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GOLIMUMAB/EVANESCENT/INFLIXIMAB/USTEKINUMAB for Plaque Psoriasis SPECIAL AUTHORIZATION REQUEST FORM Please complete all required sections to allow your request to be processed. Patients may or may
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How to fill out plaque psoriasis?

01
Plaque psoriasis is a chronic autoimmune condition that affects the skin, causing patches of thick, red, scaly skin known as plaques. While there is no cure for plaque psoriasis, there are various treatment options available to help manage the symptoms and improve quality of life.
02
The first step in filling out plaque psoriasis is to consult with a dermatologist or healthcare professional who specializes in skin conditions. They will assess the severity of your condition and create a personalized treatment plan tailored to your specific needs.
03
The treatment options for plaque psoriasis include topical medications, phototherapy, systemic medications, and biologic injections. Topical medications, such as corticosteroids, vitamin D analogues, and retinoids, are often used as a first-line treatment for mild to moderate plaque psoriasis.
04
Phototherapy, also known as light therapy, involves exposing the affected skin to ultraviolet (UV) light, either in the form of natural sunlight or artificial light sources. This treatment option can help slow down the rapid skin cell production characteristic of plaque psoriasis and reduce inflammation.
05
Systemic medications, such as oral or injectable immunosuppressants or retinoids, may be prescribed for moderate to severe plaque psoriasis that is unresponsive to topical treatments and phototherapy. These medications work by targeting the underlying immune system dysfunction that contributes to psoriasis.
06
Biologic injections are a newer class of medications that are derived from living sources and specifically target the immune system molecules involved in plaque psoriasis. They are usually reserved for severe plaque psoriasis cases that do not respond to other treatments.

Who needs plaque psoriasis?

01
Plaque psoriasis can affect people of all ages and ethnicities. It is estimated that approximately 2-3% of the global population has plaque psoriasis. Both men and women can develop this condition.
02
Plaque psoriasis is a chronic condition that tends to have periods of remission and flare-ups. The severity of symptoms can vary greatly among individuals, ranging from mild, localized patches to extensive coverage.
03
While anyone can develop plaque psoriasis, there are certain risk factors that may increase the likelihood of developing the condition. These include a family history of psoriasis, a personal history of other autoimmune diseases, obesity, smoking, and high levels of stress.
04
People with plaque psoriasis often experience physical discomfort and emotional distress due to the visible nature of the condition and potential impact on self-esteem. Therefore, it is important to seek early diagnosis and appropriate treatment to manage symptoms and reduce the impact on daily life.
In conclusion, filling out plaque psoriasis involves consulting with a healthcare professional and following a personalized treatment plan. Plaque psoriasis can affect anyone, and early intervention is crucial for effectively managing the condition and improving quality of life.
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Plaque psoriasis is a common skin condition that causes red, raised, scaly patches on the skin.
Patients suffering from plaque psoriasis are typically required to report their condition to their healthcare provider.
Patients can fill out a plaque psoriasis assessment form provided by their healthcare provider.
The purpose of reporting plaque psoriasis is to monitor the condition and adjust treatment accordingly.
Information such as severity of symptoms, areas affected, and any current treatment being used must be reported.
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