What is the role of corticosteroids in the management of guttate psoriasis?

Updated: Oct 03, 2019
  • Author: Kirstin Altman, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

Topical corticosteroids are a critical addition to the successful treatment of many guttate psoriasis patients. The mechanisms believed to provide benefit include anti-inflammatory, antiproliferative, immunosuppressive, and vasoconstrictive effects.

Seven potency classes of corticosteroids exist, and the agent prescribed should be selected from a class appropriate to the location of disease. Lower-potency corticosteroids should be used for face and intertriginous areas, areas of thinned skin, and on infants. Higher-potency corticosteroids are generally acceptable in adults with lesions elsewhere on the body. Thick plaques may require therapy with the most potent corticosteroids. [49]


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