/Adobe Stock
At the 2023 Society of Dermatology Physician Assistants (SDPA) Annual Fall Dermatology Conference in Nashville, TN, Douglas DiRuggiero, DMSc, PA-C, presented a session titled, Psoriasis: How to Choose the Best Systemic Treatment for your Patient,1 where he discussed considerations and best practices for determining an appropriate systemic treatment for patients with psoriatic disease.
Make sure you know what you're diagnosing because youll never have the right treatment if you've got the wrong diagnosis, DiRuggiero said. Always put the patient first, because while we have 12 biologicscreams, 2 orals, multiple topicals, and a lot of other treatments: The best treatment for your patient is the thing that fits their needs best.
There are several factors involved in determining an appropriate treatment path for a patient with psoriasis. DiRuggiero notes that these include severity of disease, body surface area, involvement in sensitive areas, pre-existing or comorbid conditions, patient quality of life, and most importantly, patient choice.
Psoriasis by itself is its own black box warning, DiRuggiero said.
DiRuggiero went on to note that for patients with psoriasis, the risk of developing conditions such as fatty liver disease, metabolic syndrome, and cardiac disease, for example, are greater than in patients without psoriasis or psoriatic disease.
Psoriasis is a part of an umbrella known as the psoriasis-associated autoimmunity spectrum. DiRuggiero said that because of this, there is a considerable amount of overlap between cutaneous psoriasis and numerous other autoimmune conditions. For example, approximately 2% to 6% of patients with psoriasis, DiRuggiero noted, will develop irritable bowel disease (IBD). Patients may even have IDB at the time of their diagnosis with psoriasis and not even know it. This background is important to consider when deciding how to best manage or treat a patients psoriasis.
Psoriasis does not present equally in all patients, particularly in patients with skin of color and more darkly-pigmented skin types.
DiRuggiero said that it is important for health care providers to develop differential diagnoses for their patients and to consider that while something may appear to be psoriasis, it does not always make it psoriasis.
Never assume its a slam dunk case, he said.
Shared decision making is a little bit of a difficult venture, DiRuggiero said. I call it controlled decision making.
When a patient comes into a practice with potential drug names in mind that they may have heard of or previously researched, it is important to acknowledge that while the particular treatment may be effective and a great choice for another patient, not every patient is created equally.
I dont think PASI is the thing to drive all decisions, DiRuggiero said.
Instead, he suggests guiding patients through acknowledgment of their input while also ensuring they are aware that a full examination of their medical history may mean their preferred treatment option is not the best fit for them.
[Patients] need to hear that there's hope, that there's positivity to a disease. The fact is that if someone develops liver dysfunction, or liver failure, or develops macular degeneration and becomes blind, to the public, that brings a sense of sympathy and empathy, DiRuggiero said. But when someone develops a disease of the largest organ in the body and its invisible, it doesnt earn sympathy. It brings repulsion.
He went on to describe the present treatment landscape and era for psoriasis as a great time to be living with the condition, simply due to the wide variety of treatment options available for patients and their respective, individualized needs.
I'd never dreamed I have 20 new approved products for psoriasis in my prescribing career, DiRuggiero said. Don't lose the fact that we are prescribing hope, and we have a chance to put on a cape every day and become someone's hero."
Reference
See original here:
4 Tips and Considerations for Selecting a Systemic Treatment for ... - Dermatology Times
- American Academy of Dermatology Association Statement on Reports on Counterfeit Injectables - Newswise - April 15th, 2024 [April 15th, 2024]
- Surface Area of IL-23's Epitope Influences Short- and Long-Term Responses for IL-23 Inhibitors in Plaque Psoriasis - Dermatology Times - April 15th, 2024 [April 15th, 2024]
- Atopic Dermatitis (Eczema): 5 Top Self-Care Tips - Everyday Health - April 15th, 2024 [April 15th, 2024]
- Derm In The News: April 7-13 - Dermatology Times - April 15th, 2024 [April 15th, 2024]
- Generative models improve fairness of medical classifiers under distribution shifts - Nature.com - April 15th, 2024 [April 15th, 2024]
- A 30-Year-Old White Female Presented With a 4-Month History of Scaly, Erythematous Patches and Plaques on Her ... - MDedge - April 15th, 2024 [April 15th, 2024]
