Unmet Educational Needs and Clinical Practice Gaps in the Management of Generalized Pustular Psoriasis: Global Perspectives from the Front Line

• DOI: 10.1007/s13555-021-00661-2
• Publication Date: 2021-12-13T21:43:36Z
• Authors: Bruce Strober; Joyce Leman; Maja Mockenhaupt; Juliana Nakano de...; Ahmed Nassar; Vimal H. Prajapati; Paolo Romanelli; Julien Seneschal; Athanasios Tsianakas; Lee Yoong Wei; Masahito Yasuda; Ning Yu; Ana C. Hernandez ...; Yukari Okubo
• Keywords: Clinical Practice; Front line

Generalized pustular psoriasis (GPP) is a rare, potentially life-threatening, neutrophilic, autoinflammatory skin disease characterised by recurrent flares of generalised sterile pustules and associated systemic features. Inconsistent diagnostic criteria lack approved therapies pose serious challenges to GPP management. Our objectives were discuss the encountered in care patients with identify healthcare provider (HCP) educational needs clinical practice gaps management.On 24 July 2020, 13 dermatologists from 10 countries (Brazil, Canada, China, Egypt, France, Germany, Japan, Malaysia, UK USA) attended workshop share experiences managing GPP. Educational grouped according system level discussed ranked using interactive polling.Lack experience among HCPs was identified as an important individual HCP-level gap. Limited understanding presentation pathogenesis non-specialists means misdiagnosis common, delaying referral treatment. In where may present general practitioners or emergency department HCPs, often mistaken for infection. Among who can accurately diagnose GPP, limited knowledge treatments necessitate colleague more At organisational level, educating recognise improving communication, cooperation definitions roles within multidisciplinary teams supporting regulatory robust trial data, clear consistent treatment guidelines high priorities.The imperative most consistently across participating understand that be life-threatening if appropriate initiation delayed, when refer