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AAD Consensus Statement on Psoriasis Therapy
In November 2002, the AAD convened the Psoriasis Therapies Educational
Summit. During this summit, dermatologists and other experts developed
the American Academy of Dermatology’s (AAD) consensus statement on
psoriasis therapies, which is currently used to guide treatment plans
for patients with psoriasis. The following table lists the treatments
contained in the consensus statement.
| |
Topicals |
Phototherapy |
Systemic |
|
Plaque Psoriasis |
-
Corticosteroids (many types/strengths)
-
Tazarotene
-
Calcipotriene
-
Anthralin
-
Tar preparations
-
Keratolytic agents (salicylic acid, lactic acid, urea)
-
Lubrication products
(Therapies may be combined or used in sequence shown.)
|
-
UVB (with or w/o topicals and with or w/o oral retinoids)
-
Photochemotherapy (with or w/o oral retinoids)
|
-
Methotrexate
-
Cyclosporin
-
Retinoids
(acitretin, tazarotene*)
-
Etanercept*
-
Alefacept
-
Efalizumab
-
Infliximab*
(Therapies may be combined or used
with topicals.) |
| |
|
|
|
|
Pustular |
|
|
-
Retinoids: (acitretin, isotretinoin*)
-
Methotrexate
-
Cyclosporine
-
Immunobio-logics (sometimes called “biologics”)
(Therapies may be combined.) |
| |
|
|
|
|
Guttae |
|
-
Phototherapy (with or w/o tar)
-
Photochemotherapy
|
-
Systemic
therapies
as needed
|
| |
|
|
|
|
Erythrodermic |
|
|
-
Cyclosporine
-
Methotrexate
-
Retinoids (with or w/o phototherapy
or photochemo-therapy
(Therapies may
be combined.) |
* Not yet approved by the U.S. Food and Drug Administration (FDA) for
psoriasis.
Hospitalization may also be considered when treating
pustular and
erythrodermic/generalized psoriasis.
Reference
Callen, JP et. al. AAD Consensus statement on psoriasis therapies. J
Amer Acad Dermatol 2003: 49:897-899.
More Information
Topical Preparations
Covers topical medications, moisturizers and agents used to remove
excess scale.
Phototherapy
Explains the types of phototherapy used to treat psoriasis; includes
information about the excimer laser.
Systemic Medications
Information about FDA-approved systemic medications used to treat
psoriasis.
Other Systemic Medications
Research shows these drugs, which received FDA approval for treating
other conditions, may also be effective in clearing psoriasis.
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