- 9 Best Baby Eczema Creams of 2024 to Soothe Delicate Skin, According to Dermatologists - Allure - April 15th, 2024 [April 15th, 2024]
- QUIZ: Test Your Knowledge of Rosacea Etiology, Types, and Triggers - Dermatology Times - April 15th, 2024 [April 15th, 2024]
- Empowering Patients: Effective Dermatologic Treatment Selection for Hand and Feet AD - Dermatology Times - April 15th, 2024 [April 15th, 2024]
- How To Treat Strawberry Legs, According To Dermatologists - Women's Health - April 15th, 2024 [April 15th, 2024]
- Rosacea Awareness Month: Resources to Share With Your Patients - Dermatology Times - April 15th, 2024 [April 15th, 2024]
- Understanding Drug Interactions in Systemic Treatment: Impact on Atopic Dermatitis Symptoms - Dermatology Times - April 15th, 2024 [April 15th, 2024]
- Derm In The News: March 31-April 6 - Dermatology Times - April 7th, 2024 [April 7th, 2024]
- Dr. Hillary Johnson-Jahangir of Forefront Dermatology Designated as a Candela Center of Excellence - PR Newswire - April 7th, 2024 [April 7th, 2024]
- How to Boost Your Immune System While Living With Psoriasis - Everyday Health - April 7th, 2024 [April 7th, 2024]
- Im a Harvard-trained dermatologist Ive followed 3 anti-aging rules for years, Im still a fan of a drug... - The US Sun - April 7th, 2024 [April 7th, 2024]
- Cosmetic Procedures for Psoriasis: Are They Safe? - Everyday Health - April 7th, 2024 [April 7th, 2024]
- FDA Approves Berdazimer Gel, 10.3% for the Treatment of Molluscum Contagiosum - Dermatology Times - January 8th, 2024 [January 8th, 2024]
- Dermatology treatments can become an expensive ongoing cost. - The Mountaineer - January 8th, 2024 [January 8th, 2024]
- Dermatology treatments can become an expensive ongoing cost. - Islander News.com - January 8th, 2024 [January 8th, 2024]
- How To Get Rid Of Dark Spots On Your Face, Per Dermatologists - Women's Health - January 8th, 2024 [January 8th, 2024]
- POLL: What Are Your 2024 Dermatology Resolutions? - Dermatology Times - January 8th, 2024 [January 8th, 2024]
- Dermatology treatments can become an expensive ongoing cost. - NBC Right Now - January 8th, 2024 [January 8th, 2024]
- Common perianal diseases and dermatology oddities - DVM 360 - January 8th, 2024 [January 8th, 2024]
- How To Keep Skin Hydrated And Protected In The Cold According To Dermatologists - Essence - January 8th, 2024 [January 8th, 2024]
- Retinol and Retinoids: 9 Things You Should Know Before Using - Vogue - January 8th, 2024 [January 8th, 2024]
- Dermatology treatments can become an expensive ongoing cost. - pdclarion.com - January 8th, 2024 [January 8th, 2024]
- 8 Wintertime Skin Conditions to Look Out For - Health.com - January 8th, 2024 [January 8th, 2024]
- 9 Tips for Common Winter Skin Conditions, According to a Celeb Dermatologist - PEOPLE - January 8th, 2024 [January 8th, 2024]
- FDA Approval of ZELSUVMI Berdazimer Gel: A Revolutionary Achievement | Health News - Medriva - January 8th, 2024 [January 8th, 2024]
- Revolutionary Research Towards Acne Vaccine and Gene Editing Treatments - Medriva - January 8th, 2024 [January 8th, 2024]
- Dermatology treatments can become an expensive ongoing cost. - Corydon Times - January 8th, 2024 [January 8th, 2024]
- Dermatology treatments can become an expensive ongoing cost. - Hometown Register - January 8th, 2024 [January 8th, 2024]
- Rice Water for Hair Growth: Does It Really Work? - Health.com - January 8th, 2024 [January 8th, 2024]
- Dermatology Times 2023 In Review: NP and PA News - Dermatology Times - December 31st, 2023 [December 31st, 2023]
- Colorado dermatology company warning about cybersecurity threat where hacker gained access to health information - Summit Daily - December 31st, 2023 [December 31st, 2023]
- Reviewing the Top Dermatology Headlines of 2023 - Dermatology Times - December 31st, 2023 [December 31st, 2023]
- Dermatology Times 2023 In Review: Acne - Dermatology Times - December 31st, 2023 [December 31st, 2023]
- Skin to Skin: Getting to know UMs new dermatology club - The Miami Hurricane - December 22nd, 2023 [December 22nd, 2023]
- Advancements in Atopic Dermatitis: Insights from the 2024 Masterclasses in Dermatology Conference - Dermatology Times - December 22nd, 2023 [December 22nd, 2023]
- Schweiger Dermatology Group Acquires New Jersey Practices of NavaDerm Partners in Millburn and Englewood Cliffs - PR Newswire - December 22nd, 2023 [December 22nd, 2023]
- Spike in dermatology visits for skin problems seen during summer of wildfires - Medical Xpress - December 22nd, 2023 [December 22nd, 2023]
- More Images of Patients With Psoriasis Are Needed in Published Studies - Dermatology Times - December 22nd, 2023 [December 22nd, 2023]
- Case Based Roundtables Part 2: Valorizing Topical Treatment Options for Patients With Vitiligo - Dermatology Times - December 22nd, 2023 [December 22nd, 2023]
- Practical Approaches to Atopic Dermatitis: Real-World Case Analyses - Dermatology Times - December 22nd, 2023 [December 22nd, 2023]
- Schweiger Dermatology Group Expands into South Florida with Locations in West Palm Beach and Miami Beach - Tullahoma News and Guardian - December 22nd, 2023 [December 22nd, 2023]
- Receding Hairline: Symptoms, Causes, Treatments - Men's Health - December 22nd, 2023 [December 22nd, 2023]
- Podcast CE: Ophytrium in Dermatology: When, where and whys of using Douxo S3 topical therapies - DVM 360 - December 22nd, 2023 [December 22nd, 2023]
- POLL: Which Skin Cancer Drug Recently Received a Complete Response Letter From the FDA? - Dermatology Times - December 22nd, 2023 [December 22nd, 2023]
- How to Treat Textured Skin, According to Dermatologists - Prevention Magazine - December 22nd, 2023 [December 22nd, 2023]
- Dermatology decoded with Dr. Davin Lim - manilastandard.net - December 22nd, 2023 [December 22nd, 2023]
- Arcutis' Zoryve bags 2nd FDA nod, this time as a foam to treat 'the great neglected disease in dermatology' - FiercePharma - December 22nd, 2023 [December 22nd, 2023]
- Moderna and Merck's V940 Plus Pembrolizumab Demonstrates Improvement in RFS and DMFS in Stage III/IV ... - Dermatology Times - December 22nd, 2023 [December 22nd, 2023]
- From customised vitamin infusions to tech-driven dermatology: Skincare trends that dominated 2023 - The Indian Express - December 22nd, 2023 [December 22nd, 2023]
- Aptar Digital Health and Legit.Health Partner to Improve Patient Experience in Immuno-Dermatology - Healthcare Packaging - December 22nd, 2023 [December 22nd, 2023]
- Navigating Location Specific Treatment Selection and Topical Therapy Limitations - Dermatology Times - December 22nd, 2023 [December 22nd, 2023]
- POLL: What Percent of the Global Population is Estimated to Have ... - Dermatology Times - November 18th, 2023 [November 18th, 2023]
- Purple Heart Project Seeks to Provide Veterans With Access to ... - Dermatology Times - November 18th, 2023 [November 18th, 2023]
- Dermatology expert stresses importance of cytology and cultures - DVM 360 - November 18th, 2023 [November 18th, 2023]
- Shawn Kwatra, MD, Shares Highlights From the 12th World ... - Dermatology Times - November 18th, 2023 [November 18th, 2023]
- The Weekly Roundup: November 12-17 - Dermatology Times - November 18th, 2023 [November 18th, 2023]
- Almirall, Absci Partner to Develop AI-Designed Therapies for ... - Dermatology Times - November 18th, 2023 [November 18th, 2023]
- The Skin of Color Society Kicks Off a Season of Giving with its My ... - PR Newswire - November 18th, 2023 [November 18th, 2023]
- Clascoterone Cream in Patients With Acne: New Long-Term Data - Medpage Today - November 18th, 2023 [November 18th, 2023]
- Discovery of hemoglobin in the epidermis sheds new light on our ... - EurekAlert - November 18th, 2023 [November 18th, 2023]
- Global Assessment of Quality of Care for Patients With Malignant ... - Dermatology Advisor - November 18th, 2023 [November 18th, 2023]
- Effective Therapies for Atopic Dermatitis: Expert Recommendations ... - HealthDay - November 18th, 2023 [November 18th, 2023]
- Nonablative Lasers Offer a Gentle Approach to Healthy Skin - Dermatology Times - November 18th, 2023 [November 18th, 2023]
- Aging, Acne, and the Armamentarium: Hot Topics From the Science ... - Dermatology Times - November 18th, 2023 [November 18th, 2023]
- Prior Treatment Options and Outcomes for SD - MD Magazine - November 18th, 2023 [November 18th, 2023]
- Consequences of Lying on the Witness Stand: Are There Any for Dermatology Expert Witnesses? - Dermatology Times - October 27th, 2023 [October 27th, 2023]
- The Cutaneous Manifestations of Drug Reactions Can Mimic Traumatic Injuries: Case Reports and the Potential Role ... - Cureus - October 27th, 2023 [October 27th, 2023]
- Robyn Siperstein, MD, FAAD: Initiating a Patient-First Dialogue in ... - Dermatology Times - October 27th, 2023 [October 27th, 2023]
- Tralokinumab May Improve 52-Week Outcomes in Patients With Moderate to Severe Atopic Dermatitis - Dermatology Advisor - October 27th, 2023 [October 27th, 2023]
- How to Safely and Effectively Exfoliate Your Skin, According to Dermatologists - Allure - October 27th, 2023 [October 27th, 2023]
- Enhancing the Patient Experience Through Addressing Pain Points ... - Dermatology Times - October 27th, 2023 [October 27th, 2023]
- Global Dermatology Collaboration and Licensing Deals and Agreements Analysis Report 2023 with Directory of Dermatology Deal Records Signed Since 2016... - October 27th, 2023 [October 27th, 2023]
- UNION therapeutics to present at 7th Annual Dermatology Drug ... - PR Newswire - October 27th, 2023 [October 27th, 2023]
- Tareen Dermatology Expands to Hudson, Wisconsin, Adding Sixth Location within the Hudson Medical Center - Yahoo Finance - October 27th, 2023 [October 27th, 2023]
- Yales Richard Edelson on what got him started in research for ... - The Cancer Letter - October 27th, 2023 [October 27th, 2023]