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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
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Giornale Italiano di Dermatologia e Venereologia 2007 October;142(5):503-12

language: English

Classification of psoriasis

Fry L. 1, Baker B. S. 2

1 Faculty of Medicine St Mary’s Campus, Imperial College, London, UK
2 General Practitioner


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The classification of psoriasis is still not agreed by all dermatologists. However, it is now important that a working classification be agreed if the pathogenesis and genetics of the disease are to be unravelled. In this paper, the following patterns of psoriasis are described: chronic plaque, guttate, intertrigenous, seborrhoeic and pustular. The most contentious patterns are seborrhoeic and intertrigenous and when these occur without plaque or guttate lesions some dermatologists will not accept that the lesions are a form of psoriasis. The appearance of lesions may be modified with the site of involvement, i.e. the face, scalp, palms and soles. Nail involvement is common and the various abnormalities are described. Psoriatic arthropathy is a definite entity and may occur with or without skin involvement. It is important that investigators who are working on psoriasis define their clinical patterns and terminology of the disease. Ideally the various terms and patterns should be agreed and adopted by all clinicians and scientists studying the disease.

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