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1.
J Am Acad Dermatol ; 82(1): 161-201, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31703821

ABSTRACT

Psoriasis is a chronic, multisystem, inflammatory disease that affects approximately 1% of children, with onset most common during adolescence. This guideline addresses important clinical questions that arise in psoriasis management and provides evidence-based recommendations. Attention will be given to pediatric patients with psoriasis, recognizing the unique physiology, pharmacokinetics, and patient-parent-provider interactions of patients younger than 18 years old. The topics reviewed here mirror those discussed in the adult guideline sections, excluding those topics that are irrelevant to, or lack sufficient information for, pediatric patients.


Subject(s)
Biological Products/therapeutic use , Dermatologic Agents/therapeutic use , Methotrexate/therapeutic use , Photochemotherapy , Psoriasis/drug therapy , Psoriasis/epidemiology , Adolescent , Adrenal Cortex Hormones/therapeutic use , Anthralin/therapeutic use , Calcineurin Inhibitors/therapeutic use , Cardiovascular Diseases/epidemiology , Child , Child, Preschool , Coal Tar/therapeutic use , Comorbidity , Cyclosporine/therapeutic use , Dyslipidemias/epidemiology , Evidence-Based Medicine , Humans , Infant , Infant, Newborn , Inflammatory Bowel Diseases/epidemiology , Insulin Resistance , Mental Health , Metabolic Syndrome/epidemiology , Nicotinic Acids/therapeutic use , Obesity/epidemiology , Psoriasis/psychology , Retinoids/therapeutic use
2.
J Am Acad Dermatol ; 81(3): 775-804, 2019 Sep.
Article in English | MEDLINE | ID: mdl-31351884

ABSTRACT

Psoriasis is a chronic inflammatory disease involving multiple organ systems and affecting approximately 3.2% of the world's population. In this section of the guidelines of care for psoriasis, we will focus the discussion on ultraviolet (UV) light-based therapies, which include narrowband and broadband UVB, UVA in conjunction with photosensitizing agents, targeted UVB treatments such as with an excimer laser, and several other modalities and variations of these core phototherapies, including newer applications of pulsed dye lasers, intense pulse light, and light-emitting electrodes. We will provide an in-depth, evidence-based discussion of efficacy and safety for each treatment modality and provide recommendations and guidance for the use of these therapies alone or in conjunction with other topical and/or systemic psoriasis treatments.


Subject(s)
Dermatology/standards , Phototherapy/standards , Practice Guidelines as Topic , Psoriasis/therapy , Academies and Institutes/standards , Foundations/standards , Humans , Meta-Analysis as Topic , Phototherapy/instrumentation , Phototherapy/methods , Systematic Reviews as Topic , Treatment Outcome , United States
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