How do you manage psoriasis in pregnant patients?
What therapy do you most commonly recommend for pregnant patients with psoriasis?
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This really depends on the severity of the disease and the treatment resources available. I always would consider the use of topical corticosteroids if possible, of course. If this is not appropriate, a reasonable next choice would likely be UVB (broadband or narrowband) therapy, if that is accessib...
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For mild disease, I use topical steroids and topical calcipotriene and avoid retinoids. For moderate or severe disease, I prefer to use certolizumab because it doesn’t cross the placenta. However other TNF blockers and Ustekinumab have been reported to be safe in pregnancy. On rare occasions, I brid...
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For mild diseases, I use topical steroids. For moderate to severe, continue topical steroids and if possible add nbUVb which is safe in pregnancy or natural sunlight.
If the patient needs systemic treatment, certolizumab pegol can be used since it does not cross the placenta but very difficult to get...
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