SYSTEMIC THERAPY OF MODERATE AND SEVERE PSORIASIS WITH METHOTREXATE

The systemic treatment in psoriatic disease is addressed particularly to the severe forms of psoriasis with a PASI> 10. It consists of both conventional therapies (methotrexate, PUVA, cyclosporine, retinoids) and modern therapies with biological preparats. In this study we made a comparative assessment of the effectiveness and tolerance of systemic treatment with methotrexate both as monotherapy and in combination with SUP phototherapy, for patients with psoriasis vulgaris.

[1]  R. Langley,et al.  Effective and sustainable biologic treatment of psoriasis: what can we learn from new clinical data? , 2012, Journal of the European Academy of Dermatology and Venereology : JEADV.

[2]  L. Naldi,et al.  European S3‐Guidelines on the systemic treatment of psoriasis vulgaris , 2009, Journal of the European Academy of Dermatology and Venereology : JEADV.

[3]  Griffiths,et al.  Combination treatment with methotrexate and cyclosporin for severe recalcitrant psoriasis , 1999, The British journal of dermatology.

[4]  P. Hutchinson,et al.  Psoriasis in the community: prevalence, severity and patients' beliefs and attitudes towards the disease , 1996, The British journal of dermatology.

[5]  R. Armstrong,et al.  Methotrexate and ultraviolet radiation. , 1982, Archives of dermatology.

[6]  W. Edmundson,et al.  Treatment of psoriasis with folic acid antagonists. , 1958, A.M.A. archives of dermatology.

[7]  R. Gubner,et al.  THERAPEUTIC SUPPRESSION OF TISSUE REACTIVITY: II. Effect of Aminopterin in Rheumatoid Arthritis and Psoriasis , 1951, The American journal of the medical sciences.

[8]  Smithburn Kc Systemic therapy of psoriasis using methotrexate. , 2000 .

[9]  H. Zachariae,et al.  Methotrexate-induced liver cirrhosis. A follow-up. , 1987, Dermatologica.