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Toward the definition of moderate psoriasis: an expert opinion - PubMed

4 hours ago
  • #dermatology
  • #psoriasis
  • #systemic-therapy
  • The clinical definition of moderate psoriasis is debated, impacting treatment eligibility and patient outcomes.
  • An expert panel proposed criteria for moderate psoriasis: BSA 5%-10%, DLQI 5-10, PGA score 3, and involvement of at least two special areas (e.g., scalp, face, genitals, nails, hands, or feet).
  • Distressing itch and psychosocial impact are recognized as critical factors influencing disease burden.
  • A composite PGA-based approach, integrating objective measures with patient-centered criteria, is suggested for identifying patients who may benefit from systemic therapy.
  • This pragmatic approach aims to bridge the gap between guidelines and real-world clinical practice, ensuring accurate treatment allocation and reducing undertreatment.