Psoriasis pathogenesis and current treatment: A Review
Rohit Kumar1* , DP Pathak1 , PK Sahoo1
1.Delhi Institute of
Pharmaceutical Sciences & Research , Sector 3, Pushp Vihar, M.B Road. New
Delhi-110017
ABSTRACT
Psoriasis is a
multi-factorial skin disease with a complex pathogenesis. Various factors which
have been suggested to play a key role in the pathogenesis are T cells, antigen
presenting cells (APC's), keratinocytes, Langerhans' cells, macrophages,
natural killer cells, an array of Th1 type cytokines. The age of onset,
chronicity, physical, and psychosocial consequences of the disease cause psoriasis
to have a significant impact on patient quality of life. Scalp psoriasis is no
different, and effective treatment results in an improvement in quality of
life. Successful management of scalp psoriasis includes topical therapies that
are acceptable to the patient for mild-to-moderate disease, and systemic
therapies for recalcitrant or moderate-to-severe disease. The factors
influencing psoriasis severity, the indications for systemic treatments, the
overall parameters to be considered in the treatment choice, life style
interventions, and the recommendations for the use, screening, and monitoring
of systemic therapies available including acitretin, cyclosporine,
methotrexate, apremilast, adalimumab, etanercept, infliximab.
Keywords: Psoriasis,
pathogensis, systemic therapies