Decision Points for Systemic Treatment of Psoriasis

Title: Decision points for the initiation of systemic treatment for psoriasis.
Authors: Feldman SR, et al.
Publication: J Am Acad Dermatol. 2005 Jul;53(1):101-7.

Phototherapy or ultraviolet light therapy, as well as systemic treatments (using drugs that affect the whole body) can be very effective for patients with severe and physically and emotionally debilitating cases of psoriasis. However, they also have potentially significant adverse side effects.

The decision to use systemic treatment is a complex one that requires both experience and judgment, especially with advents of new treatments such as biologics (medicines derived from living organisms or cell cultures).

The authors presented a new diagnostic algorithm called the Koo-Menter Psoriasis Instrument or KPMI to help identify patients that would benefit from systemic treatment of psoriasis. Moreover, KPMI can also be used to document and justify treatment decisions for health care payers.

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