Indian expert Delphi consensus on the diagnosis and management of flares of generalised pustular psoriasis.

IF 3.2 4区医学 Q2 DERMATOLOGY Indian Journal of Dermatology Venereology & Leprology Pub Date : 2024-09-07 DOI:10.25259/IJDVL_219_2024

Vijay Venkatraj Aithal, Ramesh Bhat, Sudip Das, Sunil Dogra, Kiran Godse, D S Krupa Shankar, Chitra Shivanand Nayak, Sathish B Pai, Shrichand Gordhandas Parasramani, Anchala Parthasaradhi, Bela Shah, Sushil T Tahiliani, Tomson Toms, Arun Kumar Dahiya

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Abstract

Generalised pustular psoriasis (GPP) is a chronic, multisystemic, autoinflammatory disease with predominantly cutaneous manifestations, characterised by recurrent episodes of widespread, macroscopic and aseptic pustules. It has a highly unpredictable, heterogeneous and unstable clinical course. There are no consensus guidelines in India for the management of GPP. The objective of this Delphi panel study was to achieve consensus on problem areas in the understanding and management of GPP. Based on the inputs from an expert panel, 19 topics across six domains were identified as being important regarding the understanding and management of GPP. Statements were developed for these 19 topics, and consensus for the statements was sought using the modified Delphi method. Twelve experts evaluated the statements, indicating their agreement or disagreement. Consensus was considered to be reached when ≥80% of experts agreed with a statement. After two rounds of discussion, consensus was reached for 17 out of 19 (89%) statements and no consensus was achieved for two (11%) statements. We have presented the statements along with the respective degrees of consensus. Wherever relevant, clarifications or additional comments by experts are provided in the document.

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印度专家就泛发性脓疱型银屑病复发的诊断和管理达成德尔菲共识。

泛发性脓疱型银屑病（GPP）是一种慢性、多系统、自身炎症性疾病，主要表现为皮肤症状，其特点是反复发作的广泛、大面积和无菌性脓疱。它的临床病程极难预测，具有异质性和不稳定性。印度尚未就 GPP 的治疗达成共识。本次德尔菲小组研究的目的是就认识和管理 GPP 的问题领域达成共识。根据专家小组的意见，确定了 19 个主题，涉及六个领域，这些主题对了解和管理 GPP 具有重要意义。为这 19 个主题制定了声明，并使用修改后的德尔菲法寻求对声明的共识。12 位专家对声明进行了评估，并表示同意或不同意。当≥80%的专家同意某项声明时，即认为达成了共识。经过两轮讨论，19 份陈述中有 17 份（89%）达成了共识，有 2 份（11%）未达成共识。我们列出了这些声明以及各自的共识程度。在相关的地方，本文件还提供了专家的澄清或补充意见。

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来源期刊

Indian Journal of Dermatology Venereology & Leprology 医学-皮肤病学

CiteScore

2.10

自引率

10.30%

发文量

247

审稿时长

6-12 weeks

期刊介绍： The Indian Association of Dermatologists, Venereologists & Leprologists (IADVL) is the national association of Indian medical specialists who manage patients with skin disorders, sexually transmitted infections (STIs) or leprosy. The current member strength of the association is about 3800. The association works for the betterment of the specialty by holding academic meetings, printing a journal and publishing a textbook. The IADVL has several state branches, each with their own office bearers, which function independently within the constitution of the IADVL. Established in 1940, the Indian Journal of Dermatology, Venereology and Leprology (IJDVL, ISSN 0378-6323) is the official publication of the IADVL (Indian Association of Dermatologists, Venereologists and Leprologists).