This guideline gives a step by step guide to what different treatments to try. It also gives a good guide to what we should be asking about in history taking to judge the impact and severity of the disease. The management is a bit difficult to explain in words, so I’ve done a flow-chart, which hopefully will make it a bit easier to follow. Remember that Portsmouth has its own guidance on management of psoriasis on the PIP.
Judging the Severity of Psoriasis:
You can do a ‘Physician’s Global Assessment’ and ask the patient to do a ‘Patient’s Global Assessment’. This involves grading the psoriasis as clear, nearly clear, mild, moderate, severe or very severe and allows changes to be monitored.