銀屑病的初始管理的建議
《銀屑病的初始管理的建議》內容預覽：
Psoriasisaffects1–2%ofthepopulationoftheUnitedKingdom;thereisoftenapositivefamilyhistory.Mostcasesaremild
Thedegreeofpsychologicalandsocialdisabilitythataccompaniespsoriasisiscommonlyunderestimatedbythemedicalprofessionandthiscanresultinsuboptimalcare
Thereisnocureforpsoriasis,althoughthereareeffectivesuppressivetreatmentsaimedatinducingaremissionormakingtheamountofpsoriasistolerabletothepatient
Forthemajorityofpatients,psoriasisfollowsachroniccourse,interspersedwithperiodsofremission.Relapsesaredifficulttopredict
Thephysicianshouldmakethepatientawareofthepossibletherapeuticoptions,includingthesimplestavailabletherapiesandtheoptionthattreatmentmaynotbenecessary
Thepatient’sperceptionofhisorherdisabilitywilloftendictatetheneedfortreatment
Tobeabletoadvisethepatientonsuitabletherapies,thephysicianneedstoknowthesites,extentandseverityofthepsoriasis
Treatmentmaydependonthepatient’sage,sex,occupation,personality,generalhealth,understandingandresources
Mostpatientswithmildormoderateplaquepsoriasiscanbetreatedinprimarycareusingtopicaltherapies
Ifthedecisionismadetorefer(see‘referral’)treatmentshouldusuallybeinitiatedwhileawaitingaclinicappointment
Mostpatientswithuncomplicatedpsoriasiswillonlyrequirereferralintheinstanceoftreatmentfailure
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