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The diagnosis and management of psoriasis

Patients should be aware of the chronic relapsing remitting course of psoriasis to guide treatment expectations, write Dr Naveed Ijaz, Dr Faisal Ali, and Dr Jennifer Yell

Psoriasis is a common lifelong inflammatory condition of the skin affecting approximately two per cent of the population.1 It is typically characterised by the development of red scaly plaques with well-defined edges, but it can have a wide variety of presentations depending on the body area affected or the type of skin lesions.2

In addition, 15 to 30% of patients may develop psoriatic arthritis, and all are at an increased risk of developing cardiovascular disease, diabetes, and the metabolic syndrome.1, 3 It is therefore unsurprising to find that this condition carries significant psychosocial morbidity, comparable to that observed in other chronic diseases, including depression, arthritis, diabetes, and cancer.4

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