Skin matters: scaling back psoriasis

Psoriasis is a systemic disease, associated with an increased risk of various co-morbidities, low quality of life and high prevalence of psychological difficulties.1 Despite these facts, the condition is less than optimally treated, reflected in high levels of patient dissatisfaction with therapy results.1

Psoriasis occurs in many forms, but by far the most common type of psoriasis is the chronic plaque type (up to 90% of presentations), also known as psoriasis vulgaris or chronic plaque psoriasis.2 It is prevalent in up to 2-3% of the adult population.2

The role of the GP is central in care of patients with this complex condition, including coordinating dermatologist and pharmacist advice. It is important for the GP to give a dermatologist appropriate feedback on the outcomes of therapy for an individual patient, especially