The Primary Care Dermatology Society has published a primary care treatment pathway for psoriasis.
Psoriasis is a chronic, relapsing inflammatory condition affecting the skin, scalp, nails, and joints, with cardiovascular and psychological co-morbidities. The condition typically manifests with sharply demarcated dull red plaques with silvery scales, which shed easily. Patients with psoriasis often have a family history of the condition.
Treatment for psoriasis is aimed at minimising skin manifestations and co-morbidities, and improving quality of life.
The 2-page guidance document describes common triggers and exacerbating factors for psoriasis, and explains how assessment and management should be carried out in primary care. It also describes lifestyle-directed advice and skin-directed treatment for people with psoriasis, and cases which require immediate or routine referral.
The guidance also makes recommendations for treatments based on clinical features.