Consensus statement
Treatment of Scalp Psoriasis: Review of the Evidence and Delphi Consensus of the Psoriasis Group of the Spanish Academy of Dermatology and Venereology
Tratamiento de la psoriasis del cuero cabelludo. Revisión de la evidencia y Consenso Delphi del Grupo de Psoriasis de la Academia Española de Dermatología y Venereología
L. Puiga,
, M. Riberab, J.M. Hernanzc, I. Belinchónd, J. Santos-Juanese, M. Linaresf, I. Querolg, E. Coloméh, G. Caballéi
Corresponding author
a Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
b Servicio de Dermatología, Hospital Universitari de Sabadell, Corporació Parc Taulí, Sabadell, Spain
c Servicio de Dermatología, Hospital Infanta Leonor, Madrid, Spain
d Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain
e Servicio de Dermatología, Hospital Central de Asturias, Oviedo, Spain
f Servicio de Dermatología, Hospital Universitario Puerta del Mar, Cádiz, Spain
g Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain
h Departamento Médico, LEO Pharma España, Barcelona, Spain
i Departamento de Ventas y Marketing, LEO Pharma España, Barcelona, Spain
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Revisión de la evidencia y Consenso Delphi del Grupo de Psoriasis de la Academia Española de Dermatología y Venereología" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-07-27" "fechaAceptado" => "2010-09-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84818" "palabras" => array:7 [ 0 => "Psoriasis" 1 => "Scalp" 2 => "Treatment" 3 => "Process" 4 => "Delphi" 5 => "Topical corticosteroids" 6 => "Calcipotriol" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84819" "palabras" => array:7 [ 0 => "Psoriasis" 1 => "Cuero cabelludo" 2 => "Tratamiento" 3 => "Consenso" 4 => "Delphi" 5 => "Corticoesteroides tópicos" 6 => "Calcipotriol" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Scalp lesions are common in psoriasis and difficult to treat. Scientific evidence on the topic is scant and fragmentary, especially with respect to long-term treatment. This consensus statement is based on a critical assessment of the results of a MEDLINE search for clinical trials of the efficacy and safety of therapies used to treat scalp psoriasis. The recommendations were developed by an expert panel using the Delphi process to reach a consensus and then ratified by the members of the Psoriasis Group of the Spanish Academy of Dermatology and Venereology. The recommended induction therapy for scalp psoriasis is either a topical corticosteroid or a topical treatment combining calcipotriol and betamethasone. The choice of an appropriate vehicle is crucial in improving effectiveness and patient adherence to treatment. The only formulations that have been studied in the long-term treatment of scalp psoriasis are a combination of calcipotriol and betamethasone in gel and calcipotriol alone in solution.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La afectación del cuero cabelludo resulta frecuente y de difícil tratamiento en los pacientes con psoriasis, siendo escasa y poco sistematizada la evidencia científica al respecto, en particular por lo que se refiere al tratamiento a largo plazo. En el presente documento de consenso, basado en una búsqueda (MEDLINE) de los ensayos clínicos publicados sobre la eficacia y seguridad de los diferentes tratamientos para la psoriasis del cuero cabelludo y su evaluación, se establecen unas recomendaciones, partiendo de un consenso Delphi por parte de un panel de expertos, refrendado por los miembros del Grupo de Psoriasis de la Academia Española de Dermatología y Venereología. El tratamiento de inducción recomendado para la psoriasis del cuero cabelludo son los corticoides tópicos y la combinación de calcipotriol/betametasona. La elección de un vehículo apropiado es decisiva para incrementar la eficacia y el cumplimiento del paciente. Únicamente la combinación de calcipotriol/betametasona en gel y el calcipotriol en solución se han estudiado en el tratamiento de la psoriasis del cuero cabelludo a largo plazo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:109 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 13 | 11 | 24 |
| 2024 October | 111 | 64 | 175 |
| 2024 September | 122 | 54 | 176 |
| 2024 August | 121 | 69 | 190 |
| 2024 July | 82 | 47 | 129 |
| 2024 June | 99 | 39 | 138 |
| 2024 May | 79 | 38 | 117 |
| 2024 April | 84 | 41 | 125 |
| 2024 March | 88 | 39 | 127 |
| 2024 February | 58 | 40 | 98 |
| 2024 January | 85 | 46 | 131 |
| 2023 December | 81 | 57 | 138 |
| 2023 November | 89 | 52 | 141 |
| 2023 October | 80 | 46 | 126 |
| 2023 September | 72 | 42 | 114 |
| 2023 August | 51 | 26 | 77 |
| 2023 July | 63 | 57 | 120 |
| 2023 June | 94 | 32 | 126 |
| 2023 May | 73 | 59 | 132 |
| 2023 April | 78 | 26 | 104 |
| 2023 March | 55 | 30 | 85 |
| 2023 February | 43 | 30 | 73 |
| 2023 January | 61 | 35 | 96 |
| 2022 December | 52 | 44 | 96 |
| 2022 November | 32 | 28 | 60 |
| 2022 October | 31 | 35 | 66 |
| 2022 September | 33 | 30 | 63 |
| 2022 August | 33 | 26 | 59 |
| 2022 July | 39 | 42 | 81 |
| 2022 June | 21 | 40 | 61 |
| 2022 May | 53 | 53 | 106 |
| 2022 April | 157 | 67 | 224 |
| 2022 March | 186 | 78 | 264 |
| 2022 February | 202 | 67 | 269 |
| 2022 January | 106 | 56 | 162 |
| 2021 December | 47 | 77 | 124 |
| 2021 November | 65 | 68 | 133 |
| 2021 October | 40 | 94 | 134 |
| 2021 September | 35 | 80 | 115 |
| 2021 August | 49 | 44 | 93 |
| 2021 July | 43 | 137 | 180 |
| 2021 June | 45 | 52 | 97 |
| 2021 May | 47 | 33 | 80 |
| 2021 April | 81 | 61 | 142 |
| 2021 March | 65 | 38 | 103 |
| 2021 February | 62 | 37 | 99 |
| 2021 January | 50 | 30 | 80 |
| 2020 December | 34 | 23 | 57 |
| 2020 November | 20 | 18 | 38 |
| 2020 October | 30 | 22 | 52 |
| 2020 September | 22 | 8 | 30 |
| 2020 August | 32 | 21 | 53 |
| 2020 July | 25 | 14 | 39 |
| 2020 June | 28 | 36 | 64 |
| 2020 May | 30 | 20 | 50 |
| 2020 April | 27 | 26 | 53 |
| 2020 March | 19 | 35 | 54 |
| 2020 February | 6 | 18 | 24 |
| 2020 January | 0 | 8 | 8 |
| 2019 December | 0 | 28 | 28 |
| 2019 November | 1 | 7 | 8 |
| 2019 October | 0 | 7 | 7 |
| 2019 September | 0 | 10 | 10 |
| 2019 August | 0 | 8 | 8 |
| 2019 July | 0 | 17 | 17 |
| 2019 June | 0 | 11 | 11 |
| 2019 May | 1 | 54 | 55 |
| 2019 April | 0 | 4 | 4 |
| 2019 March | 0 | 17 | 17 |
| 2018 June | 0 | 2 | 2 |
| 2018 May | 0 | 4 | 4 |
| 2018 April | 0 | 1 | 1 |
| 2018 March | 1 | 0 | 1 |
| 2018 February | 34 | 3 | 37 |
| 2018 January | 22 | 7 | 29 |
| 2017 December | 29 | 7 | 36 |
| 2017 November | 32 | 4 | 36 |
| 2017 October | 24 | 4 | 28 |
| 2017 September | 20 | 10 | 30 |
| 2017 August | 28 | 8 | 36 |
| 2017 July | 26 | 5 | 31 |
| 2017 June | 43 | 18 | 61 |
| 2017 May | 28 | 16 | 44 |
| 2017 April | 39 | 10 | 49 |
| 2017 March | 30 | 7 | 37 |
| 2017 February | 25 | 12 | 37 |
| 2017 January | 36 | 9 | 45 |
| 2016 December | 42 | 10 | 52 |
| 2016 November | 31 | 21 | 52 |
| 2016 October | 38 | 24 | 62 |
| 2016 September | 48 | 4 | 52 |
| 2016 August | 61 | 11 | 72 |
| 2016 July | 52 | 5 | 57 |
| 2016 June | 10 | 15 | 25 |
| 2016 May | 8 | 10 | 18 |
| 2016 April | 4 | 27 | 31 |
| 2016 March | 4 | 2 | 6 |
| 2016 February | 13 | 3 | 16 |
| 2016 January | 7 | 2 | 9 |
| 2015 December | 10 | 3 | 13 |
| 2015 November | 19 | 3 | 22 |
| 2015 October | 6 | 3 | 9 |
| 2015 September | 6 | 3 | 9 |
| 2015 August | 17 | 7 | 24 |
| 2015 July | 83 | 10 | 93 |
| 2015 June | 62 | 8 | 70 |
| 2015 May | 98 | 18 | 116 |
| 2015 April | 71 | 10 | 81 |
| 2015 March | 55 | 5 | 60 |
| 2015 February | 50 | 10 | 60 |
| 2015 January | 42 | 10 | 52 |
| 2014 December | 55 | 7 | 62 |
| 2014 November | 49 | 13 | 62 |
| 2014 October | 48 | 12 | 60 |
| 2014 September | 48 | 16 | 64 |
| 2014 August | 37 | 15 | 52 |
| 2014 July | 44 | 15 | 59 |
| 2014 June | 61 | 13 | 74 |
| 2014 May | 59 | 15 | 74 |
| 2014 April | 47 | 10 | 57 |
| 2014 March | 57 | 18 | 75 |
| 2014 February | 54 | 20 | 74 |
| 2014 January | 41 | 22 | 63 |
| 2013 December | 41 | 12 | 53 |
| 2013 November | 29 | 25 | 54 |
| 2013 October | 38 | 29 | 67 |
| 2013 September | 35 | 21 | 56 |
| 2013 August | 50 | 24 | 74 |
| 2013 July | 48 | 25 | 73 |
| 2013 June | 38 | 31 | 69 |
| 2013 May | 50 | 26 | 76 |
| 2013 April | 43 | 49 | 92 |
| 2013 March | 60 | 41 | 101 |
| 2013 February | 27 | 22 | 49 |
| 2013 January | 2 | 2 | 4 |
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