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Practice Gaps
Jan 2012

Prescribing Patterns by Dermatologists and Primary Care Providers for Pediatric PsoriasisComment on “Trends in Pediatric Psoriasis Outpatient Health Care Delivery in the United States ”

Author Affiliations

Author Affiliations: Departments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Arch Dermatol. 2012;148(1):71-72. doi:10.1001/archdermatol.2011.1948

Psoriasis remains one of the most common chronic skin conditions encountered in childhood. Yet, clear treatment guidelines for this patient population are lacking. Based on the National Ambulatory Medical Care Survey (NAMCS), Vogel et al1 identify 2 gaps in health care provider prescribing patterns: (1) pediatricians frequently prescribe nonsteroidal anti-inflammatory agents, particularly topical tacrolimus, rather than corticosteroid, for psoriasis; and (2) dermatologists treat children, regardless of age, with high-potency topical corticosteroids.

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