Laboratory test for psoriasis

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    Diagnosis and management of psoriasis

    Abstract

    Objective

    To provide primary care clinicians with an up-to-date and practical overview of the diagnosis and management of psoriasis.

    Quality of evidence

    PubMed, MEDLINE, EMBASE, and Cochrane databases were searched for relevant meta-analyses, randomized controlled trials, systematic reviews, and observational studies about the diagnosis and management of psoriasis.

    Main message

    Psoriasis is a chronic, multisystem inflammatory disease with predominantly skin and joint involvement.

    Beyond the physical dimensions of disease, psoriasis has an extensive emotional and psychosocial effect on patients, affecting social functioning and interpersonal relationships.

    Scratch test for psoriasis

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  • As a disease of systemic inflammation, psoriasis is associated with multiple comorbidities, including cardiovascular disease and malignancy. The diagnosis is primarily clinical and a skin biopsy is seldom required. Depending on the severity of disease, appropriate treatment can be initiated.

    For mild to moderate disease, first-line treatment involves topical therapies includin

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