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Consensus statement
Update of the Topical Treatment of Psoriasis
Revisión Actualizada del Tratamiento Tópico de la Psoriasis
J.M. Carrascosaa,
Autor para correspondencia
jmcarrascosac@hotmail.com

Correspondence: Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, 08916 Badalona, Barcelona, Spain.
, F. Vanaclocha,b, L. Borregoc, E. Fernández-Lópezd, A. Fuertese, L. Rodríguez-Fernández-Freiref, A. Zulaicag, A. Tuneuh, G. Caballéi, E. Coloméi, X. Bordasj, J.M. Hernanzk, C. Brufaul, E. Herreram
a Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona
b Servicio de Dermatología, Hospital 12 de Octubre, Madrid
c Hospital Universitario Insular de Gran Canaria, Las Palmas, Valencia
d Servicio de Dermatología, Hospital Universitario de Salamanca, Valencia
e Servicio de Dermatología, Hospital Universitario Dr. Peset, Valencia
f Servicio de Dermatología, Hospital Universitario de Sevilla, Pontevedra
g Servicio de Dermatología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra
h Hospital Donostia, San Sebastian
i LEO Pharma, Barcelona
j Ciutat Universitaria de Bellvitge, Barcelona
k Sección de Dermatología, Hospital Infanta Leonor, Madrid
l Servicio de Dermatología, Hospital General Universitario Reina Sofía, Murcia
m Servicio de Dermatología, Hospital Clínico, Málaga, Spain
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La terapia t&#243;pica sigue representando un pilar fundamental y de actualidad en el manejo de la psoriasis&#46; Los corticoides t&#243;picos y los an&#225;logos de la vitamina D son los principios activos de elecci&#243;n durante la fase de inducci&#243;n&#44; mientras que estos &#250;ltimos se mantienen como alternativa de elecci&#243;n en el mantenimiento&#46; El tazaroteno y el ditranol resultan alternativas adecuadas en pacientes con determinadas caracter&#237;sticas&#46; Los inhibidores de la calcineurina pueden considerarse tratamientos de segunda l&#237;nea en la psoriasis de la cara y las flexuras&#46; La eficacia y la seguridad en la fase de inducci&#243;n de la combinaci&#243;n en dosis fija de betametasona y calcipotriol es superior a la obtenida por ambos principios activos por separado&#46; La combinaci&#243;n de corticoides con &#225;cido salic&#237;lico aporta ventajas con respecto a los corticoides en monoterapia&#46; Ninguno de los principios activos evaluados presenta ventajas sobre el resto en todas las situaciones cl&#237;nicas&#44; por lo que su empleo debe individualizarse para cada paciente y para cada momento evolutivo de la dermatosis&#46;</p>"
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