title: A multileveled approach in psoriasis assessment and follow-up: A proposal for a tailored guide for the dermatological practice.
abstract: BACKGROUND
  Psoriasis is a complex and heterogeneous disease resulting from interactions between genetic, immunological, and environmental factors. To make the most optimal treatment decision, the dermatologist must therefore have a detailed overview of the patient's history and lifestyle.
  
  
  OBJECTIVE
  We sought to offer an overview of the various relevant aspects in clinical dermatological assessment of psoriasis patients, emphasizing the importance of a multidisciplinary and integrated clinical approach.
  
  
  METHODS
  We gathered information on psoriasis management and developed a tailored checklist covering all health-related aspects associated with psoriasis.
  
  
  RESULTS
  Demographics, personal and family history were elaborately described as well as drug history to discuss how they affect psoriasis management. Relevant patient information such as the vaccination status or cardiovascular profile were included in the checklist as well and treatment recommendations were adapted and updated in accordance with evidence-based literature. This checklist also emphasizes the importance of drug surveillance, proper follow-up and specialist referral, and why the dermatologist needs to address these health-related aspects when assessing psoriasis patients, going beyond optimal skin care.
  
  
  CONCLUSIONS
  Our comprehensive overview can be used as a consultation checklist for good clinical practice in psoriasis patient management and aid in treatment decision.
authors.affiliation: a Department of Dermatology , Ghent University Hospital , Ghent , Belgium and.
authors.forename: Eveline
authors.initials: E
authors.lastname: DeCoster
authors.affiliation: a Department of Dermatology , Ghent University Hospital , Ghent , Belgium and.
authors.forename: Ana
authors.initials: A
authors.lastname: Alves de Medeiros
authors.affiliation: a Department of Dermatology , Ghent University Hospital , Ghent , Belgium and.
authors.forename: Jessica
authors.initials: J
authors.lastname: Bostoen
authors.affiliation: b Department of Dermatology , AZ Sint Rembert Hospital , Torhout , Belgium.
authors.forename: Annelies
authors.initials: A
authors.lastname: Stockman
authors.affiliation: a Department of Dermatology , Ghent University Hospital , Ghent , Belgium and.
authors.forename: Nanja
authors.initials: N
authors.lastname: van Geel
authors.affiliation: a Department of Dermatology , Ghent University Hospital , Ghent , Belgium and.
authors.forename: Hilde
authors.initials: H
authors.lastname: Lapeere
authors.affiliation: a Department of Dermatology , Ghent University Hospital , Ghent , Belgium and.
authors.forename: Jo
authors.initials: J
authors.lastname: Lambert
mesh_terms: D057189:Checklist / Q000379:methods*; D003880:Dermatology / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D011565:Psoriasis / Q000628:therapy*; D012017:Referral and Consultation
keywords: Consultation checklist; biologics; electronic patient file; good clinical practice; inflammatory skin disease; psoriasis management; vaccination