How we approach widespread chronic plaque psoriasis

How widespread chronic plaque psoriasis is managed epitomises modern medical management in dermatology, supporting the patient as they move from an appropriately timed consultation, which allows exchange of information, through to the team approach to therapy. In this article, we will focus on widespread chronic plaque psoriasis. The diagnosis is based on clinical presentation with well-demarcated, erythematous, scaly plaques distributed symmetrically over the extensor surfaces of the limbs. When extensive, these ‘stable’, usually asymptomatic, plaques can spill onto intervening skin, giving the skin an elephantine quality.