References
A critical appraisal of the assessment and management of psoriasis
Abstract
Psoriasis affects a substantial number of the UK population. The chronic inflammatory skin disease that typically follows a relapsing and remitting course, resulting from the abnormal activation of T cells and associated increase in cytokines in affected tissues, can transpire at any age (
Psoriasis is estimated to affect around 2.2% of the UK population and can transpire at any age; therefore, identifying the most effective treatment for the disease is paramount (National Institute for Health and Care Excellence (NICE), 2012). This article will endeavour to demonstrate strategic awareness of the policy drivers within health care and current legislature that have influenced the decisions on the treatment of psoriasis. With the growing responsibility for paramedics to discharge on scene, the increasing volume of primary care type calls to the ambulance service, and the minimal amount taught to undergraduate paramedics concerning dermatology, there is a greater need for rashes to be recognised in the pre-hospital setting. In particular, knowing when referral is necessary and how quickly this is required. Furthermore, for many people, psoriasis can result in functional, psychological and social morbidity, consequently having a huge impact on daily life (Basavaraj et al, 2011). This suggests the importance of determining which treatment option is best, although this can be extremely difficult. Additionally, one study has reported that individuals who suffer with severe psoriasis are at an increased risk of developing cardiovascular disease from the age of 20 years, further fortifying the need for adequate treatment (Parsi et al, 2012).
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