Psoriasis : bilan préthérapeutique pratique

Psoriasis is a chronic disease for which treatment is not definitive and is likely to vary over time. A number of parameters must be taken into consideration for the initial assessment of psoriasis patients requiring systemic therapy, with the latter being based primarily on the previous drug history, objective medical evaluation of the psoriasis and comorbidities, and determination of any medical contraindications to the various treatments available. However, social factors, the patient's lifestyle, level of understanding and compliance, as well as various economic factors must also be borne in mind when deciding upon a therapeutic approach. A complete dossier setting out the patient's drug history and disease history forms the key reference and is essential for treatment monitoring and adjustment, reflecting changes in the course of the skin disease and in the patient's medical history. This information must be made available to all doctors involved in the patient's treatment in order to ensure optimal management.