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Updated: Feb 12, 2026

Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
Practical Strategies for Optimizing Management of Psoriasis
Jashin J Wu1, April W Armstrong2, Kenneth B Gordon3
1Director of Dermatology Research Department of Dermatology Kaiser Permanente Los Angeles Medical Center Los Angeles, California.
Many psoriasis patients struggle with treatment. Building a strong doctor-patient relationship and understanding patient expectations can significantly improve psoriasis symptom management and treatment adherence.
Area of Science:
- Dermatology
- Patient-Reported Outcomes
Background:
- Psoriasis affects numerous patients, with a significant percentage experiencing inadequate disease control on current therapies.
- Patient frustration with the chronic and incurable nature of psoriasis can impact adherence and treatment outcomes.
Purpose of the Study:
- To explore factors influencing therapeutic efficacy in psoriasis management.
- To emphasize the role of the therapeutic alliance and patient expectations in achieving better treatment outcomes.
Main Methods:
- Review of factors affecting psoriasis treatment efficacy.
- Discussion of the importance of patient-clinician communication and alliance.
Main Results:
- Inadequate disease control affects approximately 30% of moderate and 20% of severe plaque psoriasis patients.
- Drug selection and patient adherence are key factors influencing treatment success.
- Patient frustration with the chronic nature of psoriasis is a barrier to adherence.
Conclusions:
- Establishing a strong therapeutic alliance is crucial for effective psoriasis management.
- Understanding and addressing patient expectations can lead to more durable symptom relief.
- Improved communication can enhance patient adherence and overall treatment efficacy.
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