Recommendations according to patient characteristics and psoriasis type
| Special conditions | Strong recommendation in favour (Will likely be beneficial) | Weak recommendation in favour (Might be beneficial) | No recommendation (Insufficient evidence) | Weak recommendation against (Will likely not help but cause no harm) | Strong recommendation against (Likely to cause harm) |
|---|---|---|---|---|---|
| Children | MTX, acitretin | Cyclosporin | - | Fumarates | - |
| Adolescents | MTX, acitretin (male), fumarates | Cyclosporin | - | Acitretin (female) | - |
| Elderly | MTX, acitretin, cyclosporin, fumarates | - | - | - | - |
| Pregnancy | - | Cyclosporin preferred conventional | - | - | Acitretin (3 years before), MTX (6 months before), fumaretes (6 months before) |
| Breastfeeding | - | - | - | - | MTX, acitretin, cyclosporin, fumarates |
| Males wishing to conceive | Acitretin, cyclosporin | Fumarates | - | - | MTX (3 months before) |
| Nail psoriasis | MTX, acitretin, cyclosporin, fumarates | - | - | - | - |
| Generalized pustular psoriasis | MTX, acitretin | Cyclosporin | - | - | Fumarates |
| Erythrodermic psoriasis | MTX, acitretin, cyclosporin | - | - | - | Fumarates |
| Intermittent treatment | MTX, acitretin, cyclosporin | - | - | Fumarates | - |
-: no available agent
SA: Conceptualization, Writing—original draft, Writing—review & editing.
The author declares there is no conflicts of interest.
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© The Author(s) 2023.