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Inverse Psoriasis: From Diagnosis to Current Treatment Options

Authors Micali G, Verzì AE, Giuffrida G, Panebianco E, Musumeci ML, Lacarrubba F

Received 7 September 2019

Accepted for publication 4 December 2019

Published 3 January 2020 Volume 2019:12 Pages 953—959


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Jeffrey Weinberg

Giuseppe Micali, Anna Elisa Verzì, Giorgia Giuffrida, Enrico Panebianco, Maria Letizia Musumeci, Francesco Lacarrubba

Dermatology Clinic, University of Catania, Catania, Italy

Correspondence: Giuseppe Micali
Dermatology Clinic, University of Catania, Via S. Sofia 78, Catania 95123, Italy
Tel + 39 095 321705
Fax + 39 095 3782425
Email [email protected]

Abstract: Inverse psoriasis represents a clinical variant of psoriasis that is sometimes difficult to diagnose due to its clinical similarity with other skin disorders involving the folds, mainly including mechanical intertrigo, fungal and bacterial infections, contact dermatitis, seborrheic dermatitis, and lichen planus. Dermoscopy represents a useful tool for an enhanced non-invasive diagnosis. The treatment of inverse psoriasis may be challenging and include topical corticosteroids, topical calcineurin inhibitors, vitamin D analogs, traditional oral systemic therapies such as cyclosporine and methotrexate, and biologic therapies.

Keywords: psoriasis, inverse, diagnosis, dermoscopy, confocal microscopy, treatment

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