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Opinion
Video
Navigating Location Specific Treatment Selection and Topical Therapy Limitations
Experts in dermatology share insights on considering the location's impact in treating plaque psoriasis, focusing on challenges with scalp involvement and addressing limitations with topical therapies.
This is a video synopsis/summary of a panel discussion involving Lisa Swanson, MD, FAAD, and Robert J. Casquejo, PA-C.
The conversation begins with an exploration of the distinctive features of plaque psoriasis that differentiate it from other dermatologic conditions. The difficulty of diagnosing psoriasis is discussed, with attention to variables like location, skin color, and ethnic variability. The challenges become apparent when distinguishing between psoriasis and conditions such as eczema.
The speakers note that psoriasis diagnosis can be straightforward in some cases but challenging in others, particularly when there is an overlap with conditions like eczema. An expert shares experiences from his pediatric specialty, highlighting instances where psoriasis is misdiagnosed as other dermatologic conditions.
The conversation shifts to the significance of the location of psoriasis involvement in guiding treatment decisions. Scalp psoriasis is emphasized as a challenging area for topical management, prompting considerations of both physical and psychosocial impact. An expert discusses his approach, focusing on the severity of physical symptoms and the psychosocial impact when deciding on treatment options.
The speakers delve into the challenges of managing scalp psoriasis with topical medications, noting issues like greasiness and patient dissatisfaction. An expert suggests that systemic treatment options may be more practical for areas like the scalp due to ease of use and patient preferences.
The speakers agree on the complexity of treating psoriasis in problematic areas like the scalp, acknowledging the limitations of topical medications and the need for more aggressive approaches. The conversation concludes with an acknowledgment that certain areas, including the scalp, pose challenges that may require systemic treatments beyond topical applications.
Video synopsis is AI-generated and reviewed by DermatologyTimes editorial staff.
