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1.
J Am Acad Dermatol ; 82(1): 161-201, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31703821

RESUMEN

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.


Asunto(s)
Productos Biológicos/uso terapéutico , Fármacos Dermatológicos/uso terapéutico , Metotrexato/uso terapéutico , Fotoquimioterapia , Psoriasis/tratamiento farmacológico , Psoriasis/epidemiología , Adolescente , Corticoesteroides/uso terapéutico , Antralina/uso terapéutico , Inhibidores de la Calcineurina/uso terapéutico , Enfermedades Cardiovasculares/epidemiología , Niño , Preescolar , Alquitrán/uso terapéutico , Comorbilidad , Ciclosporina/uso terapéutico , Dislipidemias/epidemiología , Medicina Basada en la Evidencia , Humanos , Lactante , Recién Nacido , Enfermedades Inflamatorias del Intestino/epidemiología , Resistencia a la Insulina , Salud Mental , Síndrome Metabólico/epidemiología , Ácidos Nicotínicos/uso terapéutico , Obesidad/epidemiología , Psoriasis/psicología , Retinoides/uso terapéutico
2.
J Am Acad Dermatol ; 81(3): 775-804, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31351884

RESUMEN

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.


Asunto(s)
Dermatología/normas , Fototerapia/normas , Guías de Práctica Clínica como Asunto , Psoriasis/terapia , Academias e Institutos/normas , Fundaciones/normas , Humanos , Metaanálisis como Asunto , Fototerapia/instrumentación , Fototerapia/métodos , Revisiones Sistemáticas como Asunto , Resultado del Tratamiento , Estados Unidos
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