EuroGuiDerm Guideline on the systemic treatment of Psoriasis vulgaris - Part 2: specific clinical and comorbid situations

被引：133

作者：

Nast, A. ^{[1
,2
,3
]}

Smith, C. ^{[4
]}

Spuls, P. I. ^{[5
]}

Avila Valle, G. ^{[1
,2
,3
]}

Bata-Csorgo, Z. ^{[6
]}

Boonen, H. ^{[7
]}

De Jong, E. ^{[8
]}

Garcia-Doval, I. ^{[9
]}

Gisondi, P. ^{[10
]}

Kaur-Knudsen, D. ^{[11
]}

Mahil, S. ^{[12
]}

Malkonen, T. ^{[13
]}

Maul, J. T. ^{[14
]}

Mburu, S. ^{[15
]}

Mrowietz, U. ^{[16
]}

Reich, K. ^{[17
]}

Remenyik, E. ^{[18
]}

Ronholt, K. M. ^{[19
]}

Sator, P. G. ^{[20
]}

Schmitt-Egenolf, M. ^{[21
]}

Sikora, M. ^{[22
]}

Stromer, K. ^{[23
]}

Sundnes, O. ^{[24
]}

Trigos, D. ^{[15
]}

Van der Kraaij, G. ^{[5
]}

Yawalkar, N. ^{[25
]}

Dressler, C. ^{[1
,2
,3
]}

机构：

[1] Charite Univ Med Berlin, Berlin, Germany

[2] Humboldt Univ, Freie Univ Berlin, Dept Dermatol Venereol & Allergol, Berlin, Germany

[3] Berlin Inst Hlth, Berlin, Germany

[4] St Johns Inst Dermatol, London, England

[5] Acad Med Ctr Amsterdam, Amsterdam, Netherlands

[6] Univ Szeged, Szeged, Hungary

[7] Off Based Dermatol Practice, Geel, Belgium

[8] Radboud Univ Nijmegen Med Ctr, Nijmegen, Netherlands

[9] Fdn Piel Sana AEDV, Unidad Invest, Madrid, Spain

[10] Univ Verona, Verona, Italy

[11] Univ Hosp Copenhagen, Copenhagen, Denmark

[12] Guys & St Thomas NHS Fdn Trust, London, England

[13] Helsinki Univ Cent Hosp, Helsinki, Finland

[14] Univ Hosp Zurich, Dept Dermatol, Zurich, Switzerland

[15] Int Federat Psoriasis Assoc IFPA, Zurich, Switzerland

[16] Univ Klinikum Schleswig Holstein, Kiel, Germany

[17] Univ Med Ctr Hamburg Eppendorf, Inst Hlth Serv Res Dermatol & Nursing, Translat Res Inflammatory Skin Dis, Hamburg, Germany

[18] Univ Debrecen, Debrecen, Hungary

[19] Aarhus Univ Hosp, Aarhus, Denmark

[20] Municipal Hosp Hietzing, Vienna, Austria

[21] Umea Univ, Dermatol, Dept Publ Hlth & Clin Med, Umea, Sweden

[22] Med Univ Warsaw, Dept Dermatol, Warsaw, Poland

[23] Off Based Dermatol Practice, Monchengladbach, Germany

[24] Oslo Univ Hosp, Oslo, Norway

[25] Univ Bern, Univ Hosp Bern, Dept Dermatol, Inselspital, Bern, Switzerland

来源：

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY | 2021年 / 35卷 / 02期

关键词：

NECROSIS-FACTOR-ALPHA; CHRONIC PLAQUE PSORIASIS; ANTI-TNF-THERAPY; LONG-TERM SAFETY; MODIFYING ANTIRHEUMATIC DRUGS; IMPROVES ENDOTHELIAL FUNCTION; TYPE-2; DIABETES-MELLITUS; IMMUNE-MEDIATED DISEASES; DERMATOLOGY FORUM EDF; SEVERE CROHNS-DISEASE;

D O I：

10.1111/jdv.16926

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

This evidence- and consensus-based guideline on the treatment of psoriasis vulgaris was developed following the EuroGuiDerm Guideline and Consensus Statement Development Manual. The second part of the guideline provides guidance for specific clinical and comorbid situations such as treating psoriasis vulgaris patient with concomitant psoriatic arthritis, concomitant inflammatory bowel disease, a history of malignancies or a history of depression or suicidal ideation. It further holds recommendations for concomitant diabetes, viral hepatitis, disease affecting the heart or the kidneys as well as concomitant neurological disease. Advice on how to screen for tuberculosis and recommendations on how to manage patients with a positive tuberculosis test result are given. It further covers treatment for pregnant women or patients with a wish for a child in the near future. Information on vaccination, immunogenicity and systemic treatment during the COVID-19 pandemic is also provided.

引用

页码：281 / 317

页数：37

共 314 条

[1] Tumour necrosis factor-α inhibitor therapy in chronic physical illness: A systematic review and meta-analysis of the effect on depression and anxiety [J].