Psoriasis is a common chronic skin disorder typically characterized by erythematous papules and plaques with a silver scale, although other presentations occur. Most cases are not severe enough to affect general health and are treated in the outpatient setting. Rare life threatening presentations can occur that require intensive inpatient management. Numerous topical and systemic therapies are available for the management of the cutaneous manifestations of psoriasis.
However, a complete cure is not possible for this disease and thus conferring a huge psychosocial burden on the patient. Treatment modalities are chosen on the basis of disease severity, relevant comorbidities, patient preference (including cost and convenience), efficacy, safety (risk to benefit ratio) and on the evaluation of individual patient response. For purposes of treatment planning, patients may be grouped into…