F., Lambert, J., Speeckaert, R.
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container_end_page 1923
container_issue 9
container_start_page 1914
container_title Journal of the European Academy of Dermatology and Venereology
container_volume 34
creator Lambert, J.L.W.
Segaert, S.
Ghislain, P.D.
Hillary, T.
Nikkels, A.
Willaert, F.
Lambert, J.
Speeckaert, R.
description Background Psoriasis patients carry an increased risk for associated comorbidities. Dermatologists have to be aware of the effects of systemic treatments not only on psoriasis but also on co‐occurring diseases. In case of other coexisting inflammatory diseases, the right psoriasis treatment may improve both disorders. For infectious and malignant disorders, some treatments have to be avoided as they may be harmful. Objective The primary objective of this project was to collect evidence for the creation of practice guidelines for systemic treatment of psoriasis (BETA‐PSO: Belgian Evidence‐based Treatment Advice in Psoriasis). Methods Evidence‐based recommendations were formulated using a quasi‐Delphi methodology after a systematic search of the literature and a consensus procedure involving eight psoriasis experts. Results Recommendations are given on the use of systemic treatment in psoriatic arthritis, inflammatory bowel disease, demyelinating disorders, hepatitis B and C, HIV and cancer. Conclusion This expert opinion is a practical guide for dermatologists when handling psoriasis patients with these specific conditions.
doi_str_mv 10.1111/jdv.16683
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Dermatologists have to be aware of the effects of systemic treatments not only on psoriasis but also on co‐occurring diseases. In case of other coexisting inflammatory diseases, the right psoriasis treatment may improve both disorders. For infectious and malignant disorders, some treatments have to be avoided as they may be harmful. Objective The primary objective of this project was to collect evidence for the creation of practice guidelines for systemic treatment of psoriasis (BETA‐PSO: Belgian Evidence‐based Treatment Advice in Psoriasis). Methods Evidence‐based recommendations were formulated using a quasi‐Delphi methodology after a systematic search of the literature and a consensus procedure involving eight psoriasis experts. Results Recommendations are given on the use of systemic treatment in psoriatic arthritis, inflammatory bowel disease, demyelinating disorders, hepatitis B and C, HIV and cancer. Conclusion This expert opinion is a practical guide for dermatologists when handling psoriasis patients with these specific conditions.</description><identifier>ISSN: 0926-9959</identifier><identifier>ISSN: 1468-3083</identifier><identifier>EISSN: 1468-3083</identifier><identifier>DOI: 10.1111/jdv.16683</identifier><identifier>PMID: 32791572</identifier><language>eng</language><publisher>England: Wiley-Blackwell</publisher><subject>Arthritis, Psoriatic - epidemiology ; Belgium ; Beta-Pso ; Comorbidity ; Dermatologie ; Dermatology ; Guidelines and Position Statements ; Human health sciences ; Humans ; Inflammatory, neurologic, infectious or malignant disorders ; Neoplasms - epidemiology ; Position Statement ; Psoriasis ; Psoriasis - complications ; Psoriasis - drug therapy ; Psoriasis - epidemiology ; Sciences de la santé humaine</subject><ispartof>Journal of the European Academy of Dermatology and Venereology, 2020-09, Vol.34 (9), p.1914-1923</ispartof><rights>2020 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley &amp; Sons Ltd on behalf of European Academy of Dermatology and Venereology</rights><rights>2020 The Authors. 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Dermatologists have to be aware of the effects of systemic treatments not only on psoriasis but also on co‐occurring diseases. In case of other coexisting inflammatory diseases, the right psoriasis treatment may improve both disorders. For infectious and malignant disorders, some treatments have to be avoided as they may be harmful. Objective The primary objective of this project was to collect evidence for the creation of practice guidelines for systemic treatment of psoriasis (BETA‐PSO: Belgian Evidence‐based Treatment Advice in Psoriasis). Methods Evidence‐based recommendations were formulated using a quasi‐Delphi methodology after a systematic search of the literature and a consensus procedure involving eight psoriasis experts. Results Recommendations are given on the use of systemic treatment in psoriatic arthritis, inflammatory bowel disease, demyelinating disorders, hepatitis B and C, HIV and cancer. 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Dermatologists have to be aware of the effects of systemic treatments not only on psoriasis but also on co‐occurring diseases. In case of other coexisting inflammatory diseases, the right psoriasis treatment may improve both disorders. For infectious and malignant disorders, some treatments have to be avoided as they may be harmful. Objective The primary objective of this project was to collect evidence for the creation of practice guidelines for systemic treatment of psoriasis (BETA‐PSO: Belgian Evidence‐based Treatment Advice in Psoriasis). Methods Evidence‐based recommendations were formulated using a quasi‐Delphi methodology after a systematic search of the literature and a consensus procedure involving eight psoriasis experts. Results Recommendations are given on the use of systemic treatment in psoriatic arthritis, inflammatory bowel disease, demyelinating disorders, hepatitis B and C, HIV and cancer. 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subjects Arthritis, Psoriatic - epidemiology
Belgium
Beta-Pso
Comorbidity
Dermatologie
Dermatology
Guidelines and Position Statements
Human health sciences
Humans
Inflammatory, neurologic, infectious or malignant disorders
Neoplasms - epidemiology
Position Statement
Psoriasis
Psoriasis - complications
Psoriasis - drug therapy
Psoriasis - epidemiology
Sciences de la santé humaine
title Practical recommendations for systemic treatment in psoriasis in case of coexisting inflammatory, neurologic, infectious or malignant disorders (BETA‐PSO: Belgian Evidence‐based Treatment Advice in Psoriasis; part 2)
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