@article{fb088b17cb3d4e6cb42779609238d14d,
title = "Asian consensus on assessment and management of mild to moderate plaque psoriasis with topical therapy",
abstract = "A working group of dermatologists in Asian countries assessed the current status of psoriatic management in the region to prepare a consensus report on topical treatment in mild to moderate plaque psoriasis. Even though the association of psoriasis with systemic comorbidities is increasingly acknowledged, psoriasis is still lower in health-care priority lists in the region. The psychosocial impact of psoriasis may be greater in Asian countries due to cultural norms and social discrimination. Non-adherence to treatment is also common among Asians. The current care given to patients with mild to moderate psoriasis needs to be streamlined, enhanced and organized with a patient-centered care approach to achieve better outcomes. A comprehensive assessment of the disease severity and its impact on a patient's life is required before initiating treatment. Education and active involvement of the patient in the treatment plan is an important part of psoriatic management. It is recommended to personalize topical treatment to meet the needs of the patient, depending on disease severity, psychosocial impact, the patient's expectations and, more importantly, the patient's willingness and ability to actively follow the treatment procedure. Fixed-dose combination of corticosteroid and vitamin D analogs is the preferred topical medication for both initial and maintenance phases of treatment. The fast containment of the disease is the goal of the initial phase of 4–8 weeks and it demands a potent fast-acting topical therapy. Satisfactory control of the disease and prevention of relapses should be achieved during the maintenance phase with twice a week or weekend applications.",
keywords = "Asia, consensus, patient-centered care, psoriasis, topical therapy",
author = "Shinichi Imafuku and Min Zheng and Yayoi Tada and Xibao Zhang and Colin Theng and Suganthi Thevarajah and Yi Zhao and Song, {Hae Jun}",
note = "Funding Information: ACKNOWLEDGMENTS: The regional working group meetings and article-processing charges were financially supported by LEO Pharma. Medical writing and editorial support was provided by Rohan Hettiarachchi, Ph.D., M.D., and Sarath Lekamwasam Ph.D., M.D., from Medro Asia, funded by LEO Pharma. Funding Information: The regional working group meetings and article-processing charges were financially supported by LEO Pharma. Medical writing and editorial support was provided by Rohan Hettiarachchi, Ph.D., M.D., and Sarath Lekamwasam Ph.D., M.D., from Medro Asia, funded by LEO Pharma. S. I. received honoraria for lectures from Maruho, LEO Pharma, Eisai, AbbVie, Kyowa Hakko Kirin, Janssen and Eli Lilly. M. Z. received research grants for clinical trials from Eli Lilly, Novartis and Pfizer. Y. T. received honoraria for research from Maruho, LEO Pharma, Eisai, AbbVie, Kyowa Hakko Kirin and Eli Lilly, and for lectures from Maruho, Kyowa Hakko Kirin and Janssen. X. Z. is on the speaker list of LEO Pharma, Janssen and Huapont Pharma and is consultant for LEO Pharma and Huapont Pharm. C. T. is on the speaker list for AbbVie, Janssen, Novartis and LEO Pharma. He has received grants/support from Novartis and Janssen and is a consultant for AbbVie, Janssen, Novartis and LEO Pharma. S. T. is on the speaker list of AbbVie and Janssen, and received grants/research support from Novartis. Y. Z. is on the speaker list of LEO Pharma and is a consultant for LEO Pharma and Janssen. H. J. S. received honoraria for lectures from AbbVie, LEO Pharma, Janssen and Novartis, and received research grants for clinical trials from Janssen, LEO Pharma, Eli Lilly and AbbVie. Publisher Copyright: {\textcopyright} 2018 The Authors. The Journal of Dermatology published by John Wiley & Sons Australia, Ltd on behalf of Japanese Dermatological Association.",
year = "2018",
month = jul,
doi = "10.1111/1346-8138.14338",
language = "English",
volume = "45",
pages = "805--811",
journal = "Journal of Dermatology",
issn = "0385-2407",
publisher = "Wiley-Blackwell",
number = "7",
